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The Florida 4191A form serves as a crucial tool for individuals seeking to obtain their academic transcripts from the School Board of Broward County. This form is specifically designed for students who attended school seven years ago or earlier. For those who have been in school within the last seven years, it is advised to contact the last school directly. To initiate a transcript request, applicants must complete the form and submit it, along with a copy of their identification, to the designated Records Retention address in Sunrise, Florida. Each official transcript request incurs a fee of $3.00, while a certified transcript, which is often required for legal matters, costs $7.00. Payment must be made via cash or money order, as personal checks are not accepted. The form also emphasizes the importance of accuracy and completeness; any requests that are incomplete or improperly filled out will be returned without processing. Additionally, it is essential to note that this form does not apply to GED requests. By signing the form, students affirm their identity and authorize the release of their records, ensuring that the process is secure and compliant with Florida law.

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The School Board of Broward County

Records Retention

Transcript Request

7720 W. Oakland Park Blvd., 3rd Floor

Sunrise, FL 33351

Instructions: This form is for students requesting transcripts from 7 years ago and prior. If you attended within the last 7 years, contact your last school. Mail this form and copy of identification to Records Retention, to address shown above. Transcript fee for each copy is $3.00 for official (College, Employment, SS, etc.) OR $7.00 for certified (Immigration, Subpoenas, etc.), cash or money order only made to: The School Board of Broward County. No personal checks accepted. All request received incomplete or

unacceptable will be returned immediately.

Check one:

 

OFFICIAL ___ CERTIFIED___

*This form is not for GED request.

*Student Name _______________________________________ *DOB ____________________

Married/Other Name ___________________________________ SSN ____________________

*Home Phone ______________________ Work _______________ Cell ____________________

E-Mail Address _________________________________________ *Number of Copies: _______

*Last public BROWARD County school(K-Votech) ______________________________________

*Last year in school __________ Did you graduate? Yes OR No If no, last grade attended______

Program Title (if applicable)__________________Attendance Dates _________________________

Did you complete the tech program? Yes or No, $3 Elem___$3 Middle___$3 High___$3 Tech__

Mail to:

Name ________________________________________________________________________

Address_______________________________________________________________________

______________________________________________________________________________

City _________________________________State___________ Zip _______________________

Mail to:

Name ________________________________________________________________________

Address_______________________________________________________________________

______________________________________________________________________________

City _________________________________State___________ Zip _______________________

Authorization Statement and Authorized Signature

I certify, under penalty of perjury, pursuant to Florida Statute Section 92.525, that I am the former student requesting my records. I hereby authorize the release of records or information as instructed above.

*Student INK Signature __________________________________________________________

Date__________________

ATTACH PHOTO ID BEFORE MAILING

*REQUIRED

Form 4191A

REV 08/19

Records Retention

Form Specifications

Fact Name Description
Purpose The Florida 4191A form is used by students to request transcripts from the School Board of Broward County for records that are 7 years old or older.
Submission Instructions Students must mail the completed form along with a copy of their identification to the Records Retention office at the specified address.
Transcript Fees The fee for an official transcript is $3.00, while a certified transcript costs $7.00. Payments can only be made via cash or money order.
Incomplete Requests Any request that is incomplete or unacceptable will be returned immediately to the sender.
Not for GED Requests This form is specifically not intended for GED requests, so individuals seeking GED transcripts must use a different process.
Governing Law The use of this form is governed by Florida Statute Section 92.525, which outlines the legal requirements for requesting educational records.

Florida 4191A: Usage Guidelines

Completing the Florida 4191A form is straightforward. Follow the steps below to ensure your transcript request is processed smoothly. Remember to include all necessary information and documentation before mailing your request.

  1. Obtain the Florida 4191A form from the appropriate source.
  2. Fill in your full Student Name in the designated space.
  3. Provide your Date of Birth (DOB) in the specified format.
  4. If applicable, enter your Married/Other Name.
  5. Input your Social Security Number (SSN).
  6. Complete your Home Phone, Work Phone, and Cell Phone information.
  7. Include your E-Mail Address.
  8. Indicate the Number of Copies you are requesting.
  9. Specify the Last public Broward County school you attended.
  10. Enter the Last year in school.
  11. Indicate whether you graduated by selecting Yes or No.
  12. If you did not graduate, provide the last grade attended.
  13. If applicable, enter the Program Title you were enrolled in.
  14. Fill in your Attendance Dates.
  15. Answer whether you completed the tech program by selecting Yes or No.
  16. Check the appropriate boxes for the type of transcript you are requesting: OFFICIAL or CERTIFIED.
  17. In the Mail to section, fill in the recipient's Name and Address, including City, State, and Zip.
  18. Sign and date the Authorization Statement at the bottom of the form, ensuring your signature is in ink.
  19. Attach a copy of your photo ID to the completed form.
  20. Mail the form and payment (cash or money order only) to the address provided: Records Retention, 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351.

After mailing your request, allow some time for processing. If your form is incomplete or incorrect, it will be returned to you. Ensure all details are accurate to avoid delays.

Your Questions, Answered

What is the purpose of the Florida 4191A form?

The Florida 4191A form is specifically designed for individuals who are requesting their school transcripts from the School Board of Broward County. This form is applicable for transcripts from seven years ago and earlier. If you attended school within the last seven years, you should reach out directly to your last school for assistance.

How do I submit the Florida 4191A form?

To submit the Florida 4191A form, you need to complete it fully and include a copy of your identification. Once you have filled it out, mail it to the Records Retention office at the address provided: 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351. Ensure that you include the correct fee and check the completeness of your request to avoid delays.

What are the fees associated with requesting a transcript?

The fee for obtaining a transcript varies depending on the type of transcript you need. An official transcript costs $3.00, which is suitable for college applications, employment verification, or Social Security purposes. If you require a certified transcript, typically needed for immigration or legal matters, the fee is $7.00. Payments must be made in cash or by money order payable to The School Board of Broward County; personal checks are not accepted.

What information do I need to provide on the form?

When filling out the Florida 4191A form, you will need to provide several key pieces of information. This includes your name, date of birth, Social Security number, and contact details. Additionally, you must specify the last public Broward County school you attended, the last year you were in school, and whether you graduated. It is also important to indicate the number of copies you are requesting and the type of transcript (official or certified).

What happens if my request is incomplete?

If your request is incomplete or contains unacceptable information, it will be returned to you immediately. To avoid this, double-check that all required fields are filled out correctly and that you have attached your photo ID before mailing the form. Ensuring your request is complete will help expedite the process of obtaining your transcripts.

Can I request a GED transcript using this form?

No, the Florida 4191A form is not intended for GED transcript requests. If you need a GED transcript, you will have to follow a different process. It's advisable to check with the appropriate educational authority or institution that handles GED records for the correct procedure.

Common mistakes

  1. Not providing a copy of identification: It's essential to attach a photo ID when submitting the form. Without it, your request will be returned.

  2. Incorrect payment method: Only cash or money orders are accepted. Personal checks will lead to immediate rejection of your request.

  3. Forgetting to check the type of transcript: Ensure you mark either "OFFICIAL" or "CERTIFIED." Leaving this blank will cause delays.

  4. Missing required fields: Fields marked with an asterisk (*) are mandatory. Incomplete forms will be sent back to you.

  5. Providing an incorrect Social Security Number: Double-check your SSN. An error can lead to issues retrieving your records.

  6. Not specifying the number of copies: Indicate how many copies you need. Omitting this information can delay processing.

  7. Failing to include your last school attended: Be specific about your last public Broward County school. This information is crucial for locating your records.

  8. Neglecting to sign the form: Your signature is required to authorize the release of records. An unsigned form will not be processed.

  9. Not providing a complete mailing address: Ensure that both the return address and the mailing address are fully filled out to avoid misdelivery.

  10. Ignoring the deadline: If you're requesting transcripts for a specific purpose, make sure to allow enough time for processing and delivery.

Documents used along the form

The Florida 4191A form is essential for students requesting transcripts from the School Board of Broward County. However, several other forms and documents may accompany this request to ensure a smooth process. Here is a list of related documents that may be needed.

  • Photo Identification: A copy of a government-issued ID is required to verify the identity of the requester. This can include a driver's license or passport.
  • Transcript Request Form: This form is often used to provide detailed information about the transcripts being requested, including specific years and types of records.
  • Authorization Form: This document may be necessary for third parties to request transcripts on behalf of the student, ensuring legal permission is granted.
  • Payment Receipt: A receipt for any fees paid for the transcript request serves as proof of payment and may be required for processing.
  • GED Request Form: If applicable, this form is specifically for individuals seeking their General Educational Development (GED) records, separate from standard transcripts.
  • Previous School Records: In some cases, records from the last attended school may be needed to complete the transcript request process.
  • Employment Verification: For those requesting transcripts for job applications, providing a letter from an employer may be beneficial.
  • Immigration Documents: For certified transcript requests, additional documentation related to immigration status may be required to support the request.
  • Contact Information Form: This form provides updated contact details to ensure that the school can reach the requester if there are any issues with the transcript request.

Gathering these documents can help streamline the transcript request process and prevent delays. Ensure all necessary information is complete and accurate to facilitate a successful request.

Similar forms

The Florida 4191A form is designed for students to request transcripts from the School Board of Broward County. Several other documents serve similar purposes in different contexts. Below is a list of these documents, highlighting their similarities with the Florida 4191A form:

  • Transcript Request Form: Used by students in various states to request academic transcripts from their educational institutions, similar to the Florida 4191A form.
  • College Transcript Request Form: This form allows college students to request their official transcripts, often required for job applications or further education, akin to the Florida 4191A.
  • High School Transcript Request Form: Similar to the Florida 4191A, this document is specifically for high school graduates seeking their transcripts for college admissions or employment.
  • GED Transcript Request Form: While the Florida 4191A is not for GED requests, this form serves a similar function for those who have obtained their GED and need proof of completion.
  • Employment Verification Form: Employers often require verification of education, and this form can be used to confirm a candidate's academic history, paralleling the transcript request process.
  • Immigration Transcript Request Form: This document is used by individuals applying for immigration benefits who need to provide proof of education, similar to the certified transcript request on the Florida 4191A.
  • Subpoena for Records: In legal contexts, a subpoena may be issued to obtain educational records, reflecting the necessity of documentation like that requested through the Florida 4191A.
  • Student Record Release Form: This form allows students to authorize the release of their academic records to third parties, much like the authorization statement in the Florida 4191A.
  • Official Academic Record Request Form: This is a general term for forms used to request official academic records from any educational institution, similar in function to the Florida 4191A.

Dos and Don'ts

When filling out the Florida 4191A form, it is essential to follow certain guidelines to ensure your request is processed smoothly. Here is a list of things you should and shouldn't do:

  • Do provide accurate personal information, including your full name and date of birth.
  • Do indicate whether you are requesting an official or certified transcript.
  • Do include a copy of your identification with the form.
  • Do specify the number of copies you need clearly.
  • Do use cash or a money order for payment, made out to the School Board of Broward County.
  • Don't submit personal checks, as they are not accepted.
  • Don't leave any required fields blank; incomplete forms will be returned.
  • Don't forget to sign and date the authorization statement.
  • Don't send the form without attaching your photo ID.
  • Don't use this form for GED requests, as it is not applicable.

Misconceptions

Understanding the Florida 4191A form can be challenging, and there are several misconceptions that may lead to confusion. Here are five common misconceptions about this form, along with clarifications to help ensure a smooth transcript request process.

  • This form can be used for GED requests. The Florida 4191A form is specifically designed for requesting transcripts from traditional school records. GED requests require a different process and form.
  • All requests are processed regardless of completeness. Incomplete or unacceptable requests will be returned immediately. It is essential to ensure that all required information is provided to avoid delays.
  • Personal checks are accepted for payment. Only cash or money orders made out to The School Board of Broward County are accepted. Personal checks will not be processed.
  • Transcripts can be requested for any year of attendance. This form is only for transcripts from seven years ago and prior. For records from the last seven years, individuals should contact their last school directly.
  • There is no fee for requesting transcripts. There is a fee associated with each copy requested. Official transcripts cost $3.00, while certified transcripts cost $7.00. Be prepared to include the appropriate payment with your request.

By addressing these misconceptions, individuals can better navigate the transcript request process and ensure they obtain the necessary records in a timely manner.

Key takeaways

When filling out and using the Florida 4191A form, there are several important points to keep in mind. Here are key takeaways to ensure a smooth process:

  • Eligibility: This form is specifically for students requesting transcripts from seven years ago and earlier.
  • Recent Attendance: If you attended school within the last seven years, contact your last school directly instead of using this form.
  • Mailing Instructions: Send the completed form along with a copy of your identification to the Records Retention address provided.
  • Fees: The fee for an official transcript is $3.00, while a certified transcript costs $7.00. Payment must be made by cash or money order only.
  • No Personal Checks: Personal checks are not accepted for payment of transcript fees.
  • Completeness: Ensure that all sections of the form are filled out completely. Incomplete or unacceptable requests will be returned immediately.
  • Specific Requests: The form cannot be used for GED requests; it is strictly for Broward County public school transcripts.
  • Authorization: You must sign the form to authorize the release of your records, certifying that you are the former student.
  • Photo ID Requirement: Remember to attach a photo ID before mailing the form to avoid delays in processing your request.

By following these guidelines, you can help ensure that your transcript request is processed efficiently and accurately.