REQUEST FOR COPY OF GED 2 3 - LCTCS
[Pages:1]REQUEST FOR COPY OF GED? TEST SCORES/ DUPLICATE HIGH SCHOOL EQUIVALENCY DIPLOMA
This form is for GED students only. To obtain a copy of your GED test scores, or a duplicate high school equivalency diploma, please complete the form below and return it to our office. It is MANDATORY that you sign this form before returning it or we cannot process your request. This form is for LOUISIANA students only; if you received an equivalency diploma in another state, you may contact the agency that issued the credential in that state. Do not complete this form to obtain a copy of a regular high school diploma/transcript. (For duplicates of regular high school diplomas, contact the Louisiana Department of Education, Duplicate Transcripts/Reissued Diplomas at 225.342.2150.)
Choose one or both of the following to be sent:
DUPLICATE DIPLOMA COPY OF SCORES
Information needed (please print):
Present name:
Name at time of testing:
Date of Birth:
Social Security Number:
High School through which Equivalency Diploma was issued (if applicable):
Year Tested:
Year diploma was received:
Were you in the military at the time of testing, or were you a veteran?
Yes
No
Signature:
Telephone: (
)
Email:
Please return via mail, fax or email to:
Work Ready U ? Adult Education and GED Services Louisiana Community and Technical College System 265 South Foster Drive Baton Rouge, LA 70806
FAX: 225.922.1203
Email: bselig@lctcs.edu
Telephone: 1.888.833.2976
Where do you want this request mailed?
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