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The Florida 4191A form serves as a vital tool for individuals seeking to obtain their educational transcripts from the School Board of Broward County. This form is specifically designed for students who attended school seven years ago or earlier, making it essential for those needing historical academic records. To initiate a request, individuals must complete the form, providing key personal information such as their name, date of birth, and Social Security number. The process requires submitting a copy of identification along with the completed form to the Records Retention office located at 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351. A fee is associated with each transcript request—$3.00 for official copies and $7.00 for certified copies, with payments accepted only in cash or money order. Importantly, the form is not applicable for GED requests and mandates that all sections be filled out accurately; incomplete submissions will be returned without processing. By signing the authorization statement, the requester certifies their identity and gives permission for the release of their records, ensuring compliance with Florida law. This structured approach not only facilitates the retrieval of educational documents but also safeguards the privacy and integrity of the information being requested.

Documents used along the form

The Florida 4191A form is a crucial document for individuals seeking transcripts from the School Board of Broward County. However, it is often accompanied by several other forms and documents that can help streamline the process or provide additional information. Below is a list of commonly used documents that complement the Florida 4191A form.

  • Identification Documents: A valid photo ID, such as a driver's license or passport, is required to verify the identity of the requester. This is essential for ensuring that personal information is protected and only released to authorized individuals.
  • Transcript Fee Payment: While submitting the 4191A form, a payment for the transcript fee must be included. This can be in the form of cash or a money order made out to the School Board of Broward County, as personal checks are not accepted.
  • GED Request Form: If the individual is seeking a General Educational Development (GED) certificate instead of a high school transcript, a separate GED request form must be completed. This form is specifically designed for those who have completed their GED.
  • Authorization Letter: If someone other than the student is requesting the transcript, an authorization letter signed by the student may be required. This letter grants permission for the third party to access the student's records.
  • Previous School Records: If the student attended multiple schools, records from previous institutions may be needed to provide a complete academic history. This can be particularly useful for students who transferred or moved frequently.
  • Additional Contact Information: Including alternative contact methods, such as a secondary email or phone number, can expedite communication regarding the request. This is helpful if there are any issues or clarifications needed during processing.

By preparing these additional documents alongside the Florida 4191A form, individuals can enhance their chances of a smooth and efficient transcript request process. Being organized and thorough can make a significant difference in obtaining the necessary educational records in a timely manner.

Similar forms

The Florida 4191A form is similar to the Request for Transcript form used by many colleges and universities across the United States. Like the 4191A, this college transcript request form allows students to obtain their academic records from their institution. Both forms require personal information such as the student's name, date of birth, and identification. Additionally, each form specifies the fees associated with obtaining official or certified copies of transcripts. The college form also emphasizes the importance of providing a valid ID to authenticate the request, mirroring the identification requirement of the Florida 4191A.

Another comparable document is the High School Transcript Request form, commonly used by secondary education institutions. This form serves a similar purpose in that it allows former students to request copies of their high school transcripts. Both the Florida 4191A and the high school transcript request require the requester to indicate the number of copies needed and provide personal identification information. Furthermore, both forms stipulate a fee structure for obtaining the transcripts, ensuring that the schools can cover administrative costs associated with processing these requests.

The IRS Form 4506-T, Request for Transcript of Tax Return, bears similarities to the Florida 4191A in that both documents are requests for official records. The IRS form allows individuals to obtain copies of their tax transcripts, which are often necessary for various legal and financial purposes. Just as the Florida 4191A requires a signature to authorize the release of records, the IRS form also necessitates the taxpayer's signature. Both forms are designed to protect sensitive information and ensure that only authorized individuals can access the requested documents.

Additionally, the Social Security Administration (SSA) has a Request for Social Security Statement form, which shares commonalities with the Florida 4191A. This form allows individuals to request their earnings history and benefit estimates from the SSA. Similar to the 4191A, the SSA form requires personal details such as the requester’s name and Social Security number. Both documents emphasize the importance of providing accurate information to prevent delays in processing requests, ensuring that individuals receive the correct records in a timely manner.

Lastly, the Medical Records Release form is another document that parallels the Florida 4191A. This form is used to request copies of medical records from healthcare providers. Both forms require the requester to provide identifying information and specify the records they wish to obtain. Furthermore, both documents often include an authorization statement, requiring the requester’s signature to confirm their consent for the release of sensitive information. This shared emphasis on authorization underscores the importance of privacy in handling personal records.

Obtain Answers on Florida 4191A

  1. What is the Florida 4191A form used for?

    The Florida 4191A form is specifically designed for students who need to request their transcripts from the School Board of Broward County. This form is applicable for transcripts from seven years ago or earlier. If you attended school within the last seven years, you should contact your last school directly.

  2. How much does it cost to request a transcript using this form?

    The fee for each transcript copy is $3.00 for an official transcript, which is typically used for college applications, employment, or Social Security purposes. If you need a certified transcript, which is often required for immigration or legal matters, the fee is $7.00. Payments must be made in cash or by money order, made out to the School Board of Broward County. Personal checks are not accepted.

  3. What information do I need to provide on the form?

    You will need to fill out several key pieces of information on the form. This includes your name, date of birth, any married or other names, Social Security number, and contact numbers. Additionally, you must indicate the last public Broward County school you attended, the last year you were in school, whether you graduated, and the number of copies you are requesting.

  4. What happens if I submit an incomplete form?

    If your request is incomplete or does not meet the requirements, it will be returned to you immediately. To avoid this, double-check that all necessary fields are filled out correctly before mailing your form.

  5. Do I need to include identification with my request?

    Yes, you must attach a photo ID to your request before mailing the form. This is a required step to verify your identity as the former student requesting the records.

  6. Can I request a GED transcript using this form?

    No, the Florida 4191A form is not intended for GED requests. If you need a GED transcript, you will need to follow a different process specific to GED records.

Document Preview

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

Dos and Don'ts

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

  • Do provide a clear and complete student name as it appears on your records.
  • Do include a copy of your photo ID with the application.
  • Do select the correct type of transcript (Official or Certified) before submitting the form.
  • Do ensure that all required fields are filled out, including your Social Security Number and contact information.
  • Do mail the form along with the appropriate payment, either cash or money order.
  • Don't use personal checks, as they are not accepted for payment.
  • Don't submit the form without signing it; your signature is necessary for authorization.
  • Don't forget to check the last public Broward County school you attended; this information is crucial.
  • Don't leave any required fields blank, as incomplete forms will be returned.
  • Don't request transcripts for GED records, as this form is not intended for that purpose.