Please type or use ink and print legibly. Use the address where your certificate should be mailed in six to ten weeks. Only complete the information on the first five lines. We will complete the information in the box and sign and date this form. A fee is charged for each transcript.
Photocopies are acceptable.
Our correct mailing address is given at the top of this page. Missing information will only delay the issuance of your certificate. If possible, return this information to this office in a complete package. If you hold a Virginia certificate and are seeking an additional endorsement as a result of the completion of your program, please contact this office immediately. You do not need to follow all of the steps outlined on this statement.