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Jeff Davis County Schools - College/Corporate Transcript/Education Verification Request

This is an official request for a copy of a final transcript. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process by clicking the link to pay. The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals. You will receive emails from [email protected] to notify you of the status of your order.

Requestor Information

College/Corporate Name*

Answer Required

Contact Name*

Answer Required

Contact Number*

Include extension if applicable

Answer Required

Contact Email*

Answer Required

College / Corporate Address

Address Line 1*

Answer Required

Address Line 2

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Student Information

Last Name*

Answer Required

First Name*

Answer Required

Middle Name

Answer Required

Maiden Name

Answer Required

Last 4 digits of SSN*

Answer Required

Date of Birth*

mm/dd/yyyy

Answer Required

Graduation Year or Last Year Enrolled*

Answer Required

Student's Email*

Answer Required

Student's Phone Number*

Number Required

Student's Current Address

Address Line 1*

Answer Required

Address Line 2

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Deliver Transcript to:

Name*

Answer Required

Attention*

Answer Required

Delivery Method Preferred*

Answer Required

Mail

Email Address if Email is preferred

Answer Required

Address Line 1*

Answer Required

Address Line 2

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Special Instructions

Answer Required

E-Signature - My initials below constitute an electronic signature and I hereby certify and verify that my corporation has expressed written consent to release information from the former student of the Jeff Davis County School District for which this request is made. I understand that the recipient of the record(s) will use said document(s) for legitimate interests onlyand that the information contained therein shall not be further transferred or communicated to any other part or agency without the expressed written consent of the former student except under authority of Public Law 93-380, Educational Rights and Privacy Act. By clicking "Submit", I certify this information as complete and accurate. I have paid the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.*

Answer Required

Quantity

Payment*

A service fee of 4% + $0.35 will be added the amount.

Price: $18.00

Confirmation Email

Confirmation Email *

Email Required