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The Florida 4191A form serves as an essential tool for students seeking to request their academic transcripts from The School Board of Broward County. Specifically designed for those who attended school seven years ago or longer, this form outlines the necessary steps to obtain records for official or certified purposes. When filling out this application, individuals must provide personal information including their name, social security number, and contact details, as well as specify whether they need an official transcript—suitable for college applications or job searches—or a certified version, required for legal matters like immigration. Important instructions highlight the necessity of including a copy of identification and submitting payment of either $3.00 or $7.00, depending on the type of transcript requested. It's also crucial to remember that requests from individuals who attended within the last seven years should go through their last school, and incomplete submissions will be returned promptly. The form emphasizes the importance of accuracy, and every request must be validated with an authorized signature, reinforcing the requirement under Florida law. Overall, the 4191A form simplifies the process for students to access their educational records, ensuring that they can seamlessly obtain the documentation they need for their future endeavors.

Florida 4191A Example

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 Characteristics

Fact Name Details
Purpose The Florida 4191A form is designed for students to request transcripts from their last public Broward County school.
Eligibility This form is only for requests related to transcripts from 7 years ago or prior. For more recent records, please contact the last school attended.
Submission Method Completed forms must be mailed to the Records Retention department, along with a copy of identification.
Fees Transcript fees are $3.00 for official copies and $7.00 for certified copies, payable by cash or money order only.
Payment Restrictions Personal checks are not accepted for payment of transcript fees.
Completion Criteria Requests that are incomplete or unacceptable will be returned immediately to the requester.
Program Limitations This form cannot be used for GED requests.
Authorization Statement The requester must sign an authorization statement affirming they are the former student requesting their records.
Governing Law This form operates under Florida Statute Section 92.525, which governs the release of educational records.

Guidelines on Utilizing Florida 4191A

After gathering the necessary information, you can proceed with filling out the Florida 4191A form. It’s essential to provide accurate details to avoid any delays in processing your request. Ensure you have a valid form of identification ready to include with your submission.

  1. Download and print the Florida 4191A form.
  2. In the *Student Name section, write your full name.
  3. In the *DOB section, enter your date of birth.
  4. For the Married/Other Name, provide your name if applicable.
  5. Fill in the SSN section with your Social Security Number.
  6. In the *Home Phone section, provide your home phone number.
  7. Complete the Work and Cell sections with the appropriate numbers.
  8. Write your E-Mail Address in the designated area.
  9. Indicate the *Number of Copies you wish to request.
  10. In the *Last public BROWARD County school section, mention the last school you attended.
  11. Fill in the *Last year in school with the year you finished.
  12. Answer if you graduated with Yes or No.
  13. If No, indicate the last grade attended.
  14. If applicable, fill in the Program Title section.
  15. Provide your Attendance Dates.
  16. Indicate if you completed the technical program with Yes or No.
  17. Check the appropriate boxes for $3 Elementary, $3 Middle, $3 High, and $3 Tech.
  18. In the two Mail to sections, fill in the Name and Address, including City, State, and Zip for each.
  19. Sign the form in the *Student INK Signature section.
  20. Enter the Date of signature.
  21. Attach a copy of your photo ID to the completed form before mailing.
  22. Mail the form and money order to the Records Retention address provided at the top of the form.

What You Should Know About This Form

What is the Florida 4191A form used for?

The Florida 4191A form is designed for individuals who wish to request their transcripts from The School Board of Broward County. This form specifically caters to students who attended school seven years ago or longer. If you need a transcript from the last seven years, you should contact your last school directly instead of using this form.

How do I complete the Florida 4191A form?

To complete the form, fill in the required fields, including your name, date of birth, Social Security Number, and contact details. You must specify whether you are requesting an official or certified copy of your transcript. Additionally, indicate the number of copies needed and provide information about your last school in Broward County. Be sure to sign and date the authorization statement, certifying that you are the former student requesting your records.

What fees are associated with the request?

A fee is charged for each transcript copy requested. For an official transcript, the fee is $3.00. If you need a certified transcript, the fee is $7.00. Payment must be made in cash or by money order made out to The School Board of Broward County. Personal checks cannot be accepted, so make sure to plan your payment accordingly.

What happens if my request is incomplete?

If any part of your request is incomplete or if the information provided is unacceptable, the request will be returned to you immediately. It is essential to review your completed form carefully before mailing it off to avoid any delays in receiving your transcript.

Do I need to include identification with my request?

Yes, you must attach a copy of your photo ID before mailing the form. This step is crucial as it verifies your identity and ensures that your request can be processed accurately.

Is this form applicable for GED requests?

No, the Florida 4191A form is not intended for GED transcript requests. If you need a GED transcript, you should follow a different protocol, which typically involves contacting the appropriate state or educational authority responsible for GED records.

Common mistakes

When completing the Florida 4191A form, individuals often make mistakes that can delay their requests or lead to unnecessary complications. One common error is leaving out essential information, such as the student’s full name and date of birth. Failing to provide these details prevents the school board from accurately locating the records.

Another frequent mistake is neglecting to attach the required photo identification. Without a valid form of ID, the request will be deemed incomplete and returned. This oversight can prolong the process and create frustration for those seeking transcripts.

Some individuals mistakenly assume that submission can occur via personal check. This is not allowed, as the School Board of Broward County mandates payment via cash or money order only. Choosing the wrong payment method results in immediate rejection of the request.

In addition to payment methods, many applicants fail to specify the type of transcript they need. The form requires the selection of either "official" or "certified." Incomplete selections are often overlooked, leading to confusion and delays in the processing of the request.

Another area of concern is the mailing address for the transcripts. People sometimes provide incomplete or incorrect addresses, which can lead to misdelivery or significant delays in receiving the requested documents. It is crucial to recheck all provided address details.

Applicants also frequently neglect to double-check the number of copies requested. An error in this section may result in receiving fewer copies than needed, resulting in further steps to procure additional transcripts.

Some individuals may overlook the eligibility requirement. The Florida 4191A form is designated only for transcripts from seven years ago and earlier. Misunderstanding this criterion can lead to an erroneous attempt at obtaining recent records.

Finally, individuals sometimes forget to supply their authorized signature. Failing to sign the form can halt the processing of requests altogether. The signature serves as a declaration, affirming that the requestor is indeed the former student seeking their records.

Documents used along the form

When requesting transcripts in Florida, especially through the Florida 4191A form, you may need to gather additional documents. Each of these forms can help ensure your request is processed smoothly and efficiently.

  • ID Verification Form: This document confirms your identity. It can include copies of personal identification such as a driver's license or passport. This is essential for any records request.
  • Authorization for Release of Information Form: Often used in conjunction with transcript requests, this form allows you to grant permission for schools or institutions to release your academic records. It protects your privacy and ensures legal compliance.
  • Request for Educational Records Form: This form serves a similar purpose to the Florida 4191A, but can be used for obtaining records from different educational institutions. It is relevant for students who attended multiple schools.
  • Payment Confirmation Receipt: Since there is a fee associated with transcript requests, this document serves as proof of payment. Keeping a record can help if any disputes arise regarding your transaction.
  • Application for GED Records: Although the Florida 4191A form is not for GED requests, individuals seeking GED transcripts need a specific form for that purpose. This document helps those who have earned their GED to access their records effectively.

Using these forms alongside the Florida 4191A form can help ensure a smoother experience when seeking your academic transcripts. It's always best to be thorough and prepared with the right documentation to avoid any delays.

Similar forms

The Florida 4191A form serves a vital function for individuals seeking to obtain their school transcripts. Similar documents share a common purpose of record retrieval or verification, though they may cater to different contexts. Below are four documents comparable to the Florida 4191A form, each serving a distinct yet similar purpose in record management.

  • Transcript Request Form: This general form allows students to request their academic transcripts from colleges or universities. Like the Florida 4191A form, it requires personal information and identification verification, ensuring that only the rightful owner of the records can obtain them.
  • FERPA Release Form: Under the Family Educational Rights and Privacy Act (FERPA), this document permits educational institutions to share a student's academic records with designated third parties. Similarly to the Florida 4191A form, it emphasizes the need for consent and protection of the student's privacy.
  • Request for Records Transfer: This form is vital for students who wish to transfer their educational records from one school to another. Much like the Florida 4191A, it necessitates the submission of personal details and ensures records are appropriately handled and shared per the student's wishes.
  • Official GED Transcript Request Form: While specifically aimed at individuals who have received their GED, this form allows for the request of official transcripts, much like the Florida 4191A does for traditional school records. Both forms require a fee and personal identification, maintaining regulatory standards for academic documentation.

Dos and Don'ts

When filling out the Florida 4191A form, it's important to approach the process carefully. Understanding the instructions can help ensure that the request is completed correctly and promptly.

  • Do ensure you have a clear understanding of what type of transcript you are requesting—official or certified.
  • Do include a copy of your identification along with the completed form.
  • Do provide accurate and complete information in all fields, particularly your name, date of birth, and last school attended.
  • Do send your payment in cash or money order made out to The School Board of Broward County.
  • Don't forget to sign the form. An ink signature is required to validate your request.
  • Don't use a personal check for payment, as it will not be accepted.
  • Don't submit the form without attaching the required photo ID to ensure your request isn't returned.

Misconceptions

Misconceptions about the Florida 4191A form can lead to delays and confusion when seeking important educational records. Here are seven common misunderstandings along with clarifications for each one:

  • This form is for any type of transcript request. Many believe the Florida 4191A form can be used for all transcript requests. In fact, it is specifically designed for students seeking transcripts from seven years ago or earlier. For transcripts within the last seven years, you should contact your last school directly.
  • Personal checks can be used to pay for transcript fees. Some assume that personal checks are acceptable. However, the form clearly states that only cash or money orders made out to The School Board of Broward County are acceptable. Personal checks will not be processed.
  • This form can be used to request GED records. There is a misconception that the 4191A form covers GED requests as well. This is not true. This form is exclusively meant for traditional school transcripts and cannot be used for GED records.
  • Incomplete requests will be processed anyway. A common misunderstanding is that incomplete forms will still be reviewed. In reality, any requests that are incomplete or unacceptable will be returned immediately, causing potential delays in receiving your transcript.
  • You can submit the form electronically. Many think they can simply email or electronically submit the 4191A form. However, this is a mailed form that requires physical submission along with a copy of identification.
  • There's no need to attach ID if payment is included. Some individuals believe that including payment is sufficient for processing. That is incorrect; attaching a photo ID is a mandatory requirement, even in cases where payment is provided.
  • All types of transcripts cost the same. It is a misconception that the fee for transcripts is uniform. The form specifies different fees for official and certified transcripts—$3.00 for official copies and $7.00 for certified copies. Understanding this can help avoid unexpected costs.

Key takeaways

The Florida 4191A form is essential for individuals looking to obtain their transcripts from the School Board of Broward County. Understanding the critical aspects of this process can help ensure a smoother experience.

  • Eligibility: This form is specifically for students requesting transcripts from seven years ago or earlier.
  • Contact for Recent Transcripts: For transcripts from the last seven years, individuals must contact their last attended school directly.
  • Mailing Address: Completed forms should be sent to Records Retention at 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351.
  • Fees: The fee for an official transcript is $3.00, while a certified transcript costs $7.00. Payments must be made in cash or with a money order; personal checks are not accepted.
  • Completeness: Incomplete or unacceptable requests will be returned to the sender, potentially delaying the process.
  • Identification: A copy of identification must be attached to the form before mailing.
  • Signature Requirement: The student requesting the records must provide an ink signature to authorize the release of their information.
  • No GED Requests: This form is not applicable for those seeking GED records, as a different process may be required.
  • Payment Options: Specify the type of transcript needed and the number of copies while ensuring payment is included to avoid processing delays.

By following these key points, individuals can effectively navigate the transcript request process using the Florida 4191A form.