Homepage Fill Out a Valid Florida 4191A Template
Table of Contents

Securing past academic records can often feel like navigating through a labyrinth, but the Florida 4191A form simplifies this process for former students of The School Board of Broward County who are in need of their transcripts from more than seven years ago. Located strategically at 7720 W. Oakland Park Blvd., the Records Retention office makes requesting these crucial documents straightforward. This form outlines specific instructions for those needing official or certified copies of their transcripts for various purposes such as college applications, employment verification, social security, immigration, or legal matters. With a nominal fee structured based on the type of transcript required—$3.00 for official copies and $7.00 for certified ones—payment is accepted exclusively through cash or money order, ensuring a direct and secure transaction. It’s important to note that this form does not cater to GED requests, and any applications missing essential information or proper identification are promptly returned to the sender to correct the oversight. Completing this form requires the requester to provide detailed personal information, including their name, date of birth, social security number, contact details, and specific school-related data such as the last Broward County public school attended, the final year in school, and attendance dates. Moreover, the form mandates an ink signature from the student, validating their consent under Florida law for the release of the specified records. This methodical process underscores the importance of accuracy and completeness in facilitating the timely and efficient acquisition of historical educational records.

Document Preview 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

Document Overview

Fact Name Description
Purpose This form is used by former students to request transcripts from The School Board of Broward County for attendance years more than seven years ago.
Recent Attendance Students who attended school within the last seven years should contact their last attended school directly instead of using this form.
Submission Requirements Applicants must mail this form along with a copy of their identification to the Records Retention address provided on the form.
Fee Structure There is a $3.00 fee for official transcripts and a $7.00 fee for certified transcripts. Only cash or money orders payable to The School Board of Broward County are accepted.
Payment Policy Personal checks are not accepted for payment of transcript fees.
Form Exclusions This form cannot be used for requesting GED records.
Legal Foundation The authorization statement in the form is made pursuant to Florida Statute Section 92.525, highlighting the legal basis for the declaration under penalty of perjury.

Instructions on How to Fill Out Florida 4191A

Completing the Florida 4191A form is the initial step for former students, specifically those who have been out of the school system for more than seven years, to request their school transcripts from The School Board of Broward County. It's crucial for applicants requiring transcripts for purposes such as college admission, employment verification, or immigration processes. Accurate completion followed by proper submission of this form ensures the processing of transcript requests without unnecessary delays or returns. Follow these instructions carefully to make a successful request.

  1. Check the appropriate box at the top of the form to indicate whether you are requesting an OFFICIAL or a CERTIFIED copy of your transcript. Bear in mind the different fees for each.
  2. Fill in your full student name as used during your school years. Include any married or other names you may have used.
  3. Provide your date of birth (DOB) in the specified format.
  4. Enter your Social Security Number (SSN), if available. This is optional but helps in accurately identifying your records.
  5. Include your contact information: home phone, work phone, cell phone, and email address. Make sure these details are current to avoid any communication gap.
  6. Specify the number of transcript copies you need in the *Number of Copies field.
  7. Write the name of the last public Broward County school you attended and indicate the level (K-Votech).
  8. Enter the last year you were in school and indicate whether you graduated. If you did not graduate, provide the last grade attended.
  9. If applicable, include the program title you were enrolled in, the attendance dates, and check whether you completed the tech program. Specify the corresponding fees based on the school level completed: Elementary, Middle, High, or Tech.
  10. Under the "Mail to" section, provide the name and address where you want the transcript(s) sent. This could be your address or the address of an institution. Repeat the details if you need the transcripts sent to more than one location.
  11. Read the Authorization Statement carefully. By signing, you assert that the information provided is accurate and that you are authorizing the release of your records as requested.
  12. Sign the form using ink. Digital or electronic signatures may not be accepted.
  13. Attach a copy of your photo identification (ID) to the form. This is a mandatory step to verify your identity and protect your privacy.
  14. Review your form for completeness and accuracy before mailing it with the specified transcript fee ($3.00 for official or $7.00 for certified copies) to the provided address. Remember, payments must be made via cash or money order to "The School Board of Broward County." Personal checks are not accepted.

After submitting the form, the request will undergo processing by The School Board of Broward County. It is essential to ensure that all form sections are filled out correctly and that the form, along with payment and photo ID, is mailed to the correct address. Providing accurate and comprehensive information will expedite the processing of your transcript request, facilitating a smoother transition to your next academic or professional endeavor.

Listed Questions and Answers

What is the purpose of the Florida 4191A form?

The Florida 4191A form is designed for former students to request transcripts from the School Board of Broward County for education completed 7 years ago or earlier. It is utilized to obtain official or certified copies of transcripts for various purposes, such as college applications, employment, social security, immigration, or responding to subpoenas. The form ensures that personal academic records can be accessed by former students when needed.

How can one request a transcript using the Florida 4191A form?

To request a transcript using the Florida 4191A form, the individual must first fill out the form, providing detailed information including their name, date of birth, social security number, contact information, and the number of copies needed. Specific details regarding the last Broward County public school attended, last year in school, and program title, if applicable, are also required. After completing the form, it should be mailed to the Records Retention address provided on the form, along with a copy of the requester's photo identification and the appropriate fee in cash or money order payable to The School Board of Broward County.

What are the fees associated with requesting transcripts through the Florida 4191A form?

There are two types of fees depending on the type of transcript required. For official transcripts, which might be used for college applications, employment, or social security benefits, the fee is $3.00 per copy. For certified transcripts, needed for purposes like immigration or subpoenas, the fee is $7.00 per copy. These fees must be paid by cash or money order. Personal checks are not accepted.

What should I do if I attended school within the last 7 years instead of 7 years ago or prior?

If you attended school within the last 7 years, you should not use the Florida 4191A form. Instead, you are instructed to contact your last school directly for transcript requests. Schools have immediate access to records for students who attended more recently, ensuring a quicker and potentially more straightforward process for obtaining your academic transcript.

Common mistakes

When filling out the Florida 4191A form, which is used by former students of The School Board of Broward County to request transcripts from more than 7 years ago, people often make several common mistakes. It's important to avoid these errors to ensure the request is processed smoothly and efficiently. Below are nine mistakes frequently made on this form:

  1. Not checking the type of transcript needed. The form requires selecting either OFFICIAL or CERTIFIED, each with different associated fees and purposes.

  2. Failure to include the required fee with the application. Applicants must remember to send either $3.00 for an official transcript or $7.00 for a certified transcript, with the payment made out to The School Board of Broward County. Cash or money orders are accepted, but personal checks are not.

  3. Omitting personal identification with the submission. A copy of a photo ID must be attached before mailing the form, as stated in the instructions.

  4. Leaving mandatory fields blank. Fields marked with an asterisk (*) such as Student Name, DOB (Date of Birth), Number of Copies, Last Broward County school attended, Last year in school, and whether the applicant graduated or completed the tech program, are all required and must be completed.

  5. Incorrectly filling out contact information or failing to provide a complete address to which the transcript should be mailed. The form has spaces for both the applicant's phone numbers and email, as well as the mailing address for where the transcript should be sent.

  6. Not specifying the correct number of copies needed. The form asks for the Number of Copies but is sometimes overlooked or left blank.

  7. Providing outdated or incorrect contact information. This could include old phone numbers or an email address that is no longer in use, making it difficult for the office to reach out if there are issues with the request.

  8. Forgetting to sign the form. The Authorization Statement at the bottom requires the student's signature in ink, certifying the request under penalty of perjury. An unsigned form will likely result in the request being returned.

  9. Failing to specify attendance dates accurately or at all. For those who did not graduate, indicating the last grade attended is required, alongside the program title if applicable.

In conclusion, careful attention to detail when completing the Florida 4191A form is crucial. By avoiding these common mistakes, former students can ensure their transcript requests are processed without unnecessary delays.

Documents used along the form

When dealing with the administrative aspects of student records, especially in a detailed landscape like that of Broward County, Florida, it's not just about submitting a single form. The Florida 4191A form, vital for requesting transcripts older than 7 years, often necessitates the accompaniment of other forms and documents to ensure a comprehensive fulfillment of one’s request or to complement the information needed for specific purposes. Let’s explore some of these additional documents that are frequently used alongside the Florida 4191A form.

  • Photographic Identification: A copy of a valid photo ID (such as a driver’s license or passport) is crucial. This serves to verify the identity of the requester, aligning with the authorization statement section of the 4191A form that mandates confirmation of the individual’s identity under penalty of perjury.
  • Academic Records Release Authorization Form: This form is necessary when records need to be sent directly from the school or school board to a third party, such as a college or an employer. It ensures that the student or alumnus has explicitly permitted the sharing of their academic records, in compliance with privacy regulations.
  • Payment Record: Since the 4191A form specifies a fee for the processing of transcript requests, a receipt or record of the payment (usually via money order as personal checks are not accepted) is often submitted together with the form to provide proof of payment.
  • Self-Addressed Stamped Envelope (SASE): Although not a form, including a self-addressed stamped envelope can facilitate the mailing of the requested documents back to the individual, ensuring they reach the correct address in a timely manner.
  • Request for GED Transcript Form: For those who completed a GED instead of a traditional high school program within Broward County, a separate form is necessary for requesting GED transcripts. This is distinctly mentioned in the 4191A form as not applicable, thus requiring a different process for such requests.

Together, these documents form a toolkit that complements the Florida 4191A form, each serving a specific role in the overarching process of academic record requests. By understanding the purpose of each document, individuals can navigate the administrative procedures more effectively, ensuring all requirements are met for a successful transaction. It’s the synergy of these components that streamlines the process, making it more efficient for both the requester and the administrative body handling the request.

Similar forms

The Florida 4191A form, titled "The School Board of Broward County Records Retention Transcript Request," encapsulates specific features for requesting academic transcripts, bearing resemblance to several other document types utilized within educational and governmental sectors. Primary among these are Academic Transcript Request forms employed by various educational institutions and Public Records Request forms utilized by government bodies. Each of these documents shares a unified goal: to facilitate the formal request process for obtaining copies of important records, albeit serving distinct constituent needs and adhering to different regulatory requirements.

Comparable to the Academic Transcript Request forms found in other educational institutions, the Florida 4191A form facilitates the process of requesting student records, specifically transcripts. Similarities include the necessity for the requestor to provide personal identification information, details about their academic history, and the precise nature of the transcript required, be it official or certified. Both types of request forms typically require the requester's signature to validate the document, emphasizing the importance of consent and authorization in the handling of personal academic records. Moreover, they commonly stipulate a fee for processing the requests, underscoring the resource allocation involved in producing and dispatching these documents.

On another front, the Florida 4191A form mirrors Public Records Request forms utilized by government agencies to manage requests for a broad range of public documents. Both entail providing detailed information to identify the records sought accurately and often include a declaration or statement asserting the requester's right to access these records under law. This resemblance underlines a foundational principle shared across many sectors: the need to formalize requests for documentation to ensure accuracy, privacy, and compliance with statutory regulations. Furthermore, both document types lay out specific instructions for submission, including addressing, mode of payment for any fees incurred, and the requirement for identity verification to prevent unauthorized access to sensitive information.

Dos and Don'ts

When approaching the task of filling out the Florida 4191A form for transcript requests from the School Board of Broward County, it’s crucial to pay attention to detail to ensure the process is completed successfully and expediently. Below is a compiled list of things one should and shouldn't do when completing this form:

  • Do review the entire form before starting to fill it out, making sure you understand all the requirements.
  • Don't leave any required fields blank. The form specifies which fields are necessary with an asterisk (*). Incomplete submissions will be returned.
  • Do ensure the correctness of personal details, including the complete student name, date of birth, and any other names used, as inconsistencies can lead to processing delays.
  • Don't send personal checks as payment for the transcript request, as they are not accepted. Use cash or a money order made out to The School Board of Broward County.
  • Do specify the exact number of copies needed and whether they should be official or certified, as the fees and intended use differ.
  • Don't forget to attach a copy of an identification document as required by the instructions. Failure to do so will result in the immediate return of the request.
  • Do accurately fill in the last school attended within Broward County, including the last year in school and program details if applicable, for precise record retrieval.
  • Don't assume the form is for GED requests; this specific form is for transcripts from 7 years ago and prior from traditional schooling within the district.
  • Do sign in ink and date the authorization statement at the bottom of the form, certifying your request under penalty of perjury, as digital or unsigned forms may not be processed.

By adhering to these guidelines, the process of requesting transcripts will be smoother, ensuring the timely and accurate fulfillment of your needs. It's imperative to be thorough and precise when completing any official document, especially when it pertains to educational records which often require strict verification protocols.

Misconceptions

When it comes to navigating the paperwork for obtaining transcripts from academic institutions, the process can sometimes feel as intricate as trying to decode a secret language. This is especially true with forms like the Florida 4191A, used for requesting transcripts from The School Board of Broward County. Let’s debunk a few common misconceptions about this form, ensuring you can tackle it with confidence.

  • It’s only for high school transcripts. While it might seem like the form is geared towards high school students due to the nature of transcript requests, it actually covers a broader range, including elementary, middle, tech, and vocational schools within Broward County, for students requesting records from seven years ago or more.

  • Electronic payments are accepted. In our digital world, it’s easy to assume that all transactions can be done electronically. However, the form explicitly states that payments for transcript requests must be in the form of cash or a money order payable to The School Board of Broward County. Personal checks and electronic payments are not accepted.

  • The form can be used for GED requests. This assumption can lead to delays in obtaining the correct documents since the form clearly states it is not for GED requests. Individuals looking to obtain their GED transcripts need to follow a different process.

  • You can request a transcript for any reason without a fee variation. The form outlines two distinct fees based on the reason for the transcript request: official purposes like college or employment have one fee, while certified requests for legal matters such as immigration or subpoenas have a higher fee. This clarity ensures that the correct type of transcript is provided according to the requester’s needs.

  • Personal checks are a valid form of payment. This is a significant point of confusion. The instructions specifically mention that no personal checks will be accepted for transcript requests. Only cash or money orders made to The School Board of Broward County will be honored, ensuring transactions are secure and standardized.

  • Online submission is available. Given the form requires a copy of identification and specifies mailing instructions, it indicates that the submission process is strictly through physical mail. There is no indication or provision for submitting requests online, reflecting the form’s emphasis on secure, verified requests.

  • There’s no need to attach identification. The necessity of attaching a photo ID with the form could be easily overlooked, underscoring the importance of reading all instructions carefully. This requirement is crucial for verifying the identity of the requester, aligning with legal standards to protect student records.

Understanding the specifics and clearing up these misconceptions about the Florida 4191A form can significantly streamline the process of obtaining transcripts, making it less daunting and more efficient. By paying close attention to the form’s requirements and restrictions, requests can be completed correctly the first time around, saving time and ensuring compliance with the necessary procedures.

Key takeaways

Understanding the Florida 4191A form is crucial for obtaining school records. Here are the key takeaways:

  • Use the Florida 4191A form to request transcripts from Broward County schools for education completed 7 years ago or earlier.
  • For requests related to education within the last 7 years, directly contact the school attended.
  • Specify the type of transcript needed: $3.00 for an official copy (for College, Employment, Social Security, etc.) or $7.00 for a certified copy (for Immigration, Subpoenas, etc.).
  • Payment for the transcript must be made by cash or money order, payable to: The School Board of Broward County. Personal checks are not accepted.
  • Ensure all requested information on the form is completed. Incomplete or unacceptable requests will be returned without processing.
  • This form is not applicable for GED requests.
  • Attach a copy of your identification with the form before mailing. This step is required and ensures your request is processed.
  • The authorization statement at the bottom of the form requires your signature, certifying you are the former student requesting the records. It must be signed in ink.
  • Mail the completed form, along with the payment and photocopy of your ID, to the address provided at the top of the form.

Following these guidelines ensures a smooth process for obtaining your Broward County school transcripts promptly and accurately.

Please rate Fill Out a Valid Florida 4191A Template Form
4.7
Excellent
174 Votes