Request for Student Documents

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Thank you for reaching out to Tri-Cities ROP. Because of our limited archives, we can only provide up to fifteen (15) years of past records. To best assist you, please complete all required fields. We will first utilize this information to search for your record (Please list all last names/family name/maiden name that you may have used during period(s) of attendance).

Provided we are able to locate the record, we will call you to verify record found and ready for pick up within 1-3 weeks. Upon pick-up you will need to bring in your driver’s license (or government issued picture identification) for verification and payment.

Please note there is a processing fee of records (listed below. We only accept cash, money order or check accepted). If you have questions/concerns please feel free to reach out to our offices at 562.698.9571.

Email *

Document(s) Requested: *

Verification of Enrollment - (Free for student CURRENTLY enrolled)

Verification of Fee Based Class for Tax Reporting - $5.00 per document

Verification of Completion - $10.00 per document

Continuing Education Units for CNA's Certificate Renewal - $5.00 per certificate (for last two years only)

Required

Full Name: *

Last, First, Middle- Please include your maiden last name which you may have had during attendance at TCROP

Phone Number (you can be reached at): *

Please use this format only (xxx) xxx- xxxx. Correct Phone Number Must Be Listed to Contact You.

Fax #: (if applicable)

Date of Birth *

YYYY

Email Address: *

Name of ROP Course *

Name of ROP Instructor *

If unable to recall- Please type "Do Not Remember"

Student Status: *

Current Student

Former Student

Required

Date of Attendance (the year is very important) If you cannot give a date, we will be unable to process your request. *

(Beginning Date Month/Year)

YYYY

Student comments:

I acknowledge that there is a fee per document/certificate associated with my records request. *

Yes, I understand

I acknowledge that my request may take 1-3 weeks depending on the year I took my course. *

Yes, I understand

I acknowledge that submission of this form does not guarantee a records request outcome. *

Yes, I understand

Required

How would you like to collect your records? *

Please mail. (Associated fees will be charged). We will mail when we receive payment.

Pick-up at the TCROP Office. Please have exact cash.

Email to provided email address. We will email when we receive your payment.

Fax to provided fax number. We will fax when we receive your payment.

IMPORTANT SUBMISSION INFORMATION

All student records processing fees must be paid in advance to receiving the record. Payment methods accepted are cash or money order/cashier's check. We do not accept personal checks, fee waivers, partial payments or installments are not permitted.

You can mail your payment to:

Tri-Cities ROP
Attn: Student Records
10800 Ben Avon Street, Bldg E.

Whittier, CA 90660

Processing time is 1-3 weeks; however, archival records (meaning 6-10 years) may take 4-6 weeks.

After clicking 'submit', a TCROP representative will review your request and follow up with you regarding your records request and payment options. If you have not heard from a representative within 5-10 days, please call (562) 638-9571. Thank you.

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