Records Request
Please allow 3-5 business days to process. A processing fee of $0.25 per record may be applied.
Email address *
Student name (include MAIDEN name if applicable): *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Phone number: *
Your answer
Did the student graduate *
If so, what year:
Your answer
Last Union-Endicott school the student attended: *
Are you the student named above? *
If you are not the student, what is your name AND relationship to the student?
Your answer
What record is being requested? *
Your answer
Delivery Method: *
Delivery specifics: please provide the business or government agency/college NAME that the record should be addressed with.
Your answer
Delivery specifics: please provide the fax number; or email address; or street address of the business or government agency/college.
Your answer
NOTE: For duplicate GED certificate/ and transcripts contact the N.Y State HSE Office at: 518-474-5906 and/or Email: http://www.acess.nysed.gov/ged/duplicate_diploma.html
By submitting this form, you agree the above information is accurate to your knowledge and that you have the legal right to request these records.
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