Homepage Official Florida 4191A Template
Overview

For former students of Broward County schools who need to access their transcripts from more than seven years ago, the Florida 4191A form serves as a crucial step in obtaining these vital records. This form, sanctioned by the School Board of Broward County for records retention, stipulates specific instructions for requesting transcripts, underscoring the form's role in facilitating access to academic histories that can be pivotal for various official and certified needs such as college applications, employment opportunities, Social Security requests, immigration purposes, and legal requirements. Moreover, the form outlines a transparent fee structure for obtaining these records, adhering strictly to cash or money order payments to the School Board of Broward County, thus ensuring a streamlined transaction process. Notably, this form distinguishes between requests for official copies, which carry a fee of $3.00, and certified copies required for more formal proceedings, which are priced at $7.00. Applicants are urged to provide comprehensive and accurate information including their last Broward County public school attended, program titles, attendance dates, and to specify the number of copies needed. Additionally, it mandates the inclusion of a copy of the requester's identification and an affirmation of the truthfulness of the provided information under the penalty of perjury, aligning with Florida Statute Section 92.525, to authenticate the request. The 4191A form, by design, ensures that requests for records are processed efficiently while maintaining the integrity and confidentiality of the student records.

Example - Florida 4191A Form

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

File Specifications

Fact Detail
Form Title School Board of Broward County Records Retention Transcript Request
Form Number 4191A
Revision Date August 2019
Purpose For students requesting transcripts from 7 years ago and prior.
Transcript Request Address 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351
Fee for Official Transcript $3.00
Fee for Certified Transcript $7.00
Payment Method Cash or money order only, payable to: The School Board of Broward County. No personal checks accepted.
Applicability Applicable to former students of public BROWARD County schools who attended more than 7 years ago. Not for GED requests.
Governing Law Authorized under Florida Statute Section 92.525

Instructions on Filling in Florida 4191A

Filling out form 4191A is a necessary step for former students of The School Board of Broward County who require transcripts from more than seven years ago. The process is straightforward but requires attention to detail to ensure the request is processed without delays. Below are the steps to complete the form accurately. Do not forget to attach a copy of your identification and the correct fee as per the instructions. Requests that are incomplete or incorrectly filled out will be returned, potentially delaying the acquisition of your transcripts.

  1. Check the appropriate box at the top of the form to indicate whether you are requesting an official transcript (for College, Employment, Social Security, etc.) at $3.00 per copy or a certified transcript (for Immigration, Subpoenas, etc.) at $7.00 per copy.
  2. Write your full name in the space provided. If you have changed your name (e.g., due to marriage), also provide your married or other name.
  3. Fill in your Date of Birth (DOB) where indicated.
  4. Enter your Social Security Number (SSN) if available.
  5. Provide your contact information, including your home phone number, work phone number (if applicable), cell phone number, and email address.
  6. Indicate the number of transcript copies you are requesting.
  7. Specify the last public Broward County school you attended (from Kindergarten to Vocational school) and include the name of the school.
  8. Enter the last year you were in school and check whether you graduated. If you did not graduate, indicate the last grade you attended. If applicable, provide the title of your program and the attendance dates.
  9. For those who attended a technical program, indicate whether you completed the program.
  10. Indicate the fees based on the level of education (Elementary, Middle, High, Tech) by checking the appropriate box(es).
  11. Fill in the mailing address where you wish the transcripts to be sent, including the name, address, city, state, and ZIP code. Repeat this step if sending to more than one location.
  12. Read the Authorization Statement carefully. By signing, you certify under penalty of perjury that you are the former student making the request and you authorize the release of the records or information as instructed.
  13. Sign the form with your full name in ink and date the form.
  14. Attach a photocopy of a valid photo ID to the form before mailing it to the Records Retention address provided on the form.

After reviewing the form for accuracy and ensuring all necessary documents and fees are included, mail the completed package to the address specified. Remember, the method of payment accepted is cash or money order only, payable to The School Board of Broward County. Personal checks will not be accepted. Following these steps carefully will help facilitate a smooth process in obtaining your transcripts.

Understanding Florida 4191A

What is the Florida 4191A form used for?

The Florida 4191A form is specifically designed for former students of Broward County public schools who need to request transcripts from more than 7 years ago. This includes individuals requiring transcripts for colleges, employment, social security purposes, or certified records for immigration, subpoenas, and other official uses.

Who should fill out this form?

This form should be completed by individuals who attended a Broward County public school and are seeking to obtain their academic transcripts from a period that dates back more than seven years. If attendance was within the last 7 years, the former student must directly contact the last school they attended.

How do I submit the 4191A form?

The completed form, along with a copy of your photo identification, must be mailed to the Records Retention office at the address provided on the form. It is crucial to ensure that all required sections are filled accurately to avoid any delays in processing the request.

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

There is a transcript fee, which differs based on the type of transcript requested. For official transcripts (such as those needed for college, employment, or social security), the fee is $3.00 per copy. For certified transcripts (needed for immigration, subpoenas, etc.), the fee is $7.00 per copy. Payments must be made via cash or money order to The School Board of Broward County. Personal checks are not accepted.

Can I request a GED transcript with this form?

No, the 4191A form is not intended for GED transcript requests. Individuals in need of GED transcripts must follow a different process specified by the governing body that administered the GED test.

What identification is required to request a transcript?

A copy of a valid photo identification must be attached to the form when mailing it to the Records Retention office. This step is essential for verifying the identity of the requester, safeguarding against unauthorized access to student records.

How long will it take to receive my transcript?

The processing time can vary based on the volume of requests received by the Records Retention office and the completeness of the request submitted. While there is no specific timeframe provided, it is advised to submit requests well in advance of any deadlines to ensure timely receipt.

Why might a request be returned?

Requests may be returned immediately if the form is completed incorrectly, lacks required information, or is accompanied by unacceptable or missing identification. Careful review of the form before submission can prevent delays.

Can I request multiple copies of my transcript?

Yes, you may request multiple copies of your transcript. The form includes a section to specify the number of copies needed. Keep in mind that the transcript fee applies per copy requested.

What if I attended multiple Broward County schools or did not graduate?

The form allows for specification of the last Broward County public school attended and whether or not you graduated. If you did not graduate, you will need to provide the last grade completed. This information aids the Records Retention office in locating and accurately processing your transcript request.

Common mistakes

Filling out the Florida 4191A form, crucial for obtaining school transcripts from Broward County for records older than seven years, requires careful attention to detail. Here are eight common mistakes people make when completing this form:

  1. Not Checking the Appropriate Request Box: Forgetting to indicate whether the transcript is needed for official or certified purposes can delay processing.
  2. Incorrectly Filling Out the Payment Section: The form specifies payment must be made through cash or money order, yet many attempt to pay with personal checks, which are not accepted.
  3. Omitting Required Personal Information: Missing details such as the student's name, date of birth, or signature can result in the form being returned.
  4. Failing to Attach a Copy of Identification: Identification is necessary to process the transcript request, and forgetting to attach a copy is a common oversight.
  5. Inaccurate School Information: Not providing the last Broward County public school attended or incorrect last year in school details can delay verification and issuance of the transcript.
  6. Requesting GED Transcripts: This form is not intended for GED requests, yet some individuals mistakenly use it for this purpose.
  7. Excluding Program and Attendance Dates: For those who attended a vocational or technical program, failing to include the program title and attendance dates can hinder record retrieval.
  8. Failure to Specify the Number of Copies: Not indicating exactly how many copies of the transcript are needed can lead to incomplete fulfillment of the request.

To ensure a smooth process, it's vital to carefully review all instructions and complete the Florida 4191A form with accuracy and thoroughness. Avoiding these common mistakes can significantly increase the likelihood of your request being processed promptly and correctly.

Documents used along the form

When dealing with educational records or related documentation in the state of Florida, particularly within the Broward County jurisdiction, the use of the Florida 4191A form is crucial for former students seeking transcripts from more than 7 years ago. The 4191A form acts as a formal request for transcripts, requiring specific personal information and the indication of the type of transcript needed, either official or certified. However, in navigating through educational or professional environments, there are several other forms and documents that might be required alongside the Florida 4191A form to ensure a comprehensive approach to one’s needs. Below is a list of such documents, each serving distinct but complementary purposes.

  • Florida DOE Request for Duplicate or Corrected Diploma: For individuals seeking a duplicate or corrected high school diploma. This form is essential for proving graduation status, especially when the original document has been lost or contains errors.
  • Student Permanent Record: Schools maintain a student’s permanent record including grades, attendance, and other educational history. Requesting a copy may be necessary for detailed academic review or when transferring schools.
  • Verification of Enrollment (VOE) Form: Often required for driving tests, insurance discounts, and certain governmental services, this document certifies a student's current enrollment status.
  • Florida Virtual School (FLVS) Transcript Request: For students who have taken online courses through FLVS, a separate request form is needed to obtain those specific class records and integrate them with their broader academic portfolio.
  • Educational Guardianship Form: For minors under the care of a guardian, this form establishes the guardian’s legal authority to request records or make decisions regarding the student’s education.
  • Request for Special Education Records: Parents or guardians of a student who received special education services may need to request these records to facilitate the continuation of services or for personal record-keeping.
  • College Application Forms: As students prepare for higher education, each college application might require specific school forms or records to complete the academic profile of an applicant.
  • Financial Aid Forms (e.g., FAFSA, CSS Profile): These forms often require detailed information from a student’s academic and financial records to determine eligibility for scholarships, grants, and loans.

The intricate web of educational documentation underscores the importance of timely and accurate records management. From fundamental transcript requests with the Florida 4191A form to more complex documents like special education records or college application materials, each plays a vital role in supporting the educational endeavors and achievements of students. Ensuring access to and familiarity with these documents can significantly streamline any academic or professional process one might encounter.

Similar forms

  • The New York State Transcript Request Form is similar because it is also used by former students to request their academic transcripts, typically for purposes like college admission, employment, or certification. Both forms require the applicant to provide personal information, such as name, date of birth, and last school attended, to process the request.

  • The California College Transcript Request Form shares similarities with the Florida 4191A form as it involves requesting academic records from educational institutions for higher education or professional reasons. Both specify the need for a fee and acceptable forms of payment to process the request.

  • The Texas Public High School Transcript Request Form is akin to Florida's 4191A in that it serves students seeking to obtain their high school transcripts for various verification purposes. This form also emphasizes the need for accurate and complete information submission to avoid delays, similar to the instructions given on the Florida form.

  • A GED Transcript Request Form, while specifically for GED scores and not traditional high school transcripts, operates under a parallel premise. Like the Florida 4191A form, it asks for personal identifiers and a clear statement of the intended use for the document, such as further education or job application, despite Florida's form expressly not covering GED requests.

  • The Illinois University Transcript Request Form also parallels Florida's 4191A by catering to alumni and former students needing to certify their academic achievements. Both forms entail a process where the requester must verify their identity, sign a consent for release of information, and specify the receiving party's details.

  • UK College Transcript Request Form shares similarity in the context of providing academic records for students who studied abroad or in different regulations. Like the 4191A, it underscores the importance of attaching identification and including payment for the service, although currency and fee structure might differ.

  • The Official Record Request Form for Professional Certification is designed for professionals seeking certification or licensure based on their educational records. Similar to the Florida 4191A, it includes sections for personal information, consent to release records, and a specific fee for processing, catering to a different but related audience.

Dos and Don'ts

When filling out the Florida 4191A form, it's important to follow certain guidelines to ensure the request is processed efficiently and correctly. Here are things you should and shouldn't do:

  • Do check whether you need an official or certified copy of your transcript, and mark the appropriate box accordingly.
  • Do not attempt to pay with a personal check, as only cash or money orders made to The School Board of Broward County are accepted.
  • Do attach a copy of your identification along with the form when mailing it to Records Retention. This is crucial for verifying your identity.
  • Do not leave mandatory fields (* marked) incomplete. The form requires specific information such as student name, date of birth, and number of copies.
  • Do provide complete and correct mailing information, including the name and address where the transcript should be sent, to avoid any delays.
  • Do not forget to sign the authorization statement. Your ink signature is necessary to validate the request under penalty of perjury according to Florida Statute Section 92.525.
  • Do specify the last Broward County school attended, including the type (e.g., Elementary, Middle, High, or Tech) and the program title if applicable.
  • Do not use this form for GED requests, as it is specifically for transcripts from public schools within Broward County from 7 years ago and prior.

Misconceptions

There are several common misconceptions about the Florida 4191A form, which is essentially for requesting school transcripts from Broward County Schools for the years beyond the last seven years. Here's an explanation to clear up these misunderstandings:

  1. It's for recent students only: The form is specifically for individuals requesting transcripts from seven years ago or earlier, not for recent students.

  2. Electronic payments are accepted: Only cash or money orders made to The School Board of Broward County are accepted. No electronic payments, personal checks, or credit cards are allowed.

  3. GED requests can be made with this form: This form cannot be used to request GED transcripts. It's only for transcripts from public schools in Broward County.

  4. No identification is needed: A copy of your identification must be attached to the form before mailing, as part of the verification process.

  5. There's a single fee for all transcripts: The fee varies depending on the type of transcript requested—$3 for official transcripts and $7 for certified copies.

  6. Email submissions are accepted: The form and identification must be mailed to the specified address. Email submissions are not an option.

  7. You can request any number of copies for the same fee: The fee applies per copy of the transcript requested. Ordering multiple copies will increase the cost accordingly.

  8. Personal checks are acceptable for payment: As clearly stated, no personal checks are accepted. This is a common mistake that may delay the process.

  9. Anyone can request your transcript: Only the former student, under penalty of perjury, can authorize the release of their records. This is to protect the individual's privacy and information.

  10. The process is immediate: Given the need for a mailed request and check, plus processing time, obtaining a transcript is not immediate. Anticipate some waiting time for your request to be processed and delivered.

Understanding the specifics of the Florida 4191A form helps in ensuring that the process of requesting school transcripts is smooth and void of delays caused by common misconceptions.

Key takeaways

Understanding the process and details for using the Florida 4191A form can streamline the request for student transcripts from Broward County schools. Here are key takeaways:

  • The form targets students needing transcripts from more than seven years ago. For recent records, within the last seven years, direct your inquiries to the last school attended.
  • Before mailing your request, ensure to attach a copy of your identification, as this is a mandatory requirement.
  • All requests should be sent to the Records Retention at the provided address: 7720 W. Oakland Park Blvd., 3rd Floor, Sunrise, FL 33351.
  • Transcript requests come with a fee: $3.00 for an official copy or $7.00 for a certified copy. The latter is usually required for immigration or subpoenas. Be prepared to make the payment via cash or money order, payable to The School Board of Broward County; personal checks are not accepted.
  • It is crucial to check the appropriate box on the form to specify whether you are requesting an official or a certified transcript.
  • Completing the form requires detailed information, including the student's full name (and any previous names), Social Security Number, contact information, and details about the last school attended within Broward County and the last year in school.
  • Requests that are incomplete or improperly filled out will be returned immediately, potentially delaying the process.
  • An authorization statement at the end of the form must be signed by the student requesting the records, certifying the request under penalty of perjury as per Florida Statute Section 92.525. This reinforces the need for accurate and truthful information.

By following these key points, individuals can efficiently request and obtain their educational records from the School Board of Broward County, ensuring a smoother process for both parties involved.

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