FAMU STUDENT ID NUMBER
Put SS# if enrolled ↑
prior to Fall 2004
LAST NAME
FIRST
MI
Please check the appropriate boxes below & attach any documents needed for these person(s) and/or institution(s).
Verification of Degree
I Never Attended Florida A&M University
All Dates of Attendance
Verification of Residency Proof ( Home/ Mailing Address)
Current Term Enrollment Status Only
Verification for Loan Deferment
Cumulative/Semester G.P.A. Status Included
Verification for Military I.D. Renewal
Good/Academic Standing
Complete Attached Form Only
Update Anticipated Date of Graduation Only
Please include my SS# / or Account# / or Student ID# Below:
Please specify term/yr. here
/
Term / Year
Other:
Other:
THIS VERTIFICATION REQUEST WILL BE REPORTED IN ACCORDANCE WITH THE ACADEMIC RECORDS AS OF THE DATE PREPARED. I
AUTHORIZE FLORIDA A&M UNIVERSITY TO RELEASE THE INFORMATION INDICATED ABOVE. THIS VERTIFICATION REQUEST WILL BE
FOR ONLY PICKED-UP, MAILED, EMAILED AND/OR FAXED DIRECTLY TO THE RECIPIENT(S) BELOW.
/ /
( ) -
Students Signature
Date
Contact Phone Number
I will pick up my verification letter.
Please
email:
Please
email:
Please mail request(s) to recipient(s) below:
Please fax request(s) to recipients below:
▼ ▼ ▼
▼ ▼ ▼
1
st
Recipients
Address:
1
st
Recipients
Fax:
Name
Name
Address
Department
( ) -
City State Zip
Fax #
2
nd
Recipients
Address:
2
nd
Recipients
Fax:
Name
Name
Address
Department
( ) -
City State Zip
Fax #
For Office Use Only:
Date mailed
Date faxed
Date for Picked up
INSTRUCTIONS
Please note the following:
1. This form is void until signed. No typed signature(s) will be processed.
2. If this request is to be mailed, please provide the CORRECT (Name of Person(s)/Institution and if mailed to an apartment, please include the apartment number.
3. If this request is to be faxed, please provide the CORRECT (Name of Person(s)/Institution and/or fax number.
4. Florida A&M University, Office of the University Registrar takes no responsibility for incorrect mailing, emailed or fax information provided by the requestor.
Pleases allow up to 3 business days for processing.
REGISTRARS OFFICE
1735 Wahnish Way, C.A.S.S. Bldg., Rm #206 – T a l l a h a s s e e , F L 3 2 3 07
Office: (850) 599-3115 Fax: (850) 561-2428 Email: registrardocs@famu.edu
ENROLLMENT / DEGREE VERIFICATION REQUEST FORM
click to sign
signature
click to edit