Testing and Tutoring Center
Napa Valley College
2277 Napa-Vallejo Hwy
Napa, CA 94558
Ph: (707) 256-7434
Fax: (707) 256-7499
GED Transcript/Certificate Request Form
Please fill out this form completely and return it to the above address or fax number. GED results cannot be
released without signed authorization from the client. Note: NVC does not have access to GED records for
tests taken after 1990. If you tested after 1990, you must visit www.ged.com to request a transcript or
certificate.
Client Name: _______________________________________________________
(print clearly)
Legal name at time of testing: ______________________________________________
Last 4 digits of Social Security Number: ____________________________________
Date of Birth: ______________________________
I, ________________________, authorize Napa Valley College to release my GED results to the following
school, agency, or organization.
_______________________________________
Company Name
______________________________________
Attention to:
_______________________________________
Address
_______________________________________
_______________________________________
City, State, Zip Code
_______________________________________
Email Address
Please send my scores via ____ Mail ____ Email
_______________________________________________ __________
Your Signature (Please do not print) Date
click to sign
signature
click to edit
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