Proof Document Request Form
August 2020
Page 1 of 1
Classification: Public
Please visit myPass.alberta.ca the Alberta Education self-service website to view and print proof documents. If you do not have myPass online
access, please complete this form.
1. What sort of document are you looking for? (Check box that applies)
Proof of Enrolment
Proof of name *
Proof of age *
*If requesting document to show proof of name or date of birth for purpose of correcting a birth certificate, please specify the wrong name/date of birth (as
it appears on your current birth certificate) and the correct name/date of birth (as you would like it to appear). See section 2(b).
2(a). Personal Information (Please PRINT)
Surname (Last Name)
First Name
Middle Name(s)
Previous Names (if applicable)
Email
Date of Birth (yyyy/mmm/dd)
Cell Number
Alberta Student Number (if applicable)
Current Mailing Address
City/Town
Province
Postal Code
2(b). If requesting proof of name or date of birth, please complete this section
Full name as it appears on your current birth certificate
Date of birth as it appears on your current birth certificate
3. School Information
Grade
Year
School
Name
Location (City/Town)
4. Reason for requesting information (i.e. Pension, Old Age Security, Citizenship, etc.)
5. Government Issued Documents
Requests will only be processed if accompanied with a copy of government issued identification (i.e. Driver’s License, Passport, etc.)
If student is under 18 or independent, the person requesting on the student’s behalf must also provide a proof of
guardianship (i.e. Long form/Full birth certificate, guardian certificate, or court order).
Accompanied government issued documents must be scanned/photocopied and attached to this request.
Signature of Applicant
Date
Signature of Parent/Guardian or legal representative
Date
You can use one of the following options to submit the signed and completed form including a copy of one or more of the required identity document(s).
Visit:
Or Mail:
Contact Information:
Online Document Submission
Alberta Education
Red Tape Reduction and Student Records
44 Capital Boulevard
10044-108 Street NW
Edmonton, Alberta T5J 5E6
Requests received via email will not be processed
Email:
Phone:
StudentRecords@gov.ab.ca
780 427-5732 (Dial 310-0000 to be
connected toll-free from outside the
Edmonton area)
The personal information is collected pursuant to section 33(c), of the Freedom of Information and Protection of Privacy Act (RSA 2000, C. F-25). The purpose of this
collection is to enable Alberta Education to provide documentation proving the name, age, or school enrolment of the requestor. Questions or inquiries regarding the
collection and use of your personal information may be directed to the Student Records Representative, Red Tape Reduction and Student Records, 44 Capital Boulevard,
10044 108 Street NW, Edmonton, Alberta T5J 5E6, or email to StudentRecords@gov.ab.ca or by telephone: 780-427-5732 (Dial 310-0000 to be connected toll-free from
outside the Edmonton area.)
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