Document Request Form

Document Request Form
Date Ordered

MonthDayYear
Date
Student is:*

Currently enrolledGraduated from FCANot enrolled, not graduated from FCA
Student Full Name*

First NameMiddle NameLast Name
D.O.B:*

MonthDayYear
SSN
Current Grade Level
Student Graduation Year
YYYY
Select Document*

Official Transcript: $20Senior Consultation: $50 (Via E-mail correspondence)Enrollment Verification Letter: $20Permission to Work Letter: $20Document copies, ACT, Immunization, birth certificate, etc. $20FCA Diploma: $50Duplicate Diploma: $30Enrollment/Good Student Letter - (for insurance companies & colleges): $20Sports Enrollment Verification Letter: $20Driver's Permit/License SF1010 Form: $20College Dual Enrollment Form - (forms provided by college, verified by FCA): $20Education Verification Form (provided by inquiring background check company): $20Social Security Verification Form: $30 (Provided by state, verified by FCA)Diploma Cover (does not include diploma): $30Student Transfer Out (required before student files will be released): $25Student Withdraw: $25Other: (Explain below)Package and Postage Fee (All documents will be sent electronically unless this field is checked): $10
Gender*

MaleFemale
Please enter the classes your student is taking this year:*
(Example: "Algebra I, Physical Science, World History, English I, Bible I," etc.)
Senior Consultation by:*

PhoneEmail
Senior consultation phone appointments may be scheduled between 10:00am - 2:00pm (Central Time)
Appointment*
Upload Education Verification Request Here

Browse Files
Alternatively, you may email the form to records@fcanow.com. Cancelof
Upload Social Security Verification Form Here

Browse Files
Alternatively, you may email the form to records@fcanow.com. Cancelof
Upload College Dual Enrollment Form Here

Browse Files
Alternatively, you may email the form to records@fcanow.com. Cancelof
DMV's typically only accept original SF1010 documents. Please ask your DMV if they will accept a faxed or emailed SF1010 form before selecting either of those options.
Please have the new school send a records request to records@fcanow.com
Add any additional notes or special instructions here:
Relationship to Student*

MotherFatherLegal GuardianOther
Contact Name

First NameLast Name
Contact E-mail*
In case we have any issues or questions.
Contact Phone
Member/Family ID:
Optional. May help processing time.
How should we send this order?*

MailEmailFaxPickupN/A
We will contact you when your order is ready for pickup.

To check on the status of your order, you may contact us by website chat, the contact us form, or call 615-847-3999 ext 102.
Mailing Address*

Name

Street

CityState / Province

Postal / Zip Code
Destination Email*
(If different from contact email)
Fax #:*
Processing Time*

StandardRush
Standard (5-7 Business Days)
Rush (1-2 Business Days) Additional $20
Subtotal

Total

USDIncludes card processing fee.

Payment Methods

Credit Card

Cash App Pay

ACH Bank Transfer

Afterpay

Requests may be delayed if any information on this form is inaccurate or incomplete.
No refunds.
Signature*

Clear
Should be Empty:

Document Request Form

DMV's typically only accept original SF1010 documents. Please ask your DMV if they will accept a faxed or emailed SF1010 form before selecting either of those options.

Please have the new school send a records request to records@fcanow.com

We will contact you when your order is ready for pickup.

Payment Methods