Document Request Form

Document Request Form
Date Ordered

MonthDayYear
Date
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
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
MaleFemale
Please enter the classes your student is taking this year:*
(Example: "Algebra I, Physical Science, World History, English I, Bible I," etc.)
Email
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
Please have the new school send a records request to records@fcanow.com
Add any additional notes or special instructions here:
MotherFatherLegal GuardianOther
Contact Name

First NameLast Name
Contact E-mail*
In case we have any issues or questions.
Contact Phone
Format: (000) 000-0000.
MailEmailPickup
To check on the status of your order, you may contact us 615-847-3999 ext102.
Mailing Address*

Name

Street

CityState / Province

Postal / Zip Code
Destination Email*
(If different from contact email)
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

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

Payment Methods