Document Request Form

Date Ordered

Date

Student is:

Student Full Name

First NameMiddle NameLast Name

Student DOB:

Student SSN - Last 4 Digits: Enter five zeros followed by the last 4 digits of the student's SSN. Example: 000-00-1234

Current Grade Level

Student Graduation Year

YYYY

Select Document

Gender

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:

Upload Education Verification Request Here

Browse Files

Alternatively, you may email the form to records@fcanow.com.

Upload Social Security Verification Form Here

Browse Files

Alternatively, you may email the form to records@fcanow.com.

Upload College Dual Enrollment Form Here

Browse Files

Alternatively, you may email the form to records@fcanow.com.

Add any additional notes or special instructions here:

Relationship to Student

Other

Contact Name

First NameLast Name

Contact E-mail

In case we have any issues or questions.

Contact Phone

Format: (000) 000-0000.

How should we send this order?

Mailing Address

Name

Street

CityState / Province

Postal / Zip Code

Destination Email

(If different from contact email)

Please Note: All documents will be sent electronically unless you select the Package & Postage Fee ($10.00) option above. Selecting this option adds a $10.00 fee to have your documents printed and mailed. All fees are non-refundable.

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

Processing Time

Payment Method:

Subtotal

Important: Enter the total amount due in the USD field before entering your credit/debit card information. If you do not enter the payment amount first, you will receive an error message, and your payment will not be processed.

USDDescription

Credit Card

Signature

Document Request Form

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

Important: Enter the total amount due in the USD field before entering your credit/debit card information. If you do not enter the payment amount first, you will receive an error message, and your payment will not be processed.

Credit Card