Certification & Document Request & Replacement

Certification & Document Request & Replacement
Certification & Document Request

This form is for eLightenment Solutions students or candidates who have successfully completed a program and received Certificates, Diplomas, or Certifications through studies and testing with eLightenment Solutions.

Payments in this section may be used to request:
- Replacement copies of lost certificates or diplomas
- Additional copies of certificates or diplomas
- Official copies forwarded for verification purposes
- Document requests for previous students who completed studies and testing under eLightenment AL Learning
Once your payment and request are submitted, a representative will review your request and process the document.

Please allow 48–72 business hours for processing and delivery of your requested documents.

If any security concerns, document irregularities, or policy issues arise during the verification process, our team will contact you directly for clarification.

If you have questions or require assistance, contact eLightenment Solutions at learn@elightenmentalabama.org.
Student Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Describe the replacement documentation needed*
Student Enrollment Number
Month of Graduation:*
Year of Graduation:*
Organization Information

Give Contact Person Information if documents need to be sent to them also.
Organization name:
Contact Person name:
Organization Email
example@example.com
Contact Person Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City:
State:
Document Request Payment*
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Document Request
$17.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Certification & Document Request & Replacement

Organization Information