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					FM-400T GED Transcript Request                                                                                   GED Testing Service
                                                                                                   of The American Council on Education
Dedicated FAX number for this form: 202-464-4853                                                        One Dupont Circle, NW Suite 250
                                                                                                            Washington, DC 20036-1163
                                                                                                                         (202) 939-9490
   Examinee Information
   Please read page 2 of this form for a listing of transcripts on file at the GED Testing Service in
   Washington, DC, and where additional transcripts are located.

   Examinee’s Name:
   Please print full name at time of testing.


   Social Security/Social Insurance Number:                                Date of Birth:      /     /
                                                                                            mm /   dd /   yyyy


   Current Address:

   City:                                           State/Province/Territory:                       ZIP/Postal Code:

   Place of Testing:

   Date of Testing (month, day and year):          /      /
                                                mm /   dd /    yyyy



   Ordering Information

   Please allow 2 to 4 weeks for processing.

   Please check one:
             Examinee request. An official copy of the GED test scores are to be reported to the address(es) listed
             below. Please enclose a $12.00 money order — no personal checks accepted — payable to the GED
             Testing Service for each copy of the transcript requested.
             I would like to have my transcript sent to jurisdictional agency responsible for administering the GED
             Program in:
             In some jurisdictions there is a service charge when applying for certificate or diploma. Please check
             with the jurisdictional agency responsible for administering the GED Program to which you are applying
             for the fee and application form. This information is also found in the GED Examiner’s Manual.
             GED Examiner Request (TCO if military). Unofficial GED Test Scores will be sent to the testing center.
             Test Center #:
             County (Illinois Residents Only)

   Please sign on the appropriate signature line below. Transcripts will not be issued without the
   signature.

   I hereby authorize the GED Testing Service to release my records to the address(es) listed below.
   Signature of Examinee:

   Please print address(es) to which transcript(s) is/are to be mailed:

   1)                                                                 2)




   *FORM400T*                                          Page 1 of 2                                                Revised 10/04
Transcript Locations

The GED Testing Service maintains Transcripts for individuals who tested at the following locations:
           Military personnel tested overseas after September 1974
           Coast Guard personnel tested after January 1975
           Overseas civilians tested after November 1966
           Ft. Jackson personnel tested after March 1975
           Federal Prison inmates tested after September 1954
           Michigan Prison inmates tested after 1957
           West point personnel tested after 1982
           Ft. Hamilton personnel tested after January 1984
           Ft. Knox, KY and Ft. Campbell, KY personnel tested after July 1, 1985
           Active duty military personnel tested after October 1, 1985
           Veteran Administration after October 1, 1989
           Canadian military personnel tested after June 1982

If the examinee was tested in one of the above settings, please complete the information on the reverse side
and return to GED Testing Service in Washington, DC.



Official copies of the GED test scores may be requested from the following agencies according to the date of
testing:
          Military personnel tested before September 1974
          Coast Guard personnel tested before January 1975

        Contact:    Contract Representative for DANTES
                    CN 6605
                    Princeton, NJ 08541-6605
                    609-702-6740

For a copy of your GED Certificate or Diploma, please contact the jurisdictional agency responsible
for administering the GED Program to which you applied for a credential.

Active duty military personnel tested within the United States after September 1, 1974 are tested through the
jurisdictional agency responsible for administering the GED Program or local Official GED Testing Centers in
the state in which the installation is located. Contact the center at which you tested.




*FORM400T*                                   Page 2 of 2                                 Revised 10/04

				
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