GED Certificate andor Transcripts Request Form

							                                       GED Certificate and/or Transcripts
                                                Request Form
                               If requesting a certificate and you tested at EPCC prior to 1994, fill out this form.
                                  Otherwise, contact the TEXAS EDUCATION AGENCY at (512) 463-9292 or
                                                                             www.texged.com

                                                 GED Testing Center
                                                    P.O. Box 20500
                                                El Paso, TX 79998-0500
                                       Phone (915) 831-2072 Fax (915) 831-7819
           NOTE: We only have your records if you took the GED at El Paso Community College, UTEP or Ft. Bliss.

Candidate Information:
Last Name (at the time of testing)                            First Name                                            Date of Birth


Social Security Number                                        Phone Number                                          Year Tested


Name of person requesting, if other than the candidate.       Candidate's Signature




Please send copy to:
Name of Institution: (If Applicable)                                                                  Fax No. (If being faxed)


Attention to:


Street and Apartment No.


City                                                                     State                                      Zip Code



Requesting:
       □       Certificate ($15.00 plus $5.00)                                □         Transcript ($5.00 per transcript)
   (send two separate money order payments, one                                   (Fax credit card information or send money order
      payable to TEA for $15.00 and another for                                   payable to EPCC. An additional $5.00 is charged
              $5.00 made out to EPCC)                                                       if copy of transcript is faxed.)

Credit Card Holder Information: (Payment only for transcript)
Type of credit card (Visa, Master Card, Discover, etc)                                  Amount to be charged


Credit card number                                                                      Expiration Date




Note: All fees are non-refundable. No checks or cash will be accepted. The certificate and/or
transcript will not be sent until required fee is submitted to this office.

             Please send your request to the above address and allow 3-4 weeks for processing.

                                                                race, color          origin religion, gender,       disability
                     EPCC does not discriminate on the basis of race color, national origin, religion gender age or disability.