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CHSPE Form Certificate Transcript Order

To obtain a transcript or duplicate certificate from the CHSPE, one must submit a completed order form along with payment. Transcripts are official documents certifying that the test was passed, while duplicate certificates replace lost certificates. The order form requests personal information and details about what documents are being ordered. Fees of $15 per transcript and $25 per duplicate certificate must be paid via money order or cashier's check. Orders are shipped within 10 business days or 3 business days if rush service is requested for an additional $15 per mailing address. Incomplete orders or incorrect payment will not be processed.

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2K views

CHSPE Form Certificate Transcript Order

To obtain a transcript or duplicate certificate from the CHSPE, one must submit a completed order form along with payment. Transcripts are official documents certifying that the test was passed, while duplicate certificates replace lost certificates. The order form requests personal information and details about what documents are being ordered. Fees of $15 per transcript and $25 per duplicate certificate must be paid via money order or cashier's check. Orders are shipped within 10 business days or 3 business days if rush service is requested for an additional $15 per mailing address. Incomplete orders or incorrect payment will not be processed.

Uploaded by

ju5tin_case
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Obtaining a Transcript Requests for Transcripts and

or Duplicate Certificate Duplicate Certificates


To obtain a transcript or a duplicate
If you have passed the CHSPE, you may order an official transcript or a duplicate
Certificate of Proficiency, you must
Certificate of Proficiency. A transcript is an official document that certifies that
­submit:
you have passed the test. Examinees who began testing after January 1, 2007
1. Certificate/Transcript Order Form on also receive a score report as part of their transcript. Some employers and schools
the CHSPE Web site at http://www. require these transcripts. Transcripts and duplicate Certificates of Proficiency will
chspe.net/results/transcripts be available after score reports for the test administration date at which you pass
the test have been mailed.
2. Money order or bank-issued cashier’s
check payable to California Department To order a duplicate Certificate of Proficiency or one or more transcripts, you must
of Education in the appropriate amount complete and submit to the CHSPE Office a Certificate/Transcript Order Form.
The form is available on the CHSPE Web site at http://www. chspe.net/results/
transcripts. You must sign the form, and include the appropriate fee. A transcript
or duplicate Certificate of Proficiency will not be provided if your CHSPE account
is not paid in full.
The items you request will be mailed via first-class mail within ten business days of
receipt of your request. For an additional fee, the items you request will be sent via
overnight mail to any location within the continental United States within three
business days following receipt of your request (rush service). The fees for these
services are listed below and must be paid by money order or bank-issued cashier’s
check payable to California Department of Education.

Fees for Transcripts and Duplicate Certificates


Transcript $15 each
Duplicate Certificate $25 each
Rush service $15 additional per mailing address

Incomplete order forms and forms accompanied by incorrect payment will be


returned unprocessed.

PAGE 22 http://www.chspe.net 866-342-4773


CHSPE Certificate/Transcript Order Form
Please PRINT carefully or type all information requested below.
California High School
Proficiency Examination For information, call 866-342-4773.

PERSONAL INFORMATION
Last Name (Please specify the name used at the time of testing.) First Name Middle Initial

Date of Birth Approximate Test Date CHSPE ID # (if known)

PERSONAL CONTACT INFORMATION


Name — only if your name has changed

Mailing Address

City State ZIP Code

Daytime Phone Number Evening Phone Number E-mail (if available)


(    ) (    )
ORDERS FEE PER UNIT X QTY = TOTAL FEES

DUPLICATE CERTIFICATE(S) – The $25 fee is charged for EACH duplicate certificate ordered. $25.00 X = $

TRANSCRIPT(S) – The $15 fee is charged for EACH transcript ordered. $15.00 X = $

Note: Certificates and transcripts will be mailed via first-class mail within ten business days of receipt of this order form. If you request and pay for Rush
Service, your materials will be mailed via overnight service within three business days of receipt of this order form.

RUSH SERVICE – $15 per mailing address. Rush Service is not available to post office boxes, $15.00
X = $
military post office boxes, or locations outside of the continental United States. per address

RELEASE INFORMATION TOTAL FEES FOR THIS ORDER $


I certify that I am the person whose name and signature appear on this form. I authorize release of my
certificate/transcript to me and/or the recipients designated below.

Signature (required)                          Date

SEND DOCUMENT(S) TO: (For each address requiring Rush Service, please check the box in the upper right corner. Use an additional
piece of paper if you are ordering documents to be sent to more than two addresses. Check the “Fax a copy” box if you would like a copy faxed to
the recipient prior to shipment of your official document.)

Shipping Address: Shipping Address:


n  Certificate       n  Transcript      ­­n  Rush Service n  Certificate       n  Transcript      ­­n  Rush Service
Name of Organization Name of Organization

Attn: Attn:

Address Address

City State ZIP Code City State ZIP Code

Phone Number n FAX a copy / FAX Number Phone Number n FAX a copy / FAX Number

MAILING INFORMATION
HOW TO PAY YOUR FEES:
If using U.S. Postal Service, mail this If using another delivery service, such as
Enclose a money order or bank-issued
completed form and proper payment to: FedEx, UPS, etc., mail this completed form,
cashier’s check payable to California and proper payment to:
Department of Education. Incomplete forms CHSPE Office CHSPE Office
and forms received without proper fees will Sacramento County Office of Education Sacramento County Office of Education
be returned to the requester. Cash, personal Attn: CHSPE Records Request Attn: CHSPE Records Request
P.O. Box 269003 10150 Missile Way
checks, and payments using credit or debit
Sacramento, CA 95826-9003 Mather, CA 95655
cards will not be accepted.

866-342-4773 http://www.chspe.net PAGE 33

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