This is an official request for a copy of a student record. The information contained in this request should be considered private. Please complete all information thoroughly and finalize the order process by clicking 'Proceed to Check Out.'  The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.  

 

You will receive emails from scribOnline@scribsoft.com to notify you of the status of your order.  You must read those emails carefully, as additional information may be required to process your request.  

 

ACCESSING THE ORDER TRACKER:  Once the order has been submitted and payment received, you will be directed to a confirmation page containing the Order Tracker link.  You will also receive a link to the Order Tracker via email from scribonline@scribsoft.com.  Enter your email address, order number, and password to access the Order Tracker.

PLEASE UTILIZE THE SPECIAL INSTRUCTIONS SECTION OF THE ONLINE REQUEST FORM TO CLARIFY WHAT SPECIFIC RECORD(S) YOU ARE REQUESTING IF NOT LISTED AT CHECKOUT.
TO REQUEST A REPLACEMENT DIPLOMA, DON'T HESITATE TO GET IN TOUCH WITH SCHOLASTIC IMAGES 770-614-9353.
PLEASE NOTE THAT YOUR ORDER WILL BE DENIED IF PHOTO ID IS NOT PROVIDED.
Name While Attending School:

Information Related To Your Birth:

Parent / Guardian Names:

Your Last Gwinnett County School of Attendance:

Current Name / Requester Name:

Current Residence Address: (this may be different than the mailing address)

Current Mailing Address: (if different from residence address)

Telephone Number: (###-###-####)

Driver's License: (or other State Issued ID)

Email:



Documents Will Be Delivered To: please enter the delivery addresses
Name Attention Addr 1 Addr 2 City State Zip Country # of Copies

Reason(s) for Request of Student Record:


Select The Information Type(s) Requested:


Total Fee:
$0
AUTHORIZATION NOTIFICATION:
My initials below constitute an electronic signature and authorize the Records Department of Gwinnett County Public Schools to release information and/or my student record and confirm I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under the authority of Public Law 93-380, Educational Rights and Privacy Act.
 
I have enclosed the correct fees and understand that they are non-refundable. I understand that an incomplete form will not be processed and will be considered closed after the 30-day notification window expires. I declare under penalty of perjury that the foregoing is true and correct.
Please enter your e-Signature


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