Transcript Request

 
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 Transcript Request 

 
  Items denoted with a red asterisk * are required.
   
1.
*
 
   
2.
*
 
   
3.
 
   
4.
*
If community relicensure applicant or former employee, you can use your BVID or 99999
 
   
5.
*
If community relicensure applicant or former employee, use a personal email address.
 
   
6.
*
Best number to be reached
 
   
7.
*
Address 1
 
   
8.
*
Address 2
 
   
9.
*
City
 
   
10.
*
State
 
   
11.
Zip Code
 
   
  During the summer months, transcripts are mailed to the address you provide here. If you have any questions, call the PD Department at 913-239-4000.
   
12.
  Select Date
mm/dd/yyyy
   
13.
*
 
*


   
 
 
 
 Done