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Graduation Verification Request
This form shall only be used to verify high school completion for students who have attended a Tennessee public high school. The form may be used by employers or third-party verification companies. Employers and third parties requesting verification must have a student release form allowing for verification. Please allow up to 48 hours for processing.
Type of Request
Duplicate Diploma
Graduation Verification
First Name
*
*
(as it was the year of graduation)
Middle Name
*
(as it was the year of graduation)
Last Name
*
(as it was the year of graduation)
Name of the Tennessee Public High School Attended
*
Tennessee Public School District Attended
*
(where the school is located)
City
*
(where the school is located)
County
*
Date of Graduation
*
(month and year)
Date of Birth
*
(month, day, and year)
Payment Type
Money Order
Online
Money Order Number
*
Status Reason
Current Mailing Address
Note that this is where the diploma will be mailed. Please make sure the address submitted matches the
United States Postal Service
website to ensure the diploma will arrive at the correct address.
Current Name
*
(as you would like the diploma mailed to)
Check the box if your current name is different than it was the year of graduation
Address 1
*
Address 2
*
City
*
State
AL
AZ
CA
CT
FL
HI
IL
IA
LA
MD
MI
MS
MT
NV
NJ
NY
ND
OK
PA
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AK
AR
CO
DE
GA
ID
IN
KS
ME
MA
MN
MO
NE
NH
NM
NC
OH
OR
RI
Zip Code
*
Submitter Type
Former Student
Third-party company
Company Name
*
Telephone No
*
Email Address
*
*
I certify that I am the former student and that I am requesting a copy of my high school diploma. I authorize the Tennessee Department of Education to mail a copy to the address listed in this request.
Certify former student grad verification
Transaction Details
New Section
TransactionID
*
userpart1
*
Userpart2
*
Transaction Date Stamp
*
Payment Amount
*
Convience Fee
*
TotalPaymentAmount
*
Account Holder
*
Payment Method
*
Masked Account
*
Authorization Number
*
Payment Method Description
*
Billing Name
*
Billing Address
*
Billing City
*
Billing State
*
Billing Zip
*
Billing Country
*
Billing Email
*
Billing Phone
*
Please upload a signed student release
You can upload a maximum of 1 file, up to 90MB.
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