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The Cook County GED® Testing Program Request Form is a crucial document for individuals seeking to obtain their GED Certificate or an official transcript of their GED test results. This form is specifically designed for those who completed their testing in Cook County, Illinois. It serves as a means to request these important documents, which can often be obtained at no charge if certain conditions are met. For those who need additional copies, the form outlines the necessary fees: $3.00 for each transcript and $10.00 for each certificate. When completing the form, it’s essential to provide accurate personal information, including the name used at the time of testing, social security number, and date of birth. Additionally, if there have been any changes to your name or social security number since taking the test, specific documentation must be submitted to update your records. The form also includes sections for designating where transcripts should be sent, whether to educational institutions or employers. It’s important to remember that fees are non-refundable, and the processing time for requests can take 2-3 weeks. For any questions or clarifications, individuals can reach out to the Cook County GED office directly.

Example - Ged Illinois Form

COOK COUNTY GED® TESTING PROGRAM

REQUEST FORM FOR

GED CERTIFICATE & OFFICIAL TRANSCRIPT OF GED TESTS RESULTS

Mail Request To: ICCB-GED

P.O. Box 88725 Chicago, IL 60680-1725

Phone: (847) 328-9795

Instructions – Read Carefully

Use this form to request a GED Certificate or Official Transcript of GED Tests Results, only if you tested in Cook County, Illinois. You may be eligible to receive a Certificate and/or Official Transcript of GED Tests Results free of charge. DO NOT FILL OUT THIS FORM FOR A FREE CERTIFICATE OR TRANSCRIPT, please contact our office at

(847)328-9795 and press ‘0’ to speak to a Customer Service Representative. To request additional certificates or transcripts complete this form and submit it with a money order or cashier’s check payable to ICCB-GED in the correct amount ($3.00 for each transcript and $10.00 for each certificate) to the address above. Please allow 2-3 weeks for delivery. Fees paid are NON-REFUNDABLE. If you are ordering a transcript and a certificate, the certificate will be sent separately. Please PRINT or TYPE.

Mark the number of each item you are requesting.

[ X ] Official Transcript: ($3.00 each)

Today's Date: _________/________/________

[____] Certificate ($10.00 each)

Total Amount Enclosed:

3.00

$_____________

(If you paid a $35 or $50 application fee, your certificate will be sent to you at no additional charge. DO NOT send this form in unless you are requesting additional certificates.)

(Money order and cashier’s checks must be made payable to ICCB-GED. No personal checks, cash, or credit cards will be accepted. Fees are non-refundable and non-transferable)

 

 

PERSONAL INFORMATION

 

Name Used at Time of Test:

_______________________________________________________________________

(Note: Proof of name change will be required)

First Name

Middle Name or Initial

Last Name

Current Name:

_______________________________________________________________________

(If different from the name used at time of testing)

First Name

Middle Name or Initial

Last Name

Social Security Number or ID #:_____________________________

Date of Birth: _________/________/_________

Current Address:________________________________________________________ Apartment #:_______________

City:____________________________ State:________ Zip:___________ Phone Number:(____)_________________

Date of Test: (approximately) _________/________/_________ Test Center: _____________________________________

Print your name on the line below exactly the way you want it to appear on your GED Certificate.

* (If name differs from name on file, proof will be required. See the back of this form for more information)

__________________________________

____________________

__________________________________

First Name

Middle Name or Initial

Last Name

TRANSCRIPT RECIPIENT INFORMATION

Complete this section ONLY if this transcript is not being sent to you. (Colleges, Employers, Institutions etc.)

South Suburban College

 

Attention: Office of Admissions and Records

Name of College:__________________________________________

15800 S. State Street

South Holland

IL

60473

Address:___________________________________ City:___________________ State:______ Zip Code:___________

Name of Institution/Employer: ______________________________

Attention:_______________________________

Address:___________________________________ City:____________________ State:______ Zip Code:___________

My signature below shows that I authorize my GED scores to be released the above institution.

Signature _____________________________________________________ Date__________________

Please Keep a Photocopy for your Records!

Change or Correction of Social Security Number: If
Change of Name:

IMPORTANT INFORMATION ABOUT CHANGES/CORRECTIONS ON YOUR NAME, SOCIAL

SECURITY NUMBER, AND/OR DATE OF BIRTH

If your name has changed since the last time you took the GED Tests, and you would like your GED records to be updated, you must provide the following documents:

Photocopy of Marriage License, Divorce Decree or Court Order documents, and

Photocopy of valid State ID, Driver’s License, Consulate ID or Passport, and

Photocopy of Social Security Card.

your Social Security Number has been changed or

is incorrect on your GED records, and you would like your Social Security Number to be corrected, you must provide the following documents:

A Notarized letter explaining your SSN has changed from: Provide SSN used at time of test to: Provide current SSN

and would like your SSN to be updated. Letter MUST include candidate’s Current Name, Date of Birth

and current address, and/or

Print out of all your Social Security Number issued by the Social Security Administration, and

Photocopy of new Social Security Card, and

Photocopy of valid State ID or Driver’s License, Consulate ID or Passport.

Change or Correction of Date of Birth: If your Date of Birth is incorrect on you GED records, you must provide the following documents:

Photocopy of your Birth Certificate, and

Photocopy of valid State ID or Driver’s License, Consulate ID or Passport.

If you have any further questions, please contact the Cook County GED office at (847)328-9795

Document Breakdown

Fact Name Details
Purpose This form is used to request a GED Certificate or an Official Transcript of GED Test Results for individuals who tested in Cook County, Illinois.
Mailing Address Requests should be mailed to ICCB-GED, P.O. Box 88725, Chicago, IL 60680-1725.
Contact Information For assistance, individuals can call (847) 328-9795 to speak with a Customer Service Representative.
Fees The fee for each transcript is $3.00, while each certificate costs $10.00. Fees are non-refundable.
Eligibility for Free Certificates If an individual has already paid a $35 or $50 application fee, they may receive their certificate at no additional charge.
Personal Information Required Applicants must provide their name used at the time of testing, current name, Social Security Number or ID, and date of birth.
Document Requirements for Changes To update personal information, such as name or Social Security Number, specific documents must be submitted, including a notarized letter and valid ID.
Governing Law The GED testing program in Illinois is governed by state regulations, including the Illinois Community College Board (ICCB) policies.
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