Request for Education Records

• Legal Form Number: BP-A0812
• Year: 2025
• Date: 2025-04
• Section: Federal Bureau of Prisons

BP-A0812

Request for Education Records

APR 2025

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

Instructions: When there is inadequate information to verify a high school diploma or its equivalent, an inmate

must complete this form and submit it to the Supervisor of Education, who will forward it to the appropriate

school or agency.

To (name of school or agency):

Address:

City, State, Zip Code:

In reference to (name of inmate):

Date of Birth:

Student ID (if applicable):

Social Security Number:

Date graduated/tested:

Other identifying information:

I authorize you to release the informat ion to:

I request (check one):

[ ] Full education transcript

[ ] Duplicate copy of high school diploma

[ ] GED testing report

[ ] Other

Printed Name:

Signature:

Date:

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