Transcript Request Form

There is a $30.00 service fee for non-members due at the time of request. Requests for ACPE members are free of charge. Your request will include two original transcripts. To request that an original transcript be sent to another organization, please provide mailing address below.

You may fax a completed form to 404-320-0849 or email to .

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Provide Number of CPE Units Earned: ______

Year Unit Earned / Center, City, State / Supervisor
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FORWARD 2nd ORIGINAL TRANSCRIPT TO (if someone other than yourself): ______

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