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2019 DJJ Transcript Request Form

The document provides instructions for requesting a high school transcript from the California Department of Corrections and Rehabilitation Division of Juvenile Justice. It includes a form to fill out with name, date of birth, student ID, high school attended, graduation status, timeframe of attendance, phone number, return address, signature, and date.

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matthewrussell661
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29 views1 page

2019 DJJ Transcript Request Form

The document provides instructions for requesting a high school transcript from the California Department of Corrections and Rehabilitation Division of Juvenile Justice. It includes a form to fill out with name, date of birth, student ID, high school attended, graduation status, timeframe of attendance, phone number, return address, signature, and date.

Uploaded by

matthewrussell661
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STATE OF CALIFORNIA — DEPARTMENT OF CORRECTIONS AND REHABILITATION GAVIN NEWSOM, GOVERNOR

DIVISION OF JUVENILE JUSTICE


THE CALIFORNIA EDUCATION AUTHORITY
PO Box 588501
Elk Grove, CA 95758-8501
Telephone: 916-683-7754

TRANSCRIPT REQUEST FORM


To receive a copy of your high school transcript, please complete the following
information and choose one of the following ways below to send.

Fax to: Email to: Mail to:


(916) 683-7769 [email protected] CDCR - DJJ
Attn: Transcripts Education/ Transcripts
PO Box 588501
Elk Grove, CA 95758

Matthew xavier russell


FULL NAME:___________________________________________________________________
07 24 1999
DATE OF BIRTH:__________ ___________ ___________ IEP TRANSCRIPTS !!!
Y95034
YA NUMBER:____________________________________
Mary B. Perry HS
HIGH SCHOOL/ INSTITUTION ATTENDED:__________________________________________
Yes
ARE YOU A HIGH SCHOOL GRADUATE?______________
No
DID YOU RECEIVE YOUR GED?_____________
May 2018 to October 2018
APPROXIMATE TIMEFRAME OF ATTENDANCE:_____________________________________
323 595-6419
DAYTIME PHONE NUMBER: (________) _________________

RETURN ADDRESS OF WHERE YOU WANT YOUR TRANSCRIPTS MAILED:


2341 LANGHORN ST
_________________________________________________________________________
Lancaster , CA
_________________________________________________________________________
93535
_________________________________________________________________________

_________________________________________________________________________

STUDENT SIGNATURE (MUST BE HANDWRITTEN): DATE:

Matthew Russell
____________________________________________ ___________________
07-25-2022

THE CDCR DIVISION OF JUVENILE JUSTICE DOES NOT ISSUE DUPLICATE DIPLOMAS

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