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Get Transcript Kane County

IPT / CERTIFICATE REQUEST FORM (ALL REQUESTS TAKE 7-10 BUSINESS DAYS) PLEASE PRINT CLEARLY Date:_______________ Name:__________________________________ Phone number____________________ Address/City/St/Zip:_____________________________________________________________ Date of Birth____________________ Social Security Number______-____-______ Name of Testing Center:____IYC-St. Charles ____Waubonsee C.C. _____Elgin CC (check one) ____U46 District ____Kane County ROE ____Other (__________________.

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