THE NEW YORK STATE EDUCATION DEPARTMENT
High School Equivalency (HSE) Office
89 Washington Avenue, EBA 460
Albany, New York 12234
Application H Form: Duplicate Request High School Equivalency Records Only
If you are looking for a high school record, contact the school district or borough directly.
Document can also be ordered online with a credit card payment, please see:
acces.nysed.gov/hse/duplicate-diplomas-andor-transcripts
Instructions:
Enclose a certified check or money order payable to the New York State Education Department:
• The processing fee will not be refunded if no HSE record is found.
• $5 for a copy of an official transcript and $10 for a copy of a duplicate diploma (transcript included).
• Do not send cash or personal checks. Money orders need to be completed in full and signed.
• For international document requests, a pre-paid, self-addressed return envelope, that is at least 9 inches, must be
included with this form. No international money orders will be accepted.
Mail this document with a completed money order to the address indicated on the top of this form.
Part A: Document Holder Information
First Name (at Time of Testing) Middle Initial Last Name (at Time of Testing) Suffix
List other Name(s): (if applicable -Maiden, alias, nickname, etc.) Last 4 of social security number:
Date of Birth (mm/dd/yyyy) Applicant telephone number Email Address (print neatly and clearly)
Mailing Address (Street/P.O. Box) Apartment Number
City State Zip Code
GED ID or HSE ID (if known): Test Center/Agency Name or City: Approximate Year Diploma was Earned:
HSE Pathway: ☐ GED®/TASC ☐ 24-College Credit ☐ NEDP ☐ COVID Waiver
Diploma & Transcripts
Type of Document(s):
Transcripts Only Total Cost:
Part B: Mail the Diploma and/or Transcript to (if other than to the address indicated above):
Name of institution (college, employer, etc.): Attention (contact name, registrar, admissions, etc.):
Street Address (include building number, or other specific information): City: State: Zip:
Email: Phone Number:
By signing below, I am attesting that the information provided above is accurate.
Applicant Signature: Today's Date:
Last revised: 3/21/2024
