Form APPR IWD-501 "Request for Duplicate Apprenticeship Completion Certificate" - Florida

Form APPR IWD-501 or the "Request For Duplicate Apprenticeship Completion Certificate" is a form issued by the Florida Department of Education.

Download a PDF version of the Form APPR IWD-501 down below or find it on the Florida Department of Education Forms website.

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Download Form APPR IWD-501 "Request for Duplicate Apprenticeship Completion Certificate" - Florida

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REQUEST FOR DUPLICATE APPRENTICESHIP COMPLETION CERTIFICATE
From:
MAIL TO:
Department of Education
Division of Career and Adult Education
Apprenticeship Section
325 West Gaines St., Suite 754
Tallahassee, FL 32399-0400
Please issue a duplicate apprenticeship completion certificate to the individual named below:
Name:
Date of Birth:
Social Security Number (optional): XXX-XX-
Apprentice I.D. Number:
FL
Program Name:
Program Number:
Program Address:
Occupation:
Date Completed:
DUPLICATE COMPLETION CERTIFICATE WILL ONLY BE MAILED TO THE INDIVIDUAL / DESIGNEE
Individual’s / Designee’s Mailing Address:
Phone Number:
Individual’s / Designee’s Signature:
Date Requested:
Requested By:
(Signature required by Designee other than apprentice)
PLEASE NOTE
Request for a duplicate certificate will require the individual’s term of training be verified through official records maintained by the
registration agency. Duplicate certificates will be issued only to those individuals for whom records can be verified.
DCAE-form APPR IWD-501 (Revised 10/17)
REQUEST FOR DUPLICATE APPRENTICESHIP COMPLETION CERTIFICATE
From:
MAIL TO:
Department of Education
Division of Career and Adult Education
Apprenticeship Section
325 West Gaines St., Suite 754
Tallahassee, FL 32399-0400
Please issue a duplicate apprenticeship completion certificate to the individual named below:
Name:
Date of Birth:
Social Security Number (optional): XXX-XX-
Apprentice I.D. Number:
FL
Program Name:
Program Number:
Program Address:
Occupation:
Date Completed:
DUPLICATE COMPLETION CERTIFICATE WILL ONLY BE MAILED TO THE INDIVIDUAL / DESIGNEE
Individual’s / Designee’s Mailing Address:
Phone Number:
Individual’s / Designee’s Signature:
Date Requested:
Requested By:
(Signature required by Designee other than apprentice)
PLEASE NOTE
Request for a duplicate certificate will require the individual’s term of training be verified through official records maintained by the
registration agency. Duplicate certificates will be issued only to those individuals for whom records can be verified.
DCAE-form APPR IWD-501 (Revised 10/17)
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