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

This document contains official instructions for Form APPR IWD-501, Request for Duplicate Apprenticeship Completion Certificate - a form released and collected by the Florida Department of Education. An up-to-date fillable Form APPR IWD-501 is available for download through this link.

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

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Instructions for Completing the Duplicate Apprenticeship Completion Certificate Request Form
The Duplicate Apprenticeship Completion Certificate is primarily a verification document that validates the
completion of an apprenticeship program by the registration agency. The duplicate request can only be made by
the individual or a close relative designee (spouse, parent, child, etc.). All others will be denied. For special
circumstances, please contact the Apprenticeship Office directly.
From:
Full legal name of apprentice as it would have appeared on original certificate
Physical address (PO Box is not acceptable)
City, State, Zip Code
Name:
Full legal name of apprentice as it would have appeared on original certificate
Date of Birth:
Use mo/day/year format (example: 01/15/1975)
Social Security Number:
Provide ONLY the last four digits. This information is used for research purposes
only and will not be used for any other purpose.
All registered apprentices are issued a Florida apprentice I.D. Please provide this
Apprentice I.D. Number:
number, if known.
Program Name:
Name of the Registered Apprenticeship Program you participated in, if known.
Registered Apprenticeship Program Number, if known.
Program Number:
Program Address:
Address of the Registered Apprenticeship Program, if known. If you do not know
the actual address, a partial address will help in the research process.
Occupation to which you received the Apprenticeship Certificate.
Occupation:
Date Completed:
Completion date of your apprenticeship, if known. If you do not know the
specific date, a partial date will help in the research process.
Use mo/day/year format (example: 01/15/1975).
Individual's / Designee's
Physical mailing address to where the duplicate apprenticeship certificate is to be
Mailing Address:
sent ONLY IF IT IS DIFFERENT from the address you provided at the top of the
request form. IF SAME, Please write "SAME AS ABOVE" in the space
provided. REMEMBER, duplicate apprenticeship certificates will only be sent to
the individual's primary residential address.
Phone Number:
Valid phone number. This number will only be used if additional information is
needed in order to complete the request.
Sign request form in BLUE ink.
Individual's / Designee's
Signature:
Date Requested:
Date you completed this form.
Use mo/day/year format (example: 01/15/1975)
Instructions for Completing the Duplicate Apprenticeship Completion Certificate Request Form
The Duplicate Apprenticeship Completion Certificate is primarily a verification document that validates the
completion of an apprenticeship program by the registration agency. The duplicate request can only be made by
the individual or a close relative designee (spouse, parent, child, etc.). All others will be denied. For special
circumstances, please contact the Apprenticeship Office directly.
From:
Full legal name of apprentice as it would have appeared on original certificate
Physical address (PO Box is not acceptable)
City, State, Zip Code
Name:
Full legal name of apprentice as it would have appeared on original certificate
Date of Birth:
Use mo/day/year format (example: 01/15/1975)
Social Security Number:
Provide ONLY the last four digits. This information is used for research purposes
only and will not be used for any other purpose.
All registered apprentices are issued a Florida apprentice I.D. Please provide this
Apprentice I.D. Number:
number, if known.
Program Name:
Name of the Registered Apprenticeship Program you participated in, if known.
Registered Apprenticeship Program Number, if known.
Program Number:
Program Address:
Address of the Registered Apprenticeship Program, if known. If you do not know
the actual address, a partial address will help in the research process.
Occupation to which you received the Apprenticeship Certificate.
Occupation:
Date Completed:
Completion date of your apprenticeship, if known. If you do not know the
specific date, a partial date will help in the research process.
Use mo/day/year format (example: 01/15/1975).
Individual's / Designee's
Physical mailing address to where the duplicate apprenticeship certificate is to be
Mailing Address:
sent ONLY IF IT IS DIFFERENT from the address you provided at the top of the
request form. IF SAME, Please write "SAME AS ABOVE" in the space
provided. REMEMBER, duplicate apprenticeship certificates will only be sent to
the individual's primary residential address.
Phone Number:
Valid phone number. This number will only be used if additional information is
needed in order to complete the request.
Sign request form in BLUE ink.
Individual's / Designee's
Signature:
Date Requested:
Date you completed this form.
Use mo/day/year format (example: 01/15/1975)