This is an official request for a copy of a student record. The information contained in this request is considered confidential and is necessary to verify your identity and thereby protect your school record from being accessed by unauthorized individuals.  


Please complete all information accurately and fully.  Incomplete requests will not be processed.  All requests will be checked for accuracy; inaccurate information may result in your request not being processed.  Our system will automatically update you as to the status of your order via email from  It is important you read these emails carefully and respond immediately to questions and/or requests for additional information.  Orders will be considered closed upon 30 days of inactivity with fees non-refundable.


Please allow 5 business days for processing from the date your order is placed.  Orders are processed on a first-come, first-served basis.


Order Tracker:  While this system will automatically update you as stated above, you may also check our progress.  Once your order has been submitted and payment processed, you will be directed to a confirmation page that will contain a link to Order Tracker.  You will also receive a link to Order Tracker via email from  To access Order Tracker you will enter your email address, order number, and the password you will create during the order process.


Name While Attending School:

Information Related To Your Birth:

Your Last Loudoun County School of Attendance:

Current Name / Requester Name:

Current Residence Address: (this may be different than the mailing address)

Current Mailing Address: (if different from residence address)

Telephone Number: (###-###-####)

Driver's License: (or other State Issued ID)


Documents Will Be Delivered To: please enter the delivery addresses
Name Attention Addr 1 Addr 2 City State Zip Country # of Copies

Reason(s) for Request of Student Record:

Select The Information Type(s) Requested:

Total Fee:

My initials below constitute an electronic signature and authorize the Student Records Department of Loudoun County Public Schools to release my records as requested herein and/or order, on my behalf, a reprint of my high school diploma.  I understand fees are nonrefundable and that an incomplete form will not be processed and will be deemed closed after 30 days of inactivity. 

I affirm, under penalty of perjury and to the best of my knowledge, the foregoing to be true and correct.

Please enter your e-Signature
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