Submit a request

Request Form:

Your email address

Subject

Description

Your Name (First & Last)

Your Phone # (XXX-XXX-XXXX)

Submitting for self?

User's Name (First & Last)

User's Email Address

TEA ID or Last 4 Digits of Social Security Number

Date of Birth (MM/DD/YYYY)

Alternate names (maiden, nickname, middle) that may have been used

Alternate email addresses that may have been used

Issue?

Request to update middle name or initial only?

Are you currently enrolled with a Texas educator preparation program (i.e. ACP, EPP)?

Have you previously been enrolled in a Texas educator preparation program?

Do you hold a bachelor's degree or will you obtain a bachelor's degree within six months?

Other

Attachments

Add file or drop files here