Please complete and send this form to SpanTran Evaluation Services: verification@spantran.com.

1. VERIFICATION AUTHORIZATION LETTER
First Name Father’s Surname Mother’s Surname
Student’s name as it shows on documents
Date of Birth Our Reference number
School Information
I ___________________________________________________________________ , authorize SpanTran Evaluation Services
to obtain and confirm the information regarding my educational studies. My signature below authorizes the release of
information pertinent to my credentials from the above institution.
Signature in English
Signature in Native Language
THIS FORM TO BE COMPLETED BY THE SCHOOL
Directions: Answer the following questions about the student:
Student’s name: ___________________________________________________________________________________________
Degree outcome: ___________________________________________________________ Date awarded: __________________
Years of study: From: ____________________To: ____________________
Directions: Name of official completing form (Type or Print)
Name: ___________________________________________________________________________________________________
Department: ______________________________________________________________________________________________
Telephone: ________________________ Fax ________________________ Email ______________________________________
Official signature and seal: ____________________________________________________________ Date __________________
SpanTran’s Officer signature: ____________________________________________________________ Date __________________
Send this form to SpanTran Evaluation Services:
E-mail: Verification@spantran.com
Mail: 2400 Augusta Drive, Suite 451, Houston, Texas, 77057 U.S.A
Fax: 713.789.6022
SpanTran
SPANTRAN EVALUATION SERVICES
2400 Augusta Drive, Suite 451 • Houston, Texas 77057
TEL 713.266.8805 • FAX 713.789.6022
450 Seventh Avenue, Suite 604 • New York, NY 10123
TEL 646.475.2570 • FAX 646.475.2580
www.spantran.com
Date
Print