Request for Statement of Achievement Form

Which statement do you require?

If requesting a statement for more than one qualification, a separate application form should be completed.

Learner details (name as it appears on the certificate at the time of issue)
Details of qualification
Contact details of person requesting statement of Achievement Learner/ Centre/Employer
Reason for Request
Additional documents (required if you are a learner requesting a statement of achievement)

**Where a Statement of Achievement is being delivered to the learner’s address, a photocopy of the following document should also be included;

Address to where the Statement of Achievement should be sent
Payment details
Please note the following terms and conditions before placing your request

The statement of achievement will state the name of the learner at the time the qualification or unit was achieved. It remains the responsibility of the employer to check that the individual named in the statement is the person to whom the statement relates.

In the event of us being unable to trace the learner’s qualification and/or units based on the details supplied on this form or incomplete documentation submitted, the full fee will be applied.

Following receipt of a fully completed form and payment, requests for Statements of Achievement will be completed within 10 working days.


On our dedicated website QualHub, you’ll find:

  • details on all qualifications including learning resources
  • approval forms to get started or offer additional qualifications
  • delivery support – from assessment windows to sample portfolios
  • quality assurance advice – prepare for and request a visit
  • online assessment support
  • direct claim status information
  • policies
  • much more.
Visit QualHub