Service Records Request
Note:
Processing of any service records may take up to 30 business days from the date of the request. End of year service records will be processed at the end of July.
Name
*
First Name
Last Name
Other Last Names Used (if any)
Social Security Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Position
*
Hire Date MM-DD-YYYY
Date Separated MM-DD-YYYY
Employee Type
*
Please Select
Current Employee
Former Employee
Current Employee
Service Records will not include the current school year if the year is in progress. The record will be an unofficial copy.
Former Employee
Service Records Requests from employees not returning for the next school year will be processed at the end of July. Former Employees will only receive certified copies if originals were previously provided.
Delivery Method
*
Mail to address above
Email (please enter email address below)To be considered an Official Service Record, the document must be e-mailed from district to district.
Pick up (We will call you when records are ready for pick up)
Email
*To be considered an Official Service Record, the document must be e-mailed from district to district.
Signature
*
Date Request Completed
-
Month
-
Day
Year
Date
Completed by HR Rep
Submit
Should be Empty: