Transcript/Immunization Request Form-For Outside Investigative Agencies Only
KING GEORGE COUNTY SCHOOLS ARE CLOSED EFFECTIVE 3/13/2020. ALL REQUEST WILL BE PROCESSED IN A TIMELY MANNER. WHEN WE RE=OPEN. THANKS IN ADVANCE FOR YOUR PATIENCE. Due to School closing due to COVID 19 your request could take longer that anticipated.
Email address *
Name of Requesting Agency *
Your answer
Date *
MM
/
DD
/
YYYY
Student First Name *
Your answer
Student Last Name *
Your answer
Student Maiden Name
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Graduation Year *
Your answer
Student Withdrawal Year *
Your answer
Are you requesting a transcript or immunizations record? *
Required
Requesting Agency's Current Telephone (Provide a current telephone number where you can be reached) *
Your answer
Requesting Agency's Current Email (Provide a current email address) *
Your answer
How would you like to access your record(s)? *
Required
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