REQUEST FOR PERSONNEL RECORDS
Please complete the following form if you are in need of any personnel records including service record and transcripts.
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If your name is different than it was during the time of employment with Robinson RISD, please list your previous name alongside your current name.
Your answer
Current Address *
Your answer
Personal Email Address: *
This email address will be used to communicate with you in case the information provided is incomplete or more information is needed. Please DO NOT use your Robinson ISD email address.
Your answer
New District name and address: *
Please supply district name, contact name and full district address.
Your answer
I am requesting that you release the checked documents to the district and address provided below: *
Check all that apply. If you choose "Other" please list all that is needed.
Required
Please mail records: *
Check all that apply.
Signing my Service Record: *
I understand that the service record requested has not been signed by me. I understand that two copies will be sent to the receiving district, and it is my responsibility to sign both copies, verifying the information on the record. One of the signed copies shall be mailed back to Robinson ISD for our records. Once received Robinson ISD will release the original to the new District. If this is NOT acceptable, I understand that I will need to sign the service record at the Robinson ISD Administration building prior to the documents being released. I also understand that service records cannot be processed until the end of June for the current school year as leave information is still being processed. - Choose only one below
Signature *
By typing my name below and providing my last four digits of my social as and identifier, I certify that I have read and accepted the above statement and that all information contained in this form is true and correct. I understand that this information will have the same force and effect as the use of a manual signature.
Your answer
Identification verification - *
Last four digits of Social Security #
Your answer
Date *
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