Service Record Request Form

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Service Record Request Form

Complete this form for Service Record and/or Transcript Requests.

**Employees resigning from Bay City ISD at the end of the current contract year should expect documents to be mailed to another district no earlier than the end of July, providing the employee has resigned by the last day of the current school year. Original Service Records can only be released after the Superintendent has accepted the resignation.

**If you resigned from BCISD prior to the current contract year, the HR department has 30 days to fulfill this request.

**Once released, YOU are responsible for these original documents. These are the only originals and are required upon employment with another district.

Email *

Full Name ( At time of Employment) *

Address *

Phone Number *

Last Four Digits of SSN *

Reason for Request *

Resigned from Bay City ISD and need my service records mailed to district address listed on bottom of form

Have not resigned but requesting UNOFFICAL copies of my records listed below

Need offical records sent to the University listed below for my degree program

Other:

Types of Records Requested *

Service Record(s)

Transcripts (if applicable)

Unofficial Service Record(s)

Other:

Approximate Dates of Employment

Start and End Date

Method of Delivery of Records *

Mail to District or University

Pickup at Administration Building

Mailing Address of Receiving District

Include:

Name of District/ University Name

Attention To:

Address:

City:

State:

Zip

Position at BCISD *

Teacher

AUX Position

Subsitute Teacher

By clicking "SUBMIT" on this Service Record Request Form, I warrant and represent that I am the person whose name appears above, and I authorize Bay City Independent School District to send my BCISD original service record to the person or entity listed. I have read and understand this authorization, and I execute this authorization and consent willingly.

I agree

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A copy of your responses will be emailed to the address you provided.

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