Request edit access
Service Record Request
Email address *
Exiting Employees: Official Service Records will be mailed within 30 days of the final paycheck.
Current Employees:
Unofficial Service Records may be requested for one of the following reasons:
1. Continuing Education
2. Certification Renewal
3. Other *Current employees are only able to obtain unofficial copies, an official copy can only be obtained upon exiting the district.
Last position held in HCISD *
Your answer
LAST NAME *
Your answer
FIRST NAME *
Your answer
MIDDLE NAME
Your answer
Any other names used when employed with HCISD
Your answer
EMPLOYEE ID NUMBER (or last 4 digits of your social security number) *
Your answer
Is the number entered above *
Resignation Date (if still employed, note that) *
Your answer
Reason for Service Record Request * *
If you chose "Other" above, please explain
Your answer
MAILING ADDRESS *
Your answer
CITY *
Your answer
STATE *
ZIP CODE *
Your answer
CURRENT PHONE NUMBER (with area code) *
Your answer
Additional Information
Your answer
HCISD will process your request as timely as possible. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hays CISD. Report Abuse