MISD Personnel Records Request
By clicking "SUBMIT" on this Records Request Form, I warrant and represent that I am the person whose name appears above, and I authorize Midlothian Independent School District ("Midlothian ISD") to send my Midlothian ISD records to the person or entity listed. I have read and understand this authorization, and I execute this authorization and consent willingly.
Date of Request: *
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Your Name (Last, First, Middle Name): *
Former Name:
Last Four SS# *
Last day worked at Midlothian ISD: *
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Phone Number: *
Email Address: *
Employee Type: *
Required
Please check the items listed below that you are requesting to be sent to you: *
Required
Please enter the name and address where you would like to have your service record mailed: *
Submit
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