MEH Records Request
Who is Requesting Records?
Name *
Your answer
Organization/School
If necessary, please list the company or school you are associated with.
Your answer
Relationship to student *
MEHMS will only provide records to those with authorization to receive them. If an option below does not apply to you, please fill out the "Other" field and we will contact you.
Address *
i.e. 7130 Leesburg Pike; Falls Church, VA 22043
Your answer
Phone Number *
XXX-XXX-XXXX
Your answer
Email *
Your answer
Fax
if necessary
Your answer
Student Records Information
Student Name *
As it appears on the birth certificate
Your answer
Date of Birth
MM-DD-YYYY
Your answer
Grade *
Records Requesting *
Please check all that apply; Official Transcripts cannot be emailed to parents, they are only official if sent directly to school or delivered in signed and sealed envelope
Required
Electronic Signature
The electronic signature below and its related fields are treated by Falls Church City Public Schools like a physical handwritten signature on a paper form. I affirm that all the information provided is true and correct to the best of my knowledge.
Electronic Signature *
Your answer
Delivery Options *
Please select how you would like the records delivered. Parents, if you would like us to send it to an organization on your behalf (i.e. Johns Hopkins CTY, camps, etc.) please select "Other" and include the name and address of who should be receiving the information.
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This form was created inside of Falls Church City Public Schools.