Service Record Request Form
Please allow a minimum of 30 working days from last date of employment for preparation.
Allow additional time during the months of May, June, July & August.
Email Address *
Your answer
Last Name (Name while Employed) *
Your answer
First Name *
Your answer
Employee Number
Your answer
Phone Number *
Your answer
Campus/Department *
Your answer
Currently Employed with LISD *
Name and Address to be Mailed to: *
Your answer
Submit
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