Service Record Request Form

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Use this form to formally request a copy of your service records from S&S CISD.

Please note that requests are processed in the order they are received and may take up to 30 days to complete. Requests that include the current school year, during which a contract is still being fulfilled, will be released at the end of June following the close of the school year.

Contact Information:

Wendy Graves

903-564-6051 ext 4003

wendy.graves@sscisd.net

First Name *

Last Name *

Your Email Address *

Last 4 of Social Security Number *

Phone Number *

Who are the records being sent to?

Yourself

Another School District

Clear selection

Delivery Method Preference (How would you like to receive the service record?) *

Mail to Address Below (Official printed copy)

Email (Enter the address below)

In-Person Pickup (You will receive a phone call when ready)

* If mailing is selected, please provide the complete mailing address.

* Include the district's name or person's name when entering a physical address

Authorization: I authorize the release of my official employment service records as requested above. *

Yes, I authorize the release of my service records.

Required

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