Records Request Form
This form is used to request Personnel Records from the Human Resource Department. Please fill out and submit the form and the request will be processed in the order in which it was received.
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First Name *
Please enter your first name.
Last Name *
Please enter your last name.
Previous Name (if applicable)
Maiden, Married, etc...
Last 4 digits of your social security number (for verification purposes) *
Maiden, Married, etc...
Contact Phone Number *
Use the following format XXX XXX-XXXX
Email Address
Reason for Record Request (ie. Resignation, Graduate School, TRS, etc...) *
Resignation Date (if Applicable)
Please select your current or last position worked. *
Type the Campus or Department of your current or last positions
Dates of Employment with Lufkin ISD *
Please indicate the type of record you are requesting. *
How do you want to receive the document(s)? *
Please provide address *
Please provide the name of the school district (if applicable)
Signature *
My signature below authorizes Lufkin ISD to forward the requested documents.
Today's date *
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