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.
First Name *
Please enter your first name.
Your answer
Last Name *
Please enter your last name.
Your answer
Previous Name (if applicable)
Maiden, Married, etc...
Your answer
Contact Phone Number *
Use the following format XXX XXX-XXXX
Your answer
Email Address
Your answer
Reason for Record Request (ie. Resignation, Graduate School, TRS, etc...) *
Your answer
Resignation Date (if Applicable)
MM
/
DD
/
YYYY
Please select your current or last position worked. *
Type the Campus or Department of your current or last positions
Your answer
Dates of Employment with Lufkin ISD *
Your answer
Please indicate the type of record you are requesting. *
Required
How do you want to receive the document(s)? *
Comments
Your answer
Signature *
My signature below authorizes Lufkin ISD to forward the requested documents.
Your answer
Today's date *
MM
/
DD
/
YYYY
Submit
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