Service Record Request

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Brazos Independent School District uses this form for current and former employees to request an official or unofficial service record.

**Please note - School districts are required to provide the copy no later than the 30th day after the request is made or the date of the last day of the individual's employment, whichever is later (TEC § 21.4031)

If you have any questions about your service record, please contact BISD at 979-478-6551.

This form will be transmitted securely to protect sensitive data.

Email *

First Name *

Last Name (at time of employment at BISD) *

Email address *

Phone Number *

Years Worked at BISD *

Campus *

Brazos Elementary School

Brazos Middle School

Brazos High School

Prairie Harbor Alternative School

Position *

Last 4 Digits of SSN *

Reason for Request *

Copy (purpose: personal)

Unofficial with Seal (purpose: certification program, universities, etc.)

Official with Seal (moving to new district, resigning, retiring)

Delivery Method Requested *

Mail form to address

Email form to email address

Intercampus form to current campus

Other:

Address/email address or campus to send records *

Additional comments:

Submit

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