Service Record Request Form
Please complete the following form
Email address *
Name *
First and last name
Other Name(s) Records May Be Under
Date of Birth *
Phone number *
Current District Email Address
Mailing Address to Use if Not Picking Up
Address, City, State, Zip Code
Employment Status *
Original Hire Date
School year
Current Separation Date
School year
Current ACISD Service
Former ACISD Service
Copies will be provided for current employees. An original record of service with Aransas County ISD will be provided within 30 days of resignation or written request for service record whichever date is later. University transcripts will need to be requested from the university. Please check one of the following: *
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