Request for Personnel Records

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Complete this form to request your personnel records.

Midway ISD has moved to a paperless record keeping system and all employee records have been scanned and returned to the employee. Therefore, only scanned copies of an employee’s personnel records will be provided. Current employees may view their previous district’s service records and transcripts in their employee online records account.

**For employees resigning at the end of their current contract year, your service record will not be sent to you or your new school district until a minimum of 30 days after your last day of employment has been completed. This is to ensure the current school year is accounted for.

**All personnel request for employees resigning during the current school year will be processed a minimum of 30 days after their last day of employment.

If you have any questions, you may contact Gabrielle Chadwick at, gabrielle.chadwick@midwayisd.org

Email *

Name: *

Please add name, alongside current name if different.

Employee Number or Date of Birth (MM/DD/YYY): *

Current mailing address: *

Exiting employees: You may access Employee Access Center regardless of whether you are employed with the district or not. Please keep your address and email address updated in Employee Access Center. This ensures that tax information goes to the correct location at the end of the year. Information on this request form does not move over to your address and email address in other systems.

Personal email address: *

Exiting employees: This email address will be used to communicate with you in case the information provided is incomplete or more information is needed. Please do not use your Midway ISD email address.

Purpose for release of records: *

**For employees resigning at the end of their current contract year, your service record will not be sent to you or your new school district until a minimum of 30 days after your last day of employment has been completed. This is to ensure the current school year is accounted for. You may view your past service records and transcripts in your employee online records account.

New district

Continuing education

Other:

I am requesting that you release the checked documents: *

Check all that apply.

Official Teacher Service Record

Original College Transcript

Required

Please send the records: *

Check all that apply.

to me at my current mailing address (given above)

to me at my current personal email address (given above)

to my new district (add information below)

Required

Please supply District name, contact name, and full district address:

Signing my service record: *

I understand that the service record has not been signed by me. I understand that two copies will be sent to the receiving district, and it is my responsibility to sign both copies, verifying the information on the record. One of the signed copies will be mailed back to Midway ISD for their records. I also understand that service records can not be processed until the end of June for the current year as leave information is still being processed.

I will review and sign my service record at my new district and a copy will be mailed to Midway ISD.

Does not apply to me.

By submitting this form, I certify that I have read and accepted the above statements and that all information contained in this form is true and correct. I understand that this information will have the same force and effect as the use of a manual signature.

Send me a copy of my responses.

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