San Felipe Del Rio CISD - Service Record Request
Service Record Request
Assigned To:
Public User
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Please answer the questions below.
***Please allow 5-7 days for non-active employees and 3 days for active employees***
Employee information:
Name of Employee at time of Employment:
Social Security Number:
Have you already resigned from SFDR-CISD?
Yes
No
Employment
START
date with SFDR-CISD:
Employment
END
date with SFDR-CISD:
Documentation Requested:
Documents:
Original Service Record(s)
Official Transcripts
Additional Documentation Requested:
Characters Available:
Formal Request:
I request that my records be sent directly to the following school district: (Provide full address)
Characters Available:
My Consent and Current Contact Information:
You have my FULL PERMISSION and CONSENT to send the requested information to the address listed above. Should you need to contact me for any reason, below is my complete contact information:
Request will NOT be completed if not Digitally Signed.
Full Name:
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
Signing
Mailing Address:
Characters Available:
required
Email Address:
required
Preferred Phone Number:
required
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History
Step:
Someone fills out the form
Sent To: Public User, On:
4/5/2025 7:26:44 PM Central Standard Time