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Service Record Request

Please complete the form below. Required fields marked with an asterisk *

Email *

Answer required for "Email "

Name*

Answer required for "Name"

Other name(s) records may be under

Answer required for "Other name(s) records may be under"

Date of Birth*

Answer required for "Date of Birth"

Phone*

Number Required

Current district email address.

Answer required for "Current district email address."

Mailing Address to use if NOT picking up

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Employment Status*

Answer required for "Employment Status"

Current Employee

Former Employee

Original hire date

Answer required for "Original hire date"

Current separation date

Answer required for "Current separation date"

Current ACISD service

Answer required for "Current ACISD service"

Former ACISD service

Answer required for "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:

Answer required for "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:"

Mail the service record to the address above

I will pick up the Service Record at the HR office. An HR Specialist will call when the record is ready. Records not picked up within 30 days will be returned to file and will need to be requested again.

Confirmation Email

Answer required for "Confirmation Email"