Judson ISD Records Request

Request for Copies or Original Credentials
(Service Records, Transcripts, and/or Teacher Certificate)

This form is to be used by current or former employees only and should not be used as an open records request. Please complete the following information. Should you need assistance regarding this form, please contact Human Resources at (210) 945-5100.

REQUESTS USUALLY TAKE 7-10 BUSINESS DAYS TO PROCESS

First Name:	Last Name:	Name While Employed: (optional)
Social Security Number:	Position:	Employment Start Date:
Employment End Date:	Was there a break in service? Yes  No	Mailing Address:
City:	State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
Home Phone: (optional)	Other Phone: (optional)	E-Mail: (optional)
What documents would you like to request? Teacher Service Record Transcripts Teacher Certificate
How would you like to get these records? Mail them to me at the above address. I'll pick them up. Fax them to me.
Request Date: 1/7/2009