AUSTIN INDEPENDENT SCHOOL DISTRICT
REQUEST FORM FOR
SERVICE RECORD, TRANSCRIPT, TEACHING CERTIFICATE, APPRAISAL
Employee Name:
_________________________________________________________________________
AISD Employee Identification Number: E_________________
or SSN: ____________________________
Previous/Maiden Name:
Work Location in Austin ISD: _______________________
Home Phone:
Email Address: ___________________________________
Have you already resigned from Austin ISD? (Check one.)
YES
NO
(You must be resigned/retired from AISD to receive original service record)
If “YES” what was your last date of employment?
I am requesting a copy of the following document(s) from my AISD personnel file:
(Check all that apply)
Service Record ______
Transcript______
Teaching Certificate______
Appraisal(s) ______
(Copies only)
(3 yrs will be given, if applicable)
SELECT ONE OPTION BELOW:
(Please Print Clearly)
I will come to the Office of Human Resources to pick up the documents. (Please note: we will notify you
when the records are ready to be picked up.)
OR...
I request that the documents be mailed to the following location:
Name/Organization:
Address:
City/State/Zip:
______________________________________________
__________________
Employee Signature
Date
(FORM MUST BE SIGNED TO PROCESS REQUEST)
Please allow 30 days for processing.
Send completed form to the following:
Professional Employees:
Classified Employees:
Substitute Employees
(If you were a sub the entire length of employment)
FAX: (512) 499-0270
FAX: (512) 414-5899
FAX: (512) 414-4999
or mail to:
or mail to:
or mail to:
Austin ISD
Austin ISD
Austin ISD
Professional Human Resources, A-260
Classified Human Resources, A-210
Sub Office, D-130
th
th
th
1111 W. 6
Street
1111 W. 6
Street
1111 W. 6
Street
Austin, TX 78703
Austin, TX 78703
Austin, TX 78703
Phone: (512) 414-1721
Phone: (512) 414-1714
Phone: (512) 414-2611
AISD Use Only
_______ ________
Logged In ________ ________
Date Mailed/Pick Up Date_
Date
Initials
Date
Initials
1
