Employee Records Request Form printable pdf download

MARSHALL INDEPENDENT SCHOOL DISTRICT

Human Resources Department

Employee Records Request Form

Date: _______________________________

Resign/Retire Date: _____________________________

Name: ______________________________

Social Security #: _______________________________

Other Name Used: _____________________

Employment Dates: _____________________________

Phone: ______________________________

Position: _____________________________________

Terms:

Due to the volume of requests that are received, all documents will be processed in the order in which they are

received. It may take up to 30 days from date received in HR to process request. Also because of sensitive

information included on documents, MISD will NOT fax any documents.

If resigning:

Any original documents will not be available until after the last date of employment. All absences must be

transferred before service records can be issued. A written and signed resignation must be accepted and in Human

Resources for employee file before documents can or will be released.

Please indicate below which Service Record pertains to you depending on the purpose and need.

_____ Copy

Purpose: Personal

_____ Unofficial

Purpose: Certification programs, universities, etc.

_____ Official

Purpose: Moving to new district, resigning, retiring, etc.

Please select one of the options below:

 I will pick up the records when ready.

 I would like to have service records mailed to:

___________________________________________

Name

___________________________________________

Address

___________________________________________

City, State, Zip

Employee Records Request Form may be submitted by mail or faxed to: Human Resources Attn: Records

Fax Number: (903) 927-1604. If you are requesting to pick up records, we will contact you at the number provided once the records are ready.

Signature of Employee ______________________________________________________

By signing this document you verify that you are the employee.

HR Only: Date Received: __________

Completed by: _______ Date: ______

1305 E. Pinecrest – Marshall, TX 75670 Phone: (903) 927-8704 Fax: (903) 927-1604

Employee Records Request Form