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Employee Service Records Request

Service Records Request Form for the Victoria Independent School District.

If you have any questions, please contact Yvonne Frederick at yvonne.frederick@visd.net or call 361-788-9228.

Your Full Name*

Answer Required

Former Name

Answer Required

Phone Number (no dashes or spaces)*

Answer Required

Home Address

Answer Required

City

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Zip/Postal

Answer Required

Start Date*

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End Date*

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Check All That Apply*

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Transcript

Service Records

Other:

Mailing Preference*

Answer Required

Mail (fill out mailing address below)

Pick-Up at VISD Administration Building

Mailing Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Attention

Answer Required

School District

Answer Required

Email Address

Answer Required

By electronically signing this form, I allow Victoria ISD to release records as I have indicated above. Requests that do not include my digital signature will not be processed. *

Digital Signature*

Answer Required

Date*

Answer Required

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required