Employee Records Request

CCISD Service Record Request

CCISD Service Record Request Form

Clear Creek ISD will prepare an original service record request for previous employees. If CCISD has provided your original service record in the past, please contact the school district where you were most recently employed to obtain the original.

If you recently resigned, your official service record will not be generated until after your final paycheck. Please allow up to 30 days after receipt of your final paycheck to process your service record.

Please provide the following information. Your request will be sent via email to the CCISD Certification Specialist. Depending on your preference, your service record will be emailed or mailed to your new District within 30 days of the date of the request. Service records must be transferred directly from district-to-district to be considered official documents.

 

Employee Information

First Name (At Time of Employment)

Last Name (At Time of Employment)

Employee ID Number (If Known)

Last 4 Digits of Social Security Number

Contact Email (Should We Need to Reach You)

Contact Phone (Should We Need to Reach You)

 

Employment Information

CCISD Position Held (Job Title or Assignment)

Approximate Dates Worked (Start and End Dates)

Additional Information
Please share any additional information that could
be helpful to locate your records

 

Service Record Delivery Information

Please tell us where to send the requested service record. Our preference is to send records via email. Please note, the email address provided must be an official district email to be considered an official document. We can also mail printed records.

What is Your Preferred Delivery Method?

Email Information (If Selected)

 

New District Point of Contact(Name of Person Receiving the Email)

New District Email Address (To Send Service Record)

Mailing Information (If Selected)

 

District Name

Mailing Address

City

State

Zip Code

 

Processing Time

Please allow up to 30 days from the date requested or your last paycheck for your service record request to be processed. You will receive a confirmation email upon completing this form. Please check your spam/junk inbox if you do not receive the email confirmation.

Thank you!



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