Service Records Request Form
Please use this form to request your ILTexas Service Records. Please allow up to 30 days for processing once all separation paperwork has been completed by HR and Payroll. **We ask that you do not send in a duplicate of your request as it may delay the process**
Employee Name in file:
*
First Name
Last Name
Other name under which your file may be listed:
First Name
Last Name
Last four digits of your SSN:
*
Phone Number
*
-
Area Code
Phone Number
Employee Type:
*
Current Employee
Substitute
Former Employee
Date of Separation:
-
Month
-
Day
Year
Date
Documents requested:
*
Service Records
Transcripts
Employee Status:
*
Current employee (Unofficial Copy Only)
Former employee with completed separation documents (Official Copy Only)
Delivery Method:
*
Mail to address listed below
Email to the email address listed below
Email:
example@example.com
District Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By typing my name below, I am verifying the above information and electronically signing this request for my records.
*
Submit
Should be Empty: