Service Record

NOTE: Service record requests will be available approximately 45 days after the date of resignation/retirement. All days cannot be accurately calculated until the month following the last day worked.
Personal Email Address*
Identifying Information
Employee ID
If you do not know your Employee ID number, then you are required to provide your SSN.
Legal Name*

PrefixFirst NameLast Name
Other Last Name used
Employment Status:

Current EmployeeFormer Employee
Service Record:

Hard CopyDigitalCopy (Certificate, Grad school, TRS)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Period of Employment with Universal Academy
From*

MonthDayYear
Date
To*

MonthDayYear
Date
Takes approximately 5 - 10 business days, excluding service records which will not be released until approximately 45 days after the last day of employment.
Please send documents by:*

Contact by Phone for personal pickupMail documents to AddressInterschool Mail
Phone Number*

Area CodePhone Number
New Employer / District Name
You will receive an email notification when your request has been processed. Please check your email address above since that is where the confirmation will be sent.
Should be Empty: