Student Records Request

Request for Educational Records

This form is for requesting educational records of a student, grades kindergarten through 12th grade, who is currently attending or has previously attended a school within the Arizona State Schools for the Deaf and the Blind (ASDB.)

As defined by the Family Educational Rights and Privacy Act (FERPA), an “education record” refers to records directly related to a student and maintained by an educational agency. These records may include, but are not limited to:

Grades
Transcripts
Class lists
Student course schedules
Health records
Discipline files

Important Notes:

1. If your child is enrolled in your home school district and is receiving only itinerant services from ASDB, please contact your home school district directly for any record requests. ASDB does not maintain any records for students receiving itinerant services.

2. If you are requesting records for a child (birth to 5 years old) in our Early Learning Program or other records for a student (grades K-12) attending ASDB, you must submit a public records request.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Relationship to Student*

ParentLegal GuardianSelf (If over 18)

Please upload a copy of your government-issued photo ID for identity verification purposes; this authorizes us to send records to the email address provided in this form*

Student Name*

First NameLast Name

Date of birth*

MonthDayYear

School Attended*

Arizona School for the Blind (ASB)Arizona School for the Deaf (ASD)Phoenix Day School for the Deaf (PDSD)

Records Being Requested (Check all that apply)*

Please select the time frame for the information you are requesting

Start Date*

MonthDayYear

End Date*

MonthDayYear

Student Records Request

Parent/Guardian Information

Student Information