Fillable Date of Request: Employ Social Security #: E

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Date of Request: Employ Social Security #: E

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Employee Records Request
Birdville Independent School District
6125 East Belknap Street
Haltom City, Texas 76117
hr@birdvilleschools.net
817-547-5756 (HR)
817-547-5536 (Fax)
Date of Request: Employ
ee ID#:
Employee’s Name: Co
ntact #:
Social Security #: E
mail:
Current Employee
Campus Assigned:
* EMPLOYEE STATUS: District Substitute
* Years Employed:
(required format: YYYY-YYYY)
Former Employee
* Last Employed:
(required format : MM/YYYY)
* METHOD OF DELIVERY:
Service Records will be mailed to the address listed below:
* ADDRESS:
(Street Address/City/State/Zip)
Service Records
* DOCUMENTS REQUESTED:
Transcripts
Substitute Records
* Years Employed:
Other (please specify)
(required format: YYYY-YYYY)
Submit request to appropriate office below for processing:
For HUMAN RESOURCES ONLY:
Date Released:
Released By:
Following Records Released to:
Teacher Certificate Transcript(s)
Paraprofessional Certificate High Qualified Document(s)
Service Record(s) Appraisal Document(s)
Other:
* Indicates Required Fields
HR/bb
rev: 06.26.2019
Certified/Professional
Substitute
Paraprofessional/Auxiliary
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Date of Request: Employ Social Security : E

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Completed 26 April 2021

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