Franklin County School District
85 School Rd. Eastpoint, FL 32328
(850) 670-2810 fax (850) 670-8579
Student Records Request
to FCSD
Student records are confidential and are only available to those who have authorization from the student or parent, guardian or
responsible person if the student is under the age of 18. If the student is of the age of 18 or older, student records will not be
released to parent, guardian or responsible person without the student’s written consent.
Request Submitted By:
Requestor Name:
Email: Phone: Fax:
Type: Self Parent/Guardian K-12 Institution Post-Secondary Institution Other
Reason(s) for Request:
Personal ___ Student Transfer ____ Legal Other:
Send Requested Records To:
Name: ________________________________________________________
Contact: _______________________________________________________
Address: _______________________________ City: ________________ State: ____________Zip: ______________
Email: __________________________________________ Phone: ___________________ Fax: __________________
Delivery Method:
_____ Mail _____ Fax ______Pick Up (by appt.)
Requesting Records From:
Name: FRANKLIN COUNTY SCHOOL DISTRICT
Contact: RECORDS/TRANSCRIPTS
Address: 85 SCHOOL RD. City: EASTPOINT State: FL Zip: 32328
Phone: (850) 670-2810 Fax: (850) 670-8579
Student Information:
Last Name: __________________ First Name: ____________________ Maiden Name: ___________________
DOB: ___/____/_____ Last Grade Attended/Completed: ______________________________________
Requesting the following Student Data/Records:
_____ Transcripts _____ ESE Records _____ Other*
*If you selected other, please specify: _______________________________________________________________
The FCSD no longer maintains GED records; you must request by email to ged.fldoe.org or by calling 850-245-0449.
Please be advised: Records prior to 1991 are achieved and may be subject to a longer response time.
Authorizing Signature: __________________________ Relationship: _________________ Date: __________________
click to sign
signature
click to edit
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