Special Education Records Request

Please fill out the following information if you are requesting records for a student:

Fields marked with an * are required.

How would you like to receive your records? (Please check one):*

Mail

I will pick the records up at the district office.

Student's First and Last Name *

Student's Date of Birth *

Requestor's First and Last Name *

Address (if requesting by mail)

Phone Number *

Email Address *

Confirm Email*

Submit