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Request for Service Records

If you have questions regarding this form, contact Human Resources at or (512) 430-6000, 1012.


This form is used to request Service Records from the Human Resources Department. Please complete the form and submit.
First Name
Last Name
Email Addressrequired
Last four digits of Social Security Numberrequired
Must contain only numbers
Contact Phone Numberrequired
Reason for Service Record Requestrequired
(i.e. resignation, graduate school, TRS, etc.)
Resignation Daterequired
Last position workedrequired
Please indicate the type of record you are requesting.
How do you want to receive the document(s)? required
Address, Email or Fax of where to send documents.