Employee Service Record Request Form

Online Employee Service Record Form

All former and existing SEISD employees must fill out an Online Employee Service Record Request Form, to request service records from the district.

*Please allow up to 30 business days for your request to be processed

First name:

Last name:

Social Security (last four digits only):

 Contact Number:

Personal Email Address:

Last Position Assigned:

Delivery Method:

I will PICK-UP these documents at:

San Elizario Independent School District

1050 Chicken Ranch Road

San Elizario, TX 79849

NOTE: Notified via email when service record is available

 Mail document to address below:

Organization or District Name:


Address Line 1:

Address Line 2:



Zip Code:


Security Measure