Copperas Cove Independent School District

Please Fill Out The Service Record Request Below

Employee Name (First and Last)

Prior Name (First and Last)

Social Security Number

Name/School District (Who service record is to be mailed to)

Reaquired field: Address (Where service record is to be mailed)

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Employee Type

Current Employee

Position

Campus

Former Employee

Position

Date Separated (Approximate month and/or year)

Phone Number to reach you

Delivery Method

Reaquired field: Mail to address above

Reaquired field: Pick Up

Reaquired field: Send through inner school mail

Reaquired field: Send via email (list email address below)

Email Address

NOTE: Requests for service records may take up to 4 weeks to process. If you are a current employee, service records will not be available until after you have received your final check and your leave is updated.

Copperas Cove ISD…A Foundation of Excellence - A Future of Success

408 S Main Street · Copperas Cove, TX 76522 · Phone (254) 547-4460 ·Fax (254) 547-1535 · www.ccisd.com The Copperas Cove Independent School District does not discriminate on the basis of age, race, color, religion, gender, national origin, disability, or any other basis prohibited by law in its programs, activities, or employment practices. For inquiries regarding the non-discrimination policies, contact: Director of Human Resources or Director of Student Services at (254) 547-1227, 408 S. Main Street, Copperas Cove, TX 76522.

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