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Employee Service Record Request

Please complete the following form. Once submitted, please allow for a 3-5 day processing period.

First Name*

Answer Required

Last Name*

Answer Required

Other Name(s) Records May Be Under:

Answer Required

ZCISD Employee ID#*

Answer Required

Employee Social Security #*

Answer Required

Birth Date*

Answer Required

Phone Number*

Answer Required

Provide Service Record via*

Answer Required

Mail

Email Address*

Answer Required

Mailing Address*

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Employee Status*

Answer Required

Current Employee

Former Employee

Original Hire Date*

Answer Required

End of Service Date

Answer Required

Confirmation Email

Confirmation Email *

Email Required