Employee Service Record Request

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Employee Service Record Request

Please provide all requested information below so Trinity Basin Preparatory's HR department can create your service record.

Service records are generally available within 10 business days. If it will take longer than 10 business days to complete your service record, someone from HR will contact you.

Namerequired

First Name

Last Name

Phone Numberrequired

Email Addressrequired

Last 4 digits of Social Security Number

Please list the school calendar years you worked at TBP (e.g., 2018–2019).required

Please be as specific as possible

Where would you like the service records to be sent?required

If the service record will be mailed, please indicate that and provide your current mailing address

Employee Acknowledgement and Signaturerequired

ELECTRONIC SIGNATURES ARE LEGALLY BINDING AND HAVE THE SAME EFFECT AS HANDWRITTEN SIGNATURES. INDIVIDUALS WHO FALSIFY E-SIGNATURES ARE SUBJECT TO DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT AND/OR CRIMINAL PROSECUTION.

By entering the required information for your electronic signature, you certify that you are the individual authorized to sign this document. You understand that typing your name constitutes a legal signature and acknowledge that you have read, understood, and confirmed that the information contained in this document is accurate.

Daterequired

Must contain a date in MM/DD/YYYY format

Electronic Signaturerequired