end of year exit forms of year...instructions for completing end of year exit paperwork ** do not...
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Katy Independent School District
Human Resources Department
Exit Paperwork - Service Record Request Form (Please print clearly)
Employee Name: __________________ Campus/Department: _______________
Date: ________________ Resign Date: ___________________
DOB: ________________ Last 4 SS #: ____________________
Phone #: ______________ Email address: __________________
Service Record Distribution Timeline:
During the school year resignation – The process will start after your last paycheck.
End of the school year resignation – The process will start mid-summer.
Please choose one option for record distribution:
1.New TX School District: (Service Record will be scanned directly to HR) New School District Name: __________________________________ New District HR Contact: __________________________________ New District HR Email Address: __________________________________
2. Employee: (if moving out of state* or no longer going to be teaching) *If moving out of state for a new educational position, please check with the State Department of Education or new district; for the years of service forms that would need to be completed.
Mailing Address: (Address you will reside starting in July)
_________________________________________
_________________________________________
_________________________________________
Employee Signature: ___________________________________________
438 FM 1463 Katy, TX 77494 Phone #: 281-396-2347 [email protected]
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