INSTRUCTIONS FOR COMPLETING MIDDLE OF YEAR EXIT … of Year... · 2020. 9. 28. · INSTRUCTIONS FOR...

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Transcript of INSTRUCTIONS FOR COMPLETING MIDDLE OF YEAR EXIT … of Year... · 2020. 9. 28. · INSTRUCTIONS FOR...

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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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