Special Programs Records
I am:
*
Legal Guardian
School Providing Records
K12AZ Operations
K12AZ Placement Team
Special Programs
I am uploading documents for:
*
Special Education Documents
504 Documents
Medical Certification
K12AZ Operations- School Records Request
K12AZ Operations- DES/SSI Request
Student Name
*
First Name
Last Name
ID#
*
AZ State ID#
*
IF OUT OF STATE (N/A)
School Sending/Requesting Records
*
Email to Send School Records to:
*
example@example.com
Document Descriptions
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Site Code
*
DES/SSI ONLY
Social Security Number
*
DES/SSI ONLY
DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
DCM:
*
RF (Routing Field):
*
P
D or Blank
No RF or No Barcode
DR:
*
F
S
No DR or No Barcode
CS
*
Additional Requests:
Request for Administrative Information
Teacher Questionnaire
Submit
Should be Empty: