DACA Student Record Request

DACA

STUDENT RECORDS REQUEST
IMPORTANT INSTRUCTIONS BEFORE REQUESTING SCHOOL RECORDS FOR YOUR DACA APPLICATION

For Records Prior to 2014 please contact Houston Independent School District – Inactive Student Records 4400 W. 18th Street, Houston, Texas 77092 (713) 556-6780, TRANSCRIPTS@HOUSTONISD.ORG.

For Current Students or Former students within the last 5 Years:
- Fill out the request form and upload a copy of your photo ID
- If the student is 18yrs old ONLY the student can submit a request
- No Records will be mailed, or sent electronically
- BHS will notify you via e-mail when your request is complete so you can schedule a pick up date and time.
- You will receive a transcript and any Kindergarten through high school records that we have available. Those documents will be official. They will have the school seal and will be given in a sealed envelope. To keep them official the seal should NOT be broken.
- There is a $3 fee payable at time of collection (only cash or money order).
Student Name *

First Name Last Name
Birth Date: *
Are you a current Student? *

Yes No
If you are not a current student what is the date of last attendance or Graduation Year?
Student ID Number
Grade Level

9 10 11 12
Name of the person making the request *

First Name Last Name
What is your relationship with the student? *
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail of the person making the Request *
Phone Number

Area Code Phone Number
Signature of the person making the request *

Clear
Upload a Photo ID

Browse Files

Cancel of
-----------------------------For Office Use Only----------------------------------
Fee of $3
Date/Signature When Picked-up
Should be Empty: