This is an official request for a copy of a student record. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process by clicking 'Proceed to Check Out'.  The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.  

 

NOTE: All records are emailed unless special instructions request US Mail. We are unable to fax. No phone, email or fax requests are accepted. No same day service is available.

 

You will receive emails from scribOnline@scribsoft.com to notify you of the status of your order.  It is important you read those emails carefully as additional information may be required to process your request.  

 

ACCESSING THE ORDER TRACKER:  Once the order has been submitted and payment received, you will be directed to a confirmation page which contains the link to the Order Tracker.  You will also receive a link to the Order Tracker via email from scribonline@scribsoft.com.  To access the Order Tracker, you will enter your email address and order number.

Name While Attending School:

Information Related To Your Birth:

Your Last Littleton Public Schools School of Attendance:

Current Name / Requester Name:

Current Residence Address: (this may be different than the mailing address)

Current Mailing Address: (if different from residence address)

Telephone Number: (###-###-####)

Driver's License: (or other State Issued ID)

Email:

Please attach your photo identification
I will mail, fax, or deliver these documents
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Documents Will Be Delivered To: please enter the delivery addresses
Name Attention Addr 1 Addr 2 City State Zip Country # of Copies

Reason(s) for Request of Student Record:


Select The Information Type(s) Requested:


Total Fee:
$0
AUTHORIZATION NOTIFICATION:
My initials below constitute an electronic signature and authorize Littleton Public Schools to release information and/or my student record and confirm I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under the authority of Public Law 93-380, Educational Rights and Privacy Act.
 
I have enclosed the correct fees and understand that they are non-refundable.  I declare under penalty of perjury that the preceding is true and correct.

 

Please enter your e-Signature


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