Student Records Request

Legal / Subpoena Request Form Step 1, Please Enter All Information

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 through payment of the 'order fee'.  

PLEASE NOTE:  A signed release by the parent or eligible student and/or court order/subpoena is required. If you are unable to upload required documentation via ScribOrder (preferred), please upload a blank document in order to proceed with the request submission and fax the documentation to (571) 723-4698


GOVERNMENT AGENCY REQUESTS:

By default, request for Complete School Record will include access to the following as applicable for the student:

 

    • Student Profile
    • Enrollment History
    • Attendance
    • Transcript
    • Incident History/Disposition
    • Standardized Test history
    • Health (immunizations/Incidents)
    • Current IEP
    • Current Eligibility Summary
    • Current 504


If you require access to other or specific records/information that are not being retained electronically, please select Information Type OTHER and insert additional details within Special Instructions.

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, order number and password.  

Corporate Requestor Information:

Corporate Address:

Corporate Telephone: (###-###-####)


Email:

Student's Name While Attending School:

Information Related To Student's Birth:

Student's Last Prince William School of Attendance:

Student Current Name:

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

Student's Current Mailing Address: (if different from residence address)

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:

I understand that the recipient of the record(s) will use said documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without the expressed written consent of the former student except under authority of the Family Educational Rights & Privacy Act. By clicking 'Proceed to Checkout', I certify this information as complete and accurate.

I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30-day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Clear Form