Special Education Records Request

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Special Education Records Request

Please complete the form to request that records for students born between 1991 and 1996 be held for pickup at the Opp City Board of Education Office located at 113 East Hart Avenue. Requested records will be available for pickup during the week of August 7-11.

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* Indicates required question

Student's Full Name (Last, First Middle) *

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Student's Date of Birth (between 1991 and 1996) *

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DD

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YYYY

Person Requesting Records *

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Relationship to the Student

Parent/Legal Guardian

Self

Other:

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Phone Number *

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Comments/Additional Information:

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