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Juvenile Court and Community Schools
Request for Student Records from a School or Program
School or Program Requestor Information :
First Name
*
Last Name
*
Title
School or Program Name
*
Email Address
*
Phone Number
*
Format as (858)292-0000 ext1234
Fax Number
Student Information :
Student First Name
*
Student Last Name
*
Alternate Last Name
Student Birth Date
*
Note : An uploaded .PDF file containing Student's signature authorizing this request is required when Student is 18 years of age or older. File size must be < 4 MB.
Only PDF documents accepted
JCCS School Name
Send Transcripts To :
Send To Address
*
City
*
State
*
Note : Must be capital letters only
Zip Code
*
Information being requested :
Please choose at least one check box
Requesting Official Transcripts
Requesting Immunization Records
Requesting Attendance Information
Requesting Other Information
What are you requesting?
Purpose For Request
Additional Attachment ( Optional ) :
Note : Your Supplemental Attachment must be a .PDF document & the File size must be < 4 MB.
Supplemental Attachment (PDF only)
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