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.  

 

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.

Name While Attending School:


Information Related To Your Birth:


Parent / Guardian Names:


Your Last Closed Pittsburgh Public School of Attendance:


Summer School:


Night School:


Address While Attending School:


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 Create A Password: (you can use this to track progress, and we may need to contact you during the process)




Documents Will Be Delivered To: please enter the delivery addresses

Name Attention Addr 1 Addr 2 City State Zip Country # of Copies

Express Processing: Records will be processed the next business day and sent out for delivery for an additional fee of $25.00 to your order

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 authorizes the Records Department of Pittsburgh Public Schools to release information and / or my student record and confirms 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 authority of Public Law 93-380, Educational Rights and Privacy Act.
 
I have enclosed the correct fees and understand that they are refundable. 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.

Please enter your e-Signature

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