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Special Education Records Request

To request records, parents, legal guardians, or students 18 years or older may complete a records request at the District Administrative Office:

3150 South Avenue, A, Yuma, AZ 85364  
(928) 502-6780

A picture I.D and proof of guardianship (if applicable) for students over the age of 18 is required upon request.

You may also fill out the form below:

YUHSD Records Request Forms

For records requests, please complete the applicable form below. You may also download a form and return it to the Yuma Union High School District office in person or by clicking here. Access downloadable forms below. 

Questions? Contact YUHSD Chief Communications Officer Eric Patten at (928) 502-4676 or by email here. 

Required

What type of form are you looking for? required
Public's Right to Know / Freedom of Information Request for Public Records of the School District
 
Note: It is not required by law that this form be filled out by a person requesting public records. The District may request the document be filled out or the District may use the document internally as documentation of public records requests.
Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
Must contain only numbers
Nature of Requestrequired
Please read and sign the following statement:

I have requested public records of the School District. I understand that if the records should be used for a commercial purpose, a verified statement of the purpose must be submitted per A.R.S. 39-121.03. 
Is this request for commercial use?required
Must contain a date in MM/DD/YYYY format
Notice: A fee will be charged for copying based upon actual cost for providing the information and a reasonable fee for the cost of time, materials, equipment and personnel in producing
such reproduction. Additionally, the District will best determine the value of the reproduction of information on the commercial market. 
0 / 5000
Request for Educational Records (YUHSD Governing Board Policy 5-303)

The requester must provide a valid photo ID and have a legal right to request and receive these educational records. Requests may take up to 10 calendar days to process.
Attach up to 1 file with a maximum size of 10MB
No file chosen

REQUESTER INFORMATION

Relationship to Student
Namerequired
Legal First Name
Legal Last Name
The phone number entered could not be formatted, but will still be saved upon submission.
Must contain a date in MM/DD/YYYY format

STUDENT INFORMATION

Namerequired
Legal First Name
Legal Middle Name
Legal Last Name
Must contain a date in MM/DD/YYYY format
Check ALL Schools Attended in Yuma Union High School DistrictrequiredSelect at least one and no more than eight schools.
Select at least one and no more than eight schools.

EDUCATIONAL RECORDS REQUESTED

(Must contain a date in MM/DD/YYYY format)
(Must contain a date in MM/DD/YYYY format)
Type of Records RequestedrequiredMust choose at least one
Must choose at least one
Request for Special Education / 504 Records
Must contain only numbers
Check ALL Schools Attended in Yuma Union High School DistrictrequiredSelect at least one and no more than seven schools.
Select at least one and no more than seven schools.
Student Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
Parent/Guardian Namerequired
First Name
Last Name
Must contain only numbers
Purpose for RequestrequiredChoose all that apply
Choose all that apply
Type of Information RequestedrequiredChoose all that apply
Choose all that apply
Receiving School Assurance Statement and Signaturerequired
Parental Guardian Consent for Release of Recordsrequired
Confidentiality Statementrequired
Must contain a date in MM/DD/YYYY format

Downloadable Forms

Public's Right to Know / Request for Public Records

Request for Educational Records   

REQUEST FOR EDUCATIONAL RECORDS (SPANISH)

Special Education / 504 Records

Special Education / 504 Records (SPANISH)