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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:

Special Education / 504 Records Request Form

Required

Records request from required
Student Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Parent/Guardian Namerequired
First Name
Last Name
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 Statement: required
Must contain only letters and spaces
Must contain a date in M/D/YYYY format