OCSS

Ohio Central School System Records Request Form
Please provide information in all fields below, sign and submit; or mail to:

The Ohio Central School System

Operations Support Center

4545 Fisher Road, Suite D

Columbus, Ohio 43228
Fullname

First Name
Last Name
Inmate Number
Birthdate
Month - Day - Year
Type of Program Completed: (check all boxes that apply)
Academic
Career Tech
Apprenticeship
Certificate of Achievement and Employability
Program Name
Approximate Date of Completion
Month - Day - Year
Information to be used for:
Personal
College Enrollment
Employment
If you selected "Employment", please specify whether you have been offered a job and list the name of the business.
Email

Address to which you want your transcript to be mailed to:

Phone
Area CodePhone Number
Electronic Signature: I grant permission for the release of the requested school records/transcripts.

First Name
Last Name
Datetime
Month - Day - Year

Ohio Central School System Records Request Form