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Bakersfield City School District
Education Center – 1300 Baker Street
Bakersfield, California 93305
PARENTAL REQUEST TO INSPECT AND REVIEW
STUDENT EDUCATION RECORDS
To Parent: The Bakersfield City School District uses the Guide for Parents and Students to
describe your parental rights in the area of student records. The district complies with all laws,
regulations, policies and court orders affecting this area. A copy of parent or adult student rights
and duties are available from the district upon request.
To help us better serve parents requesting to inspect and review their child’s education records,
we ask you to take a few minutes and complete this record request form. Please be aware, you
are not required to complete the form. However, we think the information on this form will
assist both you and district staff.
Date of record access request:
Student’s legal name:
Requesting parent’s name:
Description of records you wish to inspect and review:
ACKNOWLEDGEMENT (To be completed after record review).
I have inspected and reviewed all of my student’s records of interest to me at this time.
Parent Signature
Date
To be completed by Bakersfield City School District Staff.
Itemized list of records reviewed or copied:
Date(s) the record review was conducted:
Date(s) the record review was completed (if different than date the review was conducted):
Signature/Position of Staff Member
Date
PS-19
(8/99) Copy to parent and file
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