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RECA Record Request

Use this form to submit a request for student records related to the Radiation Exposure Compensation Act (RECA). Please provide the information below so the Hazelwood School District Enrollment Department can locate and process the requested records.

Radiation Exposure Compensation Act (RECA) Records Requests

The Radiation Exposure Compensation Act (RECA) is a federal program administered by the U.S. Department of Justice that provides compensation to certain individuals who developed qualifying illnesses after exposure to radiation connected to the nation’s nuclear weapons program.

Under the current law, some individuals may qualify based on having lived, worked, or attended school for at least two years in designated areas affected by Manhattan Project waste. Several qualifying ZIP codes are located in North St. Louis County. School attendance records may therefore help individuals document their presence in an eligible area. Department of Justice

Former Hazelwood School District students, family members, survivors, or authorized representatives may use the form below to request available district records that could assist with this documentation.

Please note: Hazelwood School District does not determine RECA eligibility or process RECA claims. Eligibility and claim decisions are made by the U.S. Department of Justice.

For official eligibility requirements and claim information, visit the U.S. Department of Justice RECA website.

Required

Radiation Exposure Compensation Act (RECA) Records Request

Use this form to request Hazelwood School District records that may assist with documentation for a Radiation Exposure Compensation Act (RECA) claim.

Please provide as much information as possible to help district staff locate available historical records.

Do not enter Social Security numbers, medical information, or other sensitive financial or health information in this form.

Hazelwood School District does not determine RECA eligibility or process RECA claims. This form is solely for requesting records maintained by the District.

Requestor Information
Requestor Namerequired
First Name
Last Name
Are you requesting your own records?required
What is your relationship to the individual whose records are being requested?

Individual Whose Records Are Being Requested

If known (Must contain only numbers)
List all schools that may be relevant to this request, including schools that are now closed or have
Example: 1968–1974
e.g., Grades 3–8
e.g., 1978
Providing a former address may help district staff locate historical records.
What records are you requesting?required
Example: 1968–1974
Do you need a certified copy of the available records?
Please do not include Social Security numbers, medical information, or other sensitive personal info
How would you prefer to receive information about your request?required
Please review and acknowledge the following:required

Hazelwood School District will use the information submitted through this form to locate and process the requested district records. Additional information may be requested if necessary to verify identity or authority to receive the records.

Please complete the security verification below.