Get 4010 Verification Of Experience For Renewal - Htsb

Filling out the 4010 Verification Of Experience For Renewal form is an essential part of renewing your teaching license in Hawai`i. This guide provides step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete your form with ease.

1. Click ‘Get Form’ button to access the form and open it in the editing interface.
2. Fill in your personal information clearly. This includes your social security number (formatted as XXX-XX-____), date of birth, middle name, first name, last name, current mailing address, home phone, cell phone number, city, state, zip code, and a non-Lotus Notes email address. Ensure to use blue ink if you are printing.
3. Review the disclaimer section carefully. You must sign Section 1, which authorizes the release of information regarding your qualifying teaching experience. Add your signature and the date next to the disclaimer.
4. Send the completed form to your supervisor or authorized official at the school or school district where you completed your professional teaching experience for verification.
5. Ensure your supervisor completes the verification section. They will need to check the appropriate box indicating your teaching experience and provide their signature, printed name, title, school, and district information, including contact details.
6. Finally, retain a copy of the completed form for your records. You should have access to download, print, or share the completed form as necessary.

Complete your 4010 Verification Of Experience For Renewal form online today!