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Are resigning due to the expiration of a CalSTRS 39-month Disability Leave. 5. Current Leave: Indicate if you are currently on a leave of absence, and specify the type of leave and expiration date. 6. Signature and Acknowledgements: After reading all instructions, including the ethical obligation and revolving door restrictions, sign, date, and provide contact information. 7. Signature of your immediate administrator: The administrator s signature acknowledges your resignation. No administrato.

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