Get Certificated Resignation Form

The Certificated Resignation Form is a crucial document for certificated employees intending to resign from their position within the Los Angeles Unified School District. Completing this form accurately ensures a smooth resignation process.

Follow the steps to complete your Certificated Resignation Form online.

1. Click ‘Get Form’ button to obtain the Certificated Resignation Form and open it in the editor.
2. Fill in your general information. Make sure to enter your last name, first name, employee number, date of birth, status, and cost center clearly in the designated fields.
3. If you are resigning but not retiring, provide your resignation date using the format indicated. This date is typically your last day of paid service or leave of absence.
4. If you are resigning to retire immediately, fill in the resignation date, which should be the day before your retirement date, and specify your first day of retirement benefits with CalSTRS.
5. Indicate if you are resigning due to the expiration of a CalSTRS disability leave by selecting 'Yes' or 'No'.
6. If you are on a leave of absence, check 'Yes' and provide details regarding the type of leave and its expiration date.
7. Read all the instructions carefully, sign the form to confirm your resignation, and provide your contact information.
8. Obtain the signature of your immediate administrator, if applicable, and include their title and date.
9. Once completed, submit the form by faxing it to the appropriate Human Resources department and mailing a copy as instructed.
10. Finally, save a copy of the completed form for your personal records.

Complete your Certificated Resignation Form online today to ensure your resignation is processed smoothly.