Follow the steps to successfully complete the Assurance Form.

1. Click the ‘Get Form’ button to access the Assurance Form and open it for online completion.
2. Begin by entering your title and name in the designated fields. Use black ink or type to ensure clarity. Include your last name, first name, and middle or maiden name as required.
3. Input your social security number and date of birth in the specified formats to maintain accuracy.
4. Navigate to the Employment Verification section. Here, check the appropriate transaction option that applies to the applicant. Ensure to fill in the employing school system or agency code.
5. Indicate the applicant's employment start date in the correct format to confirm their current or past employment.
6. In the Request for Non-Renewable Certificate Type section, choose the type of certificate requested by checking all that apply. Enter the beginning validity date for processing.
7. Provide the applicant's specific field of employment and any additional required information regarding Trade & Industrial Education if applicable.
8. Complete the Authorization section by entering the name of the superintendent or central office designee. Sign the form to verify that a background check has been initiated, and include their title and contact information.
9. Review the entire form for accuracy before finalizing your submission. Once everything is complete, you can save changes, download, print, or share the completed form as needed.

Complete the Assurance Form online today to ensure a smooth certification process.