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: Employment End Date: Final Disciplinary Action: Date of Final Action: Current Address: Position and Title: Employing School District: COE: Contact Person: Contact Number: Please attach the following documents: (if applicable) Relevant Evidence: Notification Form District Investigation Report(s) Cover Letter (Case Summary) Law Enforcement Report(s) Police/Court Notice of Intent to Dismiss/Suspend Written Statement(s) of: Victim(s) Witness(es) Parent/Guardian(s) Statement of Charg.

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How to fill out the 5 Ccr 80303 online

Completing the 5 Ccr 80303 form is essential for reporting changes in the employment status of credential holders due to allegations of misconduct. This guide walks you through each section of the form to ensure an accurate and efficient filing process.

Follow the steps to successfully complete the form

  1. Click the ‘Get Form’ button to access the form in your browser.
  2. Enter the name of the credential holder in the designated field to identify the individual involved.
  3. Input the date of birth of the credential holder to verify their identity.
  4. Provide the last four digits of the Social Security Number (SSN) for additional identification.
  5. Indicate the employment start date to establish when the credential holder began their position.
  6. Record the incident date(s) related to the allegations of misconduct, ensuring accurate timing.
  7. Specify the employment end date to document when the credential holder's employment ceased.
  8. Enter details regarding the final disciplinary action taken to clarify the outcome of the investigation.
  9. Fill in the date of final action to indicate when the disciplinary process was completed.
  10. List the current address of the credential holder for official correspondence.
  11. Add the position and title of the credential holder to provide context about their role.
  12. Input the name of the employing school district to specify where the credential holder worked.
  13. Enter the County Office of Education (COE) related to the school district.
  14. Provide the contact person's name, ensuring that there is a point of reference for follow-up.
  15. Input the contact number for the person listed, facilitating easier communication.
  16. Attach all relevant documents as required, such as evidence, reports, statements, and other necessary materials.
  17. After completing all fields and attaching documents, save your changes, and choose to download, print, or share the completed form as needed.

Ensure your documentation is complete. File the 5 Ccr 80303 online today!

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Related content

California Code Of Regulations, Title 5. Education...
CALIFORNIA CODE OF REGULATIONS, TITLE 5. EDUCATION. CHANGE IN EMPLOYMENT STATUS. § 80303...
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Sec. 80303 - Reports of Change in Employment...
(5) An explanation of the allegation of misconduct or pending allegation of misconduct;...
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tit. 5 § 80300. Section 80300 - Definitions (a) "Adverse action" is a denial, a private admonition, public reproval, suspension or a revocation of one or more credentials.

Change in Employment Status-California Code Of Regulations Section 80303. Requires that Superintendents report credential holder's change in employment status due to allegations of misconduct. Please review CCR section 80303 for detailed information regarding this code section.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232