- Los Angeles Unified School District
- Documents by Office
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Certificated Assignments and Support Services HR Forms
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Administrative Transfer Request Form 7024
7024 Administrative Transfer Request 11/20
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Categorical Limited Contract
Form HR-13676To contract an employee who provides certificated services to schools that are participants in one of the Categorically funded programs. -
Certificated Request for Leave of Absence
Form HR-1065
Request for a leave of absence for specified reasons and period of time.
1065 Certificated Request for Leave of Absence 2022.docx 45.09 KB (Last Modified on February 10, 2022) -
Certificated Request to Return from Leave
Form HR-1038Form to return to work after an approved leave of absence. -
Certificated Resignation Form (LAUSD/HR 8152)
All certificated employees who intend to resign from certificated service with the Los Angeles Unified School District must
complete a Certificated Resignation Form (LAUSD/HR 8152).HR-8152_Certificated_Resignation_Form_and_Instructions_June_2024.pdf 721.31 KB (Last Modified on August 16, 2024) -
Certificated Retirement Packet
Certificated Retirement Packet and Information
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Certification of Health Provider
Form HR-8239Formal approval from physician, if applicable.8239_Physician Statement Certification of Health Care Provider_9.2015.pdf 73.50 KB (Last Modified on September 11, 2015) -
Community Representative Application
Form HR-8414For employees who serve in an unclassified position as an advisor or consultant to the District. -
Employee's Withholding Allowance Certificate
EDD, Employee's Withholding Allowance Certificate, DE 4 Rev. 46
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MEMORANDUM-059900.6 - Teacher-Initiated Transfer Program
Provides credentialed probationary or permanent teachers who meet certain conditions (refer to MEM-059900.6) eligibility to transfer to another location.MEM-0599900.6 - Teacher Initiated Transfer Program 8.28.24.pdf 358.32 KB (Last Modified on October 4, 2024) -
Nepotism Certification for Certificated Employees
BUL-141508
BUL-141508 - Nepotism Certification for Certificated Employees.pdf 126.73 KB (Last Modified on August 15, 2024) -
Non-Classroom Waiver Form 8942
Form HR-8942To transfer from a location identifying the replacement and staff balance, if applicable.8942_Non Classroom Waiver Non-Register Teacher Assignment Request_03 20.pdf 90.34 KB (Last Modified on November 20, 2020) -
Non-Routine Payment Request Form ($5,000 and Above)
Non-Routine Payment Request Form ($5,000 and Above)
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Non-Routine Payment Request Form (Under $5,000)
Non-Routine Payment Request Form (Under $5,000)
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Notification of Displacement
Form HRF-8937Notice to inform a teacher in the event there is an over-teachered condition where there are more qualified teachers than positions at a school / program. -
Off-Track Teacher Available to Substitute
Memorandum S-41 (Attachment A)Form used to evaluate teachers at a specific location who want to substitute during off-track time. -
Professional Expert Application
Form HR-3167Allows a school or office to employ a qualified person on a temporary basis for a unique and non-repetitive or specific project. -
Reduced Workload Leave Agreement
Form HR-1070
HR Form 1070 Reduced Workload Leave Agreement 1.28.20.pdf 282.57 KB (Last Modified on February 5, 2020) -
Request for Auxiliary Teachers
Form HR-1765
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Request for Change in Employee's Pay Status
Updated 3/5/24
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Request for Emergency Credential/Permit
Form HR-1006
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Contact
(213) 241-6131
askhr@lausd.netAddress:
333 S. Beaudry Avenue,
14th Floor
Los Angeles, CA 90017