- Los Angeles Unified School District
- Documents by Office
-
Certificated Assignments and Support Services HR Forms
-
Nepotism Certification for Certificated Employees
BUL-141508
BUL-141508 - Nepotism Certification for Certificated Employees.pdf 126.73 KB (Last Modified on August 15, 2024) -
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) -
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
-
VOLUNTARY CONTINUOUS SERVICE TRANSFER PROGRAM-MEM - 066700.4 -
MEMO-066700.5 - Voluntary Continuous Service Transfer Prog.pdf 83.84 KB (Last Modified on February 8, 2024) -
MEMORANDUM-059900.3 Teacher-Initiated Transfer Program
Provides credentialed probationary or permanent teachers who meet certain conditions (refer to MEM-059900.0) eligibility to transfer to another location. -
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)
-
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)
-
Contact
(213) 241-6131
askhr@lausd.net
Address:
333 S. Beaudry Avenue,
14th Floor
Los Angeles, CA 90017