IT HR - Forms
The ITD HR Unit has posted certain forms concerning personnel matters online for ease of accessibility. To access a form, just click on the form's link and print it out for completion.
These forms must be completed for absences more than 20 consecutive work days
Use this form to determine if an employee/contractor has returned all district property prior to leaving the District.
Certification by health care provider of employee's or family members serious health condition.
Certification for Serious Injury or Illness of a
Current Servicemember For Military Family Leave
FMLA Military Exigency July 2015
Certification of Qualifying Exigency
For Military Family Leave
FMLA Veteran Service Member July 2015 Certification for Serious Injury or Illness of a
Veteran For Military Family Leave
Certification/Request of absence for illness, family illness, or new child
Certification/Request of absence for non-illness
Complete this State of California form to designate withholding from your pay.
Complete this form if your home address has changed.
Form to notify of employee death.
Complete this form to request overtime in advance for classified and non-management employees.
Request for service regarding payroll issues.
Complete this IRS form to designate withholding from your pay.
Complete this form to request the use of employees on unassigned days “outside” of their calendar basis.
Form to request a LAUSD badge
Assist family members with reporting an employee's death.
Complete this form at the time of the first assignment and every time the employee changes job classifications.
Request for freeze exemption: Staffing
This memo provides information on the Affordable Care Act (ObamaCare)
This report must be completed within 24 hours of an accident involving an injury to students, employees or visitors.
Complete this form to request personnel to fill a vacancy.
This form contains personal physician information. It must be maintained at the work location in the employee’s personnel file.
Complete this form to register personal property brought by employees for use in schools or offices.
Language differential request for bilingual skills.
Request to change assignment. This is NOT a transfer request form.
Request to reinstate for employees who resigned in good standing.
Complete this form if you are resigning.
Application for temporary assignments.
Request to change work location.
Vehicle Accident Report Form
Complete this worksheet when a work-related injury or illness occurs.