HR Document Library
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Documents by Office
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- Documents by Office
Certificated Assignments and Support Services
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Continuous Service Transfer Form 7762
HR Form 7762 Continuous Service Transfer Form 2020-2021.doc 95.5 KB (Last Modified on March 9, 2020) -
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.
hrf1065_Certificated Request for Leave of Absence 1.26.18.docx 53.39 KB (Last Modified on January 30, 2018) -
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). -
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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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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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 Change in Employee's Pay Status
HR 1067 2020-2021 Request for Change in Employees Pay PAW Form.pdf 260.66 KB (Last Modified on May 13, 2020) -
Request for Freeze exemption: Staffing
Form used to create new postiions in central and other non-school based offices, reallocate salary, incraese basis, open limted-term assignment