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  • Forms

    The Transportation Services Division has posted certain forms concerning personnel matters online for ease of accessibility. To access a form, just click on the link of the form and print it out for completion.

    Employee Absences – Important Information
    This form provides instructions and information for some of the leave of absence process.  Please contact the Transportation Services Division Personnel Unit at 213.580.2970 for information or instructions on permissive leaves, Family Medical Leave Act designations, and other absence related questions.
     
    Leave of Absence – Mandatory
    These forms must be completed for absences of more than 20 consecutive work days resulting from any of the absence types listed on the request form.  Please also review the Employee Absences – Important Information form for additional instruction.
     
    Leave of Absence – Permissive
    This form must be completed to request an unpaid leave of absence which does not qualify as a mandatory leave.  Please contact the Transportation Services Division Personnel office at 213.580.2970 for instruction or information.
     
    Leave of Absence – Return To Work
    These forms must be completed and turned in within 1 -  2 days of your expected return to work date.   Please also review the Employee Absences – Important Information form for additional instruction.
     
    Certificate of Absence - Illness
    Certification/Request of absence for illness, family illness, or new child.
     
    Certificate of Absence - Non-Illness
    Certification/Request of absence for vacation, bereavement, jury duty, personal necessity, and other non-illness absences.

    FMLA - Health Care Provider (HCP) Certification Form
    Certification by health care provider of employee's or family member's serious health condition.
     
    FMLA - Certification of Serious Injury or Illness of Covered Service Member for Military Family Leave
    Certification by health care provider of covered service member's serious health condition for military family leave.

    FMLA - Certification of Qualifying Exigency For Military Family Leave
    Certification by health care provider of qualifying exigency for military family leave.

    Drug and Alcohol Testing Forms   

    Drug and Alcohol Testing Notification and Authorization Form
    Completed by supervisor whenever an employee is sent for testing

    Post Accident Log
    Completed by supervisor when an employee is sent for testing following an accident

    Drug and Alcohol Testing Form Request
    Completed when more forms are needed

    Observed Behavior-Reasonable Suspicion Record
    Completed when suspected employee may be under influence of drugs and/or alcohol

    Miscellaneous
     
    1a Change of Address Form
    Complete this form if your home address has changed.

    1b Employee Information Sheet
    Complete this form to provide current personal information for Division records

    Payroll Service Request Form
    Request for service regarding payroll issues.

    Request for Bilingual Differential
    Language differential request for bilingual skills.
     
    Request for Change of Assignment
    Request to change assignment.  This is NOT a transfer request form.

    Request for Bus Accommodation
    Complete this form if requesting a reasonable accommodation in the Light or Heavy Bus Driver classification.
     
    Physician Certification for Reasonable Accommodation Form 
    Form to be completed by physician to verify medical reason for a bus accommodation.
     
    Request for Reinstatement
    Request to reinstate for employees who resigned in good standing.

    Resignation Form
    Complete this form if you are resigning.
     
    Fleet Vacancy Bid Form
    Complete this form to bid on a vacancy in your classification during the posting period (Fleet personnel only).

    Fleet Transfer Request
    Complete this form to request a transfer due to a posted vacancy being filled (Fleet personnel only).

    Transfer Request Form
    Request to change work location.

    IRS Form W-4: Employee's Withholding Allowance Certificate
    Complete this IRS form to designate withholding from your pay.

    State of California Form DE 4 - Employee's Withholding Allowance Certificate
    Complete this State of California form to designate withholding from your pay.
     
    Motor Vehicle Accident/Incident Report
    Complete this form after an accident involving a District vehicle
     
    Medical Facility Survey
    Provide feedback on quality of care and service at medical facilities providing DOT physicals, return-to-work physicals, and Drug & Alcohol Testing.
     
    Checklist for Reporting Death
    Assist family members with reporting an employee's death.
     
    Medical Examination Report (Formerly DL-51)
    The California Department of Transportation (DOT) tightened regulations for issuing commercial driver's licenses.
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    Los Angeles Unified School District

    Headquarters - 333 South Beaudry Avenue, Los Angeles, CA 90017

    Phone: (213) 241-1000 Fax:

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