Position Information Form
This form is to request a reclassification between certain pre-approved classes
PC 5104 - PC 80.610/2013Request for Personnel Action is used to establish, change, and to close classified positions.
Request for Diff-Supt & Board
Request for Differential - Superintendent and Board Office
PC 9075 10/2006PC 3812/2013 PC 6003 1/2017This is the request to restore a name to the Classified eligibility list, if in good standing. PC 5189b 12/2013 PC 8104 10/2017 Request for A Salary Step Placement Beyond the First Step in The Salary Range PC 5115 1/2018PC 531212/2013 PC 8254 12/2013 This form is to be filled out to provide an official record of commendation for a classified employee for outstanding work performance.Classified employees submit this form to request reinstatement to the classified service. (Rev. 10/13)PC 512612/2013This form is used to request pay for a classified employee that does not yet have a legal assignment. (Rev. 9/13)
PC 907412/2013Classified Unauthorized Absence Worksheet
Form to be submitted by a department when a classified employee is absent without authorization.(Rev. 10/13)
PC 5096 12/2013Accepting a temporary assignment at the Los Angeles Unified School District as a provisional employee. (Revised 10/13) PC 6280 12/2013 PC 5004 6/2016PC 7001 2/2011 Statement of Availability for Employment
A classified employee will complete the Statement of Availability to record their shift and location preferences. (Revised 6/17/11)
Form to be completed to submit an examination appeal. (revised 11/13/2013)
PC 81 11/2006 Request for Transfer (Change of work location)
Request for transfer form is to be submitted by an employee when requesting a transfer or a change of work location. Use the assignment area map as reference. (Revised 11/22/13)
PC 5005 10/2006 Assignment Area Map
Assignment Area Map to be used as reference with PC Form 5005 - Request for Transfer (Change of work location) and PC Form 5004 - Request for Change of Assignment.
Day-to-Day Substitute Assignment Record
Form to be used by substitute employees in maintaining a personal record of day-to-day assignments
Employee/Contractor Exit Checklist
The Employee/Contractor Exit Checklist is to be used in determining if employee/contractor has returned all district property prior to leaving the District.(Rev 10/2015)
Classified Employment Processing Documentation Reference Sheet
The Classified Employment Processing Documentation Reference Sheet is used as a reference guide for appropriate documentation needed for employment processing.
Nepotism Certification Form
The Nepotism Certification Form is used for District employees and applicants in disclosing any relationship, which is covered by Personnel Commission Rule 720 prior to appointment to a position. (Revised 9/3/13)
This form can be used to request multiple assignments for an employee who is currently working in another classification. Normally, only certain part-time employees combined with certain classifications are eligible for multiple assignments.