Applications, Forms and Leaflets

Table Sort and Filter

Click the table header to sort by that column. Type the leaflet name, number or topic in the second row to filter that column.

Leaflet Name	Leaflet Number	Leaflet Topic
Credential Application Form 414-instructions	41-4	Application forms and Fingerprint material
41-DUP has been discontinued.	41-DUP
Verification of Experience - Discontinued June 2016	41-EXP	Designated Subjects
Live Scan Service Request Form 41LS-instructions	41-LS	Application forms and Fingerprint material
Declaration of Change to Name or Personal Profile	41-NC	Application forms and Fingerprint material
Recommendation Form for Prelingually Deaf Candidates	41-PD	Application forms and Fingerprint material
Renewal Credential Form 41ren-instructions	41-REN	Application forms and Fingerprint material
Extensions by Appeal for Teaching and Service Credentials and Permits	AL-3	Extensions and Commission Appeals
Eminence Recommendation Form	CL-226	Eminence-Exchange-Sojourn
Fingerprints Clearance Information	CL-271	Application forms and Fingerprint material
School Nurse Services Credential	CL-380	School Nurse
University Internship Credentials	CL-402a	Intern Credentials District Intern and University Intern
Renewal and Reissuance of Credentials	CL-494	Miscellaneous Materials
Exchange Credential	CL-501	Eminence-Exchange-Sojourn
Exchange Certificated Employee Credential Verification of Information to Accompany Applicationse	CL-502	Eminence-Exchange-Sojourn
Eminence Credential	CL-504	Eminence-Exchange-Sojourn
Career Substitute Emergency Teaching Permit	CL-505b	Substitute Permits
Prospective Teachers Emergency Substitute Teaching Permit	CL-505d	Substitute Permits
30-Day Substitute Emergency Teaching Permit	CL-505P	Substitute Permits
CL-506 has been discontinued	CL-506
Specialist Instruction Credentials	CL-529	Specialist Instruction Credentials
CL-533o has been replaced by CL-533o-CLAD-BL	CL-533o
Crosscultural, Language and Academic Development (CLAD) and Bilingual Authorization Permits - EMERGENCY PERMITS	CL-533O CLAD-BL	Teaching and Emergency Permits
Teacher Librarian Services Permit - Emergency	CL-533o-LIB	Teaching and Emergency Permits
Resource Specialist Permit - Emergency	CL-533o-RSP	Teaching and Emergency Permits
CL-533o-RSP-LIB has been replaced by CL-533o-LIB and CL-533o-RSP	CL-533o-RSP-LIB
Peace Corps Teaching Experience to Obtain a Multiple or Single Subject Teaching Credential	CL-535	Single and Multiple Subject Credentials
Reading and Literacy Leadership Specialist Credential	CL-537	Specialist Instruction Including Reading Certificate
Single Subject Teaching Credential Requirements for Teachers Prepared Outside of California	CL-560	Single and Multiple Subject Credentials
Single Subject Teaching Credential Requirements for Teachers Prepared in California	CL-560C	Single and Multiple Subject Credentials
Multiple Subject Teaching Credential Requirements for Teachers Prepared Outside of California	CL-561	Single and Multiple Subject Credentials
Multiple Subject Teaching Credential Requirements for Teachers Prepared in California	CL-561C	Single and Multiple Subject Credentials
Teacher Librarian Services Credential	CL-562	Library Media Services
Sojourn Certificated Employee Credential	CL-568	Eminence-Exchange-Sojourn
Sojourn Certificated Employee Credential - Form for converting Sojourn Certificated Employee Credential to a 5-year Preliminary Credential	CL-568A	Eminence-Exchange-Sojourn
Sojourn Certificated Employee Credential - Form for individuals who have already completed the appropriate teacher training program	CL-568B	Eminence-Exchange-Sojourn
Administrative Services Credential Out -of-State Prepared	CL-574	Administrative Services
Administrative Services Credential California Prepared	CL-574C	Administrative Services
CL-574s has been discontinued.	CL-574s
CL-575 has been discontinued.	CL-575
Supplementary Authorizations (Single Subjects)	CL-603	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Pupil Personnel Services Credential For Individuals Prepared In Another State	CL-606	Pupil Personnel Services Credential
Pupil Personnel Services Credential For Individuals Prepared In California	CL-606C	Pupil Personnel Services Credential
Clinical or Rehabilitative Services Credentials (Audiology, Orientation and Mobility)	CL-610	Speech Language Pathology and Clinical or Rehabilitative Services Credential
CL-620 has been discontinued.	CL-620
CL-620a has been replaced by CL-888	CL-620a
Adding a Teaching or Subject Area to General or Standard Teaching Credentials	CL-621	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Adding a Teaching or Subject Area to Multiple or Single Subject Credentials	CL-621a	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Serving English Learners	CL-622	English Learner and Bilingual
Adapted Physical Education	CL-623	Special Education and Education Specialist including Resource and Adapted PE
Resource Specialist Added Authorization	CL-625	Special Education and Education Specialist including Resource and Adapted PE
State Agency Reference List	CL-627	Miscellaneous Materials
Bilingual Authorizations	CL-628b	English Learner and Bilingual
Crosscultural, Language and Academic Development (CLAD) Certificates	CL-628c	English Learner and Bilingual
Supplementary Authorizations for Multiple Subject	CL-629	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Foreign Transcripts Evaluation	CL-635	Miscellaneous Materials
Fee Information	CL-659	Application forms and Fingerprint material
Basic Skills Requirement	CL-667	Exams
Multiple Subject Teaching Credentials -- Verifying Subject Matter Competence by Examination	CL-674M	Exams
Single Subject Teaching Credentials -- Verifying Subject Matter Competence by Examination	CL-674S	Exams
Supplementary Authorization Worksheet	CL-696b	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
CL-697a has been replaced by CL-697b	CL-697a	Designated Subjects
Designated Subjects Adult Education Teaching Credentials (Based on AB 1374 - Issued on or after January 1, 2011)	CL-697b	Designated Subjects
CL-698a has been replaced by CL-888	CL-698a	Designated Subjects
Designated Subjects Special Subjects Teaching Credentials	CL-699	Designated Subjects
Designated Subjects Supervision and Coordination Credentials	CL-700	Designated Subjects
District Intern Credential	CL-707b	Intern Credentials District Intern and University Intern
Documents for Service in Special Centers For the Handicapped (Formerly: Development Center Permits)	CL-718	Special Education and Education Specialist including Resource and Adapted PE
Child Development Permit Worksheet	CL-723a	Child Development
CL-740 has been replaced by CL-828.	CL-740
CL-760 has been replaced by CL-760GE	CL-760
Commission Appeals For General Education Teaching Credentials (Multiple and Single Subject)	CL-760GE	Extensions and Commission Appeals
Verification Of Program Completion For General Education Teaching Credentials (Multiple and Single Subject)	CL-760GE-COMP	Extensions and Commission Appeals
Verification Of Experience For General Education Teaching Credentials (Multiple and Single Subject)	CL-760GE-VOE	Extensions and Commission Appeals
Statement Of Release Of Student Records	CL-760REL	Extensions and Commission Appeals
Commission Appeal for Education Specialist Instruction Credential	CL-760SM	Extensions and Commission Appeals
CL-765 has been replaced by CL-892	CL-765
Bilingual Teacher Training Programs (BTTP)	CL-772	English Learner and Bilingual
Administrator Verification of Employment	CL-777	Administrative Services
Education Specialist - Verification of Employment - Discontinued April 2011	CL-777.1	Special Education and Education Specialist including Resource and Adapted PE
Designated Subjects Career Technical Education 30-Day Substitute Teaching Permit	CL-786	Designated Subjects
Child Development Permits	CL-797	Child Development
Education Specialist Instruction Credential Requirements for Teachers Prepared Outside of California	CL-808	Special Education and Education Specialist including Resource and Adapted PE
Education Specialist Instruction Credential Requirements for Teachers Prepared in California for the Level I and Level II Credentials	CL-808C	Special Education and Education Specialist including Resource and Adapted PE
Education Specialist Instruction Credential Requirements for Teachers Prepared in California for the Preliminary and Clear Credentials	CL-808CA	Special Education and Education Specialist including Resource and Adapted PE
Reading and Literacy Added Authorization	CL-812	Specialist Instruction Including Reading Certificate
Examinations for Teacher Certification In California	CL-818	Exams
CL-820 has been discontinued.	CL-820
150-Clock Hours For Clear Teaching Credentials - Verification of Completion Based on Five Years of Teaching Experience	CL-820a	Single and Multiple Subject Credentials
CL-823VPS has been discontinued.	CL-823VPS
Certificate of Completion of Staff Development	CL-824	English Learner and Bilingual
Child Development Profession Growth Renewal Packet	CL-826	Child Development
General Education Limited Assignment Teaching Permit	CL-828	Limited Assignment
Single Subject And Multiple Subject Teaching Credentials -- Requirements For Teachers With Private School Experience	CL-834	Single and Multiple Subject Credentials
Intern Early Completion Option	CL-840	Intern Credentials District Intern and University Intern
CL-842 has been withdrawn.	CL-842
Subject Matter Authorization Worksheet	CL-849	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Subject Matter Authorizations	CL-852	Supplementary Authorizations, Subject Matter Authorizations and Added Authorizations
Induction Program - Verification of Unavailability of a Commission-Approved Program	CL-855	Induction
Provisional Internship Permit	CL-856	Teaching and Emergency Permits
Short-Term Staff Permit	CL-858	Teaching and Emergency Permits
Multiple Subject Provisional Internship Permit -- Evaluation Worksheet	CL-860	Teaching and Emergency Permits
Subject Short-Term Staff Permit -- Evaluation Worksheet Multiple Subject	CL-861	Teaching and Emergency Permits
Single Subject Provisional Internship Permit -- Evaluation Worksheet	CL-862	Teaching and Emergency Permits
Short-Term Staff Permit -- Evaluation Worksheet Single Subject	CL-863	Teaching and Emergency Permits
Education Specialist Provisional Internship Permit -- Evaluation Worksheet	CL-864	Teaching and Emergency Permits
Short-Term Staff Permit -- Evaluation Worksheet Education Specialist	CL-865	Teaching and Emergency Permits
Induction Program Credential Analyst/Contact Person - Discontinued May 2012	CL-866	Induction
Induction Programs -Authorized Signatory Form - Discontinued May 2012	CL-867	Induction
Authorized Organization For Credential/Permit - Discontinued May 2012	CL-867AO	Teaching and Emergency Permits
Single Subject Teaching Credential: Requirements For Individuals Prepared Outside Of The United States	CL-870	Single and Multiple Subject Credentials
Multiple Subject Teaching Credential: Requirements For Individuals Prepared Outside Of The United States	CL-871	Single and Multiple Subject Credentials
Education Specialist Instruction Credential -- Requirements for Individuals Prepared Outside of the United States	CL-872	Special Education and Education Specialist including Resource and Adapted PE
Preliminary Multiple Subject Teaching Credential Worksheet	CL-873	Single and Multiple Subject Credentials
Single Subject Teaching Credential Worksheet	CL-874	Single and Multiple Subject Credentials
Education Specialist Instruction Teaching Credential Worksheet	CL-875	Special Education and Education Specialist including Resource and Adapted PE
Child Development Permit Application Checklist	CL-876	Child Development
Child Development Permit Verification Of Family Child Care Attendance	CL-877	Child Development
Child Development Permit Verification of Family Child Care Experience	CL-878	Child Development
Speech-Language Pathology Services Credential	CL-879	Speech Language Pathology and Clinical or Rehabilitative Services Credential
CL-880 has been replaced by CL-888	CL-880	Designated Subjects
Three-Year Extension -- For Preliminary Multiple and Single Subject Teaching Credentials Issued On or After August 30, 2004	CL-884	Extensions and Commission Appeals
Two-Year Extension -- For Preliminary Multiple and Single Subject Teaching Credentials Issued On or After August 30, 2004	CL-885	Extensions and Commission Appeals
One Year Extension -- For Preliminary Multiple and Single Subject Teaching	CL-886	Extensions and Commission Appeals
Career Technical Education Teaching Credential - Designated Subject Based on SB 1104 - Issued on or after January 1, 2009	CL-888	Designated Subjects
Special Education Limited Assignment Permit	CL-889	Limited Assignment
Added Authorizations in Special Education (AASE)	CL-890	Special Education and Education Specialist including Resource and Adapted PE
Activity Supervisor Clearance Certificate	CL-891	Activity Supervisor Clearance Certificate
Military Service	CL-892	Military Service
American Indian Languages Credential	CL-893	American Indian Languages
Business and Industry Partnership Teacher Authorization	CL-895	Designated Subjects
Mathematics Instructional Leadership Specialist Credential (MILS) and Mathematics Instructional Added Authorization (MIAA)	CL-898	Specialist Instruction Including Reading Certificate
Certificate of Clearance	CL-900	Application forms and Fingerprint material
Managing Educator Profile Information	CL-901	Application forms and Fingerprint material
The Teaching Permit for Statutory Leave (TPSL)	CL-902	Teaching and Emergency Permits
Personal and Professional Fitness Explanation Form	OA-EF	Application forms and Fingerprint material

Application Status

We are currently processing applications received before: 7/13/2017

More Information

Credentials Links

Information

Updated July 18, 2017