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

CL-469 has been discontinued and has been replaced by CL-469-CLAD-BCLAD and CL-469 RSP-LIB.

CL-469

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 Including Reading Certificate

CL-533o has been replaced by CL-533o-CLAD-BL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CL-533o-RSP-LIB has been replaced by CL-533o-LIB and CL-533o-RSP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-880, CL-697a, and CL-698a

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

Designated Subjects Adult Education Teaching Credentials

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

Designated Subjects Vocational Education Teaching Credentials

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

Designated Subjects Career Technical Education Teaching Credential (Full-Time And Part-Time)

CL-880

Designated Subjects

Visiting Faculty Permit

CL-881

Visiting Faculty Permit

Visiting Faculty Permit--Individualized Professional Development Form

CL-882

Visiting Faculty Permit

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

Updated March 22, 2017