Forms for Employee Use:
Certificated Catastrophic Leave Request
Certificated Employment Separation Form - Retirements/Resignations
Certificated Teacher - 12-Pay Request
Change of Personal Information (for name/address changes)
Complaint Submittal Form
Declaration of Intent Form (Column Changes for 2022-2023)
Designation of Person to Receive Warrant
Substitute Teacher Evaluation Form
Personnel File Review Request Form
To request a Leave of Absence, including Personal and Family Medical Leave Act (FMLA):
Please contact Marissa Jenson by email or phone at 805-498-4557 ext. 7406.
TO REQUEST CATASTROPHIC LEAVE, PLEASE CONTACT THE UACT OFFICE AT (805) 497-8220 to access the proper request form. For more information regarding the Catastrophic Leave Program, click here.