Edit, Download, and Sign the Los Angeles Unified School District Classified Staff Resignation Form
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How do I fill this out?
To fill out the resignation form, begin by entering your personal information in the designated fields. Next, indicate your reason for resignation and provide any necessary details for retirement if applicable. Finally, sign and date the form before submission.

How to fill out the Los Angeles Unified School District Classified Staff Resignation Form?
1
Provide your personal information including name, employee number, and contact details.
2
Select a reason for your resignation from the provided options.
3
If retiring, confirm your retirement date and details.
4
Sign and date the form to validate your resignation.
5
Submit the form to the Classified Employment Transaction Services Branch.
Who needs the Los Angeles Unified School District Classified Staff Resignation Form?
1
Employees resigning from LAUSD jobs need to officially document their resignation.
2
Individuals planning to retire must fill this form to initiate the retirement process.
3
Employees transitioning to a certificated position within LAUSD should submit this resignation.
4
Permanent staff seeking to reinstate after resignation may use this form to document their separation.
5
Members of CalPERS or STRS resigning for retirement benefits require this form.
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1
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What are the instructions for submitting this form?
Complete the form and submit it to the Classified Employment Transaction Services Branch. You can send it via mail to P.O. Box 513307, Los Angeles, CA 90051-1307 or fax it at (213) 241-8950. Always double-check that all sections are filled out correctly and retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the LAUSD Resignation Form include the last working day of the month and deadlines for retirement processing, which should be three months prior to the intended retirement date.

What is the purpose of this form?
The purpose of the LAUSD Classified Staff Resignation Form is to provide a formal mechanism for employees to resign their positions. This form ensures that the resignation is documented properly within the district's employment records. Additionally, it outlines the necessary steps and considerations for employees planning to retire, safeguarding their benefits during the transition.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The employee's full name including last, first, and middle initial.
- 2. Employee No.: A unique identifier assigned by LAUSD to each employee.
- 3. Social Security No.: The employee's social security number.
- 4. Date of Birth: The employee's date of birth for identification purposes.
- 5. Home Telephone: The employee's home telephone number for contact.
- 6. Home Address: The complete residential address of the employee.
- 7. Job Title: The official job title of the employee within LAUSD.
- 8. Work Location: The specific location or school where the employee works.
- 9. Reason for Resigning: A selection of options for why the employee is resigning.
- 10. Retirement Date: The effective date of retirement if applicable.
- 11. Employee Signature: Space for the employee to sign and confirm their resignation.
What happens if I fail to submit this form?
If the resignation form is not submitted, the employee remains listed as an active staff member. This can lead to ongoing payroll deductions and responsibilities associated with their current position. Timely submission is critical to prevent complications with employment status.
- Financial Obligations: Failure to submit may result in continued deductions for health insurance and retirement contributions.
- Employment Status Confusion: Without proper documentation, the employee may face issues related to their employment record.
- Benefit Eligibility Issues: Not submitting on time can affect eligibility for retirement benefits and final pay.
How do I know when to use this form?

- 1. Resignation from Employment: Used by employees who choose to leave their current positions.
- 2. Retirement Process Initiation: Necessary for employees transitioning into retirement.
- 3. Career Change within LAUSD: Utilized by staff moving to a new position within the district.
Frequently Asked Questions
What is the purpose of the LAUSD Resignation Form?
The LAUSD Resignation Form is used to officially resign from employment and manage retirement benefits.
How do I access this form?
You can download the LAUSD Resignation Form and fill it out using PrintFriendly.
Can I edit the form after downloading?
Yes, you can easily edit the PDF using PrintFriendly's editing tools.
How do I submit this form?
Complete the form and submit it to the Classified Employment Transaction Services Branch as instructed.
Is there a deadline for submitting this form?
It’s best to submit the resignation form promptly to ensure proper processing.
What if I change my mind after submitting?
You can withdraw your resignation within 48 hours after submission.
Can I sign the form electronically?
Yes, PrintFriendly allows you to sign the PDF electronically.
What benefits can I receive after retirement?
Eligible employees may receive medical and retirement benefits, which should be discussed with HR.
Is there assistance available for filling out the form?
Yes, guidance is available from your site administrator or human resources.
Where do I send the completed form?
Send the completed form to the designated address provided at the bottom of the document.
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