Certification Forms

Submission directions are included with the forms.

If the form is not submitted as indicated this could cause a delay in the processing of your application.

Application to Update/Change SSN:  to change your SSN or update your SSN, complete and mail to the address on the form. 

Request for Change of Address: To change your address or other contact information, complete and mail it to the address on the form.

Application for Name Change: To change your name complete and mail it to the address on the form with the appropriate documentation. 

Explanation of Incident Form: Used by applicants who answer “Yes” to any Criminal History or Background Questions. Complete and submit it with your certification application.

Foreign Credential Evaluation Agencies: A list of foreign credentialing agencies for applicants using coursework or degrees from a foreign college or university from out-of-the-country to meet certification requirements.

Duplicate Copy of Certificate: Complete the Application for Duplicate Copy of Certificate and mail it to the address on the form.

LEA Verification of Literacy Coursework Waiver: Used to verify that the applicant is a teacher who provides literacy instruction in kindergarten through grade five and has demonstrated through classroom observations and student achievement data across subgroups using evidence-based measures for at least three consecutive years, that the teacher possesses the appropriate instructional knowledge and skills.

LEA Verification of LIteracy Coursework and Exam Waiver: Used to verify that the applicant is a teacher who provides literacy instruction in kindergarten through grade five and that the teacher possesses the appropriate instructional knowledge and skills and 90% of FAY students are proficient over the last three academic years.

Out-of-State Exam Verification:  Use this form to verify equivalent out-of-state exams. 

Subject Matter Expert Social Media and Phone Use Attestation: Submit a signed form with the Subject Matter Expert application.

Verification of PreK-12 Teaching Experience: Used to verify full-time teaching experience.

Verification of PreK-12 Leadership & Professional Non-Teaching Experience: Used to verify administrative and professional non-teaching experience, (School Counselor, School Social Worker, School Psychologist, or School Speech-Language Pathologist.)

Verification of Experience for CTE Form: Used to verify work experience for CTE applicants.

Verification of Computer Science Endorsement Form: Used to verify computer science training for the Computer Science Endorsement, K-8 and 6-12.

Request for Initial Certification Fee Waiver - Family Income: Used for those whose family income does not exceed 200% of the current federal poverty guidelines.

Request for Initial Certification Fee Waiver - Military Eligibility: Used for active military and spouses and those who have been honorably discharged within the last 2 years.