ATTN: Waiver Unit: Fill out & sign online

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Click ‘Get Form’ to open the ATTN: Waiver Unit in the editor.
Begin by filling out the 'Employing Agency' section. Include the agency's name, mailing address, contact person, CDS code, and telephone number.
Next, provide 'Applicant Information.' Enter the applicant's full legal name, birth date, mailing address, phone number, and email. Ensure to include their Social Security or Individual Tax Identification Number.
In the 'Waiver Title' field, specify the title and subject area of the credential. Indicate if this is a full-time position and provide details about teaching assignments.
Complete sections regarding effective dates for the waiver and any statewide high incidence area waiver requests. Be thorough in detailing recruitment efforts made for filling the position.
Answer all professional fitness questions honestly. If applicable, attach necessary documentation as specified in each section.
Finally, review all entries for accuracy before submitting your request through our platform.

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