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**Email this completed form to New York City DOE Division of 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section 1. Enter your name (last, first, middle), sex, home address, social security number, city/state/zip, telephone number, email address, and date of birth. Ensure all information is accurate to avoid processing delays.
- Proceed to Section 2. Select one option that best describes your employment status with NYCBOE: whether you are leaving or have left, remaining for certification clearance, or seeking additional employment.
- In Section 3, read and authorize the statement regarding the forwarding of your criminal history record. Sign and date the form at the bottom of this section.
- Finally, navigate to Section 4 where you will find the email address for submission. Ensure that you send the completed form to HRCServiceCenter@schools.nyc.gov.
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