Verification of Experience for Renewal (RA 4010) - Hawai?i ... - htsb-2026

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The document is the HTSB Form RA 4010, a verification form used by applicants to renew their Hawai`i teaching license. It requires the applicant to provide personal information and authorize the release of their teaching experience details. An authorized school or district official must complete a section confirming the applicant's qualifying teaching experience within the last five years.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, Personal Information. Enter your Social Security Number, full name (last, first, middle), date of birth, current mailing address, and contact numbers. Ensure you use blue ink if printing.
Sign the Disclaimer in Section 1 to authorize the release of your teaching experience information. This signature is crucial before sending the form to an authorized official.
Retain a copy of this form for your records after completing it.
Section 2 will be completed by an authorized school or district official. Ensure they understand their role in verifying your teaching experience as outlined.

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How to renew a teaching license in Hawaii?

Renewal of a Hawaiʻi teaching license requires verification of a minimum of one (1) full year within the last five (5) years of full-time teaching experience in a P-12 contracted position in Hawaiʻi or another U.S. state. Clear the Hawaiʻi Teacher Standards Board (HTSB) Professional Fitness check.

What is a state-controlled license number?

A CDS license is simply authorization from the state allowing licensed health care practitioners to work with controlled substances. A DEA license number is assigned to a health care provider by the United States Drug Enforcement Administration to allow the practitioner to write prescriptions for controlled substances.

What is the Hawaii state ID number?

Hawaii Tax IDs that were issued prior to the modernization project begin with the letter W and are followed by 10 digits. (Example: W99999999-01.) Hawaii SalesTax IDs that are issued after the modernization project begin with the letters GE and are followed by 12 digits. (Example: GE-999-999-9999-01.)

How to check if a company is legally registered in Hawaii?

Go to the Hawaii Business Entity Search Page Either use the Begins with option to check the availability of a specific name or conduct a more thorough search using the Contains option to view all registered businesses that include the words you entered into the search bar. We recommend doing both.

How do I verify my Hawaii controlled substance license?

Verification of a Hawaii controlled substance registration may be done online at no cost using our registration search site at . Anyone may obtain information such as the status of the registration, expiration date, drug schedules, drug activities, etc.