HTSB Form LA 3009-2026

1. Click ‘Get Form’ to open HTSB Form LA 3009 in the editor.
2. Begin by filling out Section 1, which includes your personal information. Enter your HTSB ID, last name, first name, middle initial, current mailing address, email address, and telephone number. Ensure all details are accurate.
3. Sign the disclaimer authorizing the release of your professional education program information. Date your signature for verification.
4. Section 2 is for the authorized administrator of your educator preparation program (EPP). Leave this section blank as it will be completed by them.
5. Once both sections are complete, save the document. You can then either email it directly to HTSB or download it for upload to your HTSB account.

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