Certification Forms & Application Checklists
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Certification Department
360-725-6400
Additional Contact & Resources
Use this page to find forms and supporting documents related to Washington state educator certification. Forms are organized by educator role and certification purpose. Before completing a form, review the applicable certification requirement checklists to determine which documents are needed for your application.
Application Checklists
Use these checklists to identify the documents and supporting materials needed for your certification application.
Certification Forms
Find individual forms organized by educator role.
Teacher
- 4020E-Program Completion Verification
- 4020E-1-Alternative Program Completion Verification
- 4020F-Professional Experience Verification
- 4020F-1-Experience Verification
- 4020G-Issues of Abuse Course Verification
- 4024-First Peoples' Language, Culture, and Oral Traditions Application
- 4028E-Approval of Candidate for Intern Substitute Teacher
- 4030-Foreign Trained Teacher Recommendation
- 4050E-Teacher Program Enrollment Verification
- 1522E-Institutional Verification of Endorsement Program Completion and Character
Career & Technical Educator
- 4020G-Issues of Abuse Course Verification
- 4073A-Initial/Continuing CTE Career Guidance Specialist Application
- 4074A-CTE Director Application
- 4074B-Initial CTE Director Experience Verification
- 4074E-CTE Director Program Completion Verification
- 4074F-Continuing CTE Director Experience Verification
- 4075A-1-Adding a VCODE Application
- 4075E-CTE University Route Program Verification
- 4075E-1-College/University Route Conditional Program Enrollment Verification
- 4075G-CTE Business and Industry Route Program Verification
- 4075G-1-Business and Industry Route Conditional Program Enrollment Verification
- 4075H-Teaching Experience Verification
- 4075S-Specific Safety Documentation Verification
- 4075V-Non-Teaching Experience Verification
- 4075W-Worksite Learning Course Completion Verification
- 4076F-CTE Continuing Teacher/Coordination of Experience Verification
Administrator
- 4001D-Continuing Principal Certificate Verification of Hours
- 4001E-Administrator Program Completion Verification
- 4001F-Principal Prerequisite Experience Verification
- 4001R-Residency Administrator Reissuance Application
- 4020F-Professional Experience Verification
- 4020F-1-Experience Verification
- 4020G-Issues of Abuse Course Verification
Educational Staff Associate
- 4020F-Professional Experience Verification
- 4020F-1-Experience Verification
- 4020G-Issues of Abuse Course Verification
- 4020S-Suicide Prevention Training Verification
- 4025E-1-ESA Master's Degree Program Enrollment Verification
- 4026E-1-ESA Program Enrollment Verification
- 4098E-Psychologist and Counselor Program Completion Verification
- 4099E-Other ESA Roles Program Completion Verification
Educational Interpreter
- 4150-F-Educational Interpreter Employment Experience Verification
- 4020G-Issues of Abuse Course Verification
Paraeducator
- 1128-10-Paraeducator Fundamental Course of Study (FCS) Verification
- 1128-11-Paraeducator Subject Matter Coursework Verification
Clock Hour and Professional Development Forms
The following forms are used to document participation in approved professional development activities and other clock hour-related requirements
Approved Clock Hour Provider
- 1125-General Clock Hour In-Service Registration
- 1125-E-STEM, Equity, and Leadership Clock Hour In-Service Registration
Please Note: Forms 1125 and 1125-E are provided only to approved clock hour providers for distribution. These forms are not available for download on the OSPI website. Approved providers may contact the Professional Certification Department at cert@k12.wa.us to request copies.
Additional Professional Development Forms
- 1126-Approved Professional Certificate Program Team Member
- 1126-1-Professional Growth Team Member
- 1128-1-Mentor and Field Experience Supervisor of Training
- 1128-2-National Board Assessment/Certification
- 1128-4-First Peoples' Language, Culture, or Oral Traditions
- 1128-5-ProTeach Portfolio External Assessment
- 1128-6-Teacher Performance Assessment Scorer
- 1128-7-ProTeach Assessment Scorer
- 1128-8-Annual Professional Growth Plan (PGP) Verification
- 1128-9-School Accreditation Site Team
- 1128-12-Professional Educator Advisory Board Member
- 1128-13-Educator Preparation Program Review Team Member
Additional Forms
Military Personnel
The following form may be used to verify qualifying active-duty military service for certification purposes.