CERTIFICATE OF CLEARANCE INSTRUCTION SHEET ......CTC Online is also used for the submission of applications by individual educators seeking to obtain certification in these areas:

CERTIFICATE OF CLEARANCE INSTRUCTION SHEET (Bakersfield Campus)

Part I and Part II MUST BE COMPLETED TO BE GRANTED A CERTIFICATE OF CLEARANCE

A two-part fee is required: 1) Live Scan fee and 2) CTC fee. Part I: Obtain a Live Scan If you have completed an electronic Live Scan within the last 18 months specifically for CTC but do not hold a Certificate of Clearance, California Credential, or Permit proceed to Part II.

Step 1: Obtain a Live Scan form Complete ‘Request for Live Scan Service 41-LS form’ (attached) or available on the CTC website at

http://www.ctc.ca.gov/credentials/leaflets.html; print one copy.

Step 2: Schedule an appointment to Live Scan Contact a Live Scan location in your area. Students who will be working with Kern High School District should complete a LiveScan through that district

office. Contact Camille Halliwill at 661/827-3168 for further information.

Step 3: Report to Live Scan Station of your choice

Required Documents:

1. Valid Photo identification 2. Live Scan Service 41-LS form (see step 1) 3. Fee (check with your Live Scan location for current fee and acceptable payment types)

Your fingerprints are submitted electronically to DOJ and FBI. Keep a copy of your receipt and live scan form for your

records. You are now ready to proceed to Part II. Part II must be completed in order to obtain a Certificate of Clearance

through the Commission on Teacher Credentialing and for admission into the credential program.

Part II: Apply for the Certificate of Clearance through the Commission on Teacher Credentialing (CTC).

Click here for current CTC fees: CTC Fees

DO NOT apply for a Certificate of Clearance if you hold a valid California Credential or Permit.

--TURN OFF ALL POP-UP BLOCKERS BEFORE BEGINNING THIS STEP--

Go to: www.ctc.ca.gov/ and select the ‘SERVICES FOR EDUCATORS’ button Click the ‘Educator Login’ button on the far right. If this is your first application with CTC, you will be prompted to create a username and password. If you have an existing profile, continue with the instructions. Print a copy of your receipt for your records. Processing time may take up to several weeks. CTC will notify you by email once the document has been issued.

**NOTE: Answering ‘Yes’ to any of the Professional Fitness Questions requires submission of supporting documents to the Commission on Teacher Credentialing per instructions provided. This may delay the processing time of your application.

Looking Up and Printing Your Certificate of Clearance, Credential or Permit

Go to http://www.ctc.ca.gov/ select ‘SEARCH FOR AN EDUCATOR’

Select ‘Secured Search’; enter your Social Security Number and Date of Birth Click on the Document Number ‘hyperlink’ next to the Certificate of Clearance

Print this page and submit a copy along with your program application.

http://www.ctc.ca.gov/credentials/leaflets.html

http://www.ctc.ca.gov/credentials/leaflets/cl659.pdf

http://www.ctc.ca.gov/

http://www.ctc.ca.gov/

REQUEST FOR LIVE SCAN SERVICE FORM 41-LS Rev. 04/15

Applicant Submission

ORI: Type of Application:

Agency Address Set Contributing Agency:

Agency authorized to receive criminal history information Mail Code (five-digit code assigned by DOJ)

Street No. Street or PO Box Contact Name (Mandatory for all school submissions)

City State Zip Code Contact Telephone No.

*Name of Applicant: (Please print) Last First MI

*Alias: *Driver’s License No: Last First

*Date of Birth: *Sex: Male Female Misc. No. BIL - Agency Billing Number

*Height: *Weight: Misc. Number:

*Home Address:

*Eye Color: *Hair Color: Street No. Street or PO Box

*Place of Birth: City, State and Zip Code

*Social Security Number (full): * Required Fields

*OCA Number: (SSN OR ITIN#) Level of Service: X DOJ X FBI

If resubmission, list Original ATI Number:

SUPPLEMENTAL AGENCY/EMPLOYER (County Office of Education/School District)

Employer Name

Street No. Street or PO Box Mail Code (COE/SD five digit code assigned by DOJ)

( ) City State Zip Code Agency Telephone No. (optional)

Live Scan Transaction Completed By: Name of Operator LSID Date

Transmitting Agency ATI No. Amount Collected/Billed

Code assigned by DOJ

Job Title or Type of License, Certification or Permit:

ORIGINAL – Live Scan Operator; SECOND COPY – Applicant; THIRD COPY (if needed) – Requesting Agency

A0281 License/Certification/Permit

TEACHER CRED 44340 EC

CASM TEACHER CREDENTIALING

1900 Capitol Avenue

Sacramento CA 95811-4213

03294Section 2

Section 1

Section 3

Section 4

Section 5

Section 6

CL-659 12/2016 Page 1 of 2

FEE SCHEDULE INFORMATION

The California Commission on Teacher Credentialing is a fee-supported state agency that collects fees as

authorized in California Education Code §44235 and the California Code of Regulations, Title 5, §80487.

Statute and regulations state that fees shall accompany applications for issuance, reissuance or renewal of

documents, and that fees are earned upon receipt and shall not be refunded. CTC Online Applications The CTC Online process is available for applications that require online submission, both for first-time

applicants and renewal or reissuance of the following:

Renewal/reissuance of clear credentials and 30-Day Substitute Permits

Educators completing a recommendation for a document from a California Commission-approved

program sponsor

CTC Online is also used for the submission of applications by individual educators seeking to obtain

certification in these areas:

California residents applying for Certificates of Clearance

Activity Supervisor Clearance Certificates (first-time applicants and renewals)

All online transactions are subject to a $2.50 service fee (effective March 7, 2014) in addition to the application

fee. Individuals who must submit fingerprint cards with their application cannot use the CTC Online system and

must submit a paper application. For information on the options available to submit an application online, see

http://www.ctc.ca.gov/credentials/default.html.

Paper Applications-Initial and Renewal/Reissuance The Form 41-4 paper application may be used to submit application packets to the Commission by:

Applicants prepared out-of-state or outside the United States applying for their initial California

credential, permit, or, if needed, a Certificate of Clearance (see Credential Leaflet CL-900)

Applicants renewing or requesting reissuance of Child Development, Emergency or Limited

Assignment permits

Individuals who need to submit fingerprint cards with their application

Complete a separate application for each document requested. Checks/money orders/cashier’s checks should

be made payable to the Commission on Teacher Credentialing or CTC. The Commission does not accept cash

as a form of payment. The application packet should include a completed application (Form 41-4), official

transcripts, a Live Scan receipt (Form 41-LS) or two fingerprint cards (FD-258) as appropriate, and all

applicable fees. While a separate application form and fee is required for each document requested, only one

set of fingerprint cards needs to be provided.

State of California Commission on Teacher Credentialing

1900 Capitol Avenue Sacramento, CA 95811-4213

Email: [email protected] Website: www.ctc.ca.gov

CL-659 12/2016 Page 2 of 2

Refer to the fee schedule below and include the applicable fees for each application packet being submitted to the Commission on Teacher Credentialing

Application Fees Initial or Renewal/Reissuance (Form 41-4 or Online Application for ASCC) ......................$100.00 This is the basic nonrefundable application fee for all types of credentials, certificates, permits, also for adding

any type of authorization to a credential, unless a different amount is shown below. Applications for the Activity

Supervisor Clearance Certificate (ASCC) must be submitted online. Certificate of Clearance*(Form 41-4 or Online Application)….................................................$50.00

* The Certificate of Clearance (COC) is not the same as applying for a clear credential. The COC does not

authorize providing any type of instruction or services in schools; its sole purpose is to provide verification

the holder has completed a professional fitness review. Credential Leaflet CL-900 identifies who needs a

COC. Out-of-state and out-of-country residents must use Form 41-4 to apply for a COC, while California

residents must apply for the COC using the Online Application process (for more details Click Here).

Certificate of Completion of Staff Development (Form 41-4) ..................................................$45.00 Certificate of Eligibility-Upgrade to Preliminary Credential (Admin or Ed Specialist)....... $50.00 Child Development Permit Upgrade (see Credential Leaflet CL-797)**................................. $50.00

** The one-half fee for upgrade is only applicable within first 3 years of the initial issuance of a child

development permit.

Request for Employment Restriction Change (Form 41-4).........................................................$50.00 Name Change Request (complete Form 41-NC)...............................................................................$0.00 Military Fee Waiver The application processing fee for an initial California credential, Multiple Subject, Single Subject, Education

Specialist Instruction, or Designated Subjects (Career Technical or Adult Education), is waived for out-of-state

prepared applicants who relocate to California due to orders received from a branch of the United States Armed

Forces that require the applicant’s spouse to relocate to California. This waiver applies only to an educator’s

first California credential and is not available for renewals, appeals, or through the online application

process. Fingerprint clearance (Live Scan or fingerprint cards and fee) is still required. See Credential Leaflet

CL-892 for more information.

Fingerprint Fees Applicants Residing in California Live Scan Service (Form 41-LS)………………………………….......Fee Collected by Live Scan Operator Applicants Residing Outside of California Fingerprint Cards (FD-258)...…………………………………………………………………………….…………….……$49.00 California residents do not have the option of submitting fingerprint cards. The California Department of Justice

will only accept fingerprint cards from the Commission for teachers who reside outside of California.

Two fingerprint cards must be submitted with the application packet but only one fingerprint fee is due. If

submitting applications for more than one document, only one set of fingerprint cards must be provided. See

Credential Leaflet CL-271 Fingerprint Clearance Information for more details.

How to Print 2/2017 Page 1

How to View and Print Your Document

Your personal Educator Page allows you to complete recommendations from your program sponsor, and renew documents when required. You can also use your Educator Page to update your personal and contact information on file with the Commission. Name changes cannot be made online. Submit Form 41-NC to change your name, SSN, ITIN or date of birth.

1. Click the Credentialing Information navigation button

2. Select the Educator Login button to access CTC Online.

3. Log in to your personal profile on the secure Educator Page. You will be asked to enter yourUser ID and Password.

NOTE: Effective 02/16/2017, you will not be able to access your file online directly with aSocial Security number and Date of Birth. All users will be required to create a User IDand password first before accessing their CTC Online file.

Users who have not yet completed this process must use the link “Create User ID andPassword” (highlighted yellow in the sample below) to link to their online profile.


4. Enter your SSN and Date of Birth to begin creating your User ID and Password. Click OK. Donot use the “Enter” key on your device as it will not advance you to the next step.

5. Enter your personal information including your selection of a User ID and Password, and create3 Challenge Questions and Answers that can be used to verify your account if your ID orPassword should be lost. You must include a current valid email address in your profile asthis is how password recovery information and other important correspondenceregarding your file will be distributed. If you already have a credential file in CTC Online, youwill still be prompted to create a new User ID, Password, and challenge questions before youcan proceed.


6. After creating your User ID and Password you will go back to the login screen to use your newUser ID and Password. Once logged in, you will first see a screen with a Personal LegalDisclaimer. Click “Next” on that screen to proceed.

XXXxXxxx


7. The screen below will appear where you can verify the information on your personal profile page.Click the “Add or Change Personal Information” button or the “Add or change Address” buttonto update your file as needed.

When you are finished, click Next.

8. On the next screen, you will see a list of all documents you have been issued. Select the document you want to print. When you click on the hyperlinked document number (see next screen shot), the following screen will list all the document's authorizations and renewal codes (see #9).


9. You have two options to print an unofficial copy of your document. First, you can use the Printfunction from your web browser to print this screen with all the document details. Some usersmay need to right click on the screen to bring up a print menu. You can also select CTRL + Pfrom your keyboard to print the page.

For some Firefox users: a preview of the page that looks blank may appear first but all the document details will still print.


10. Your document details will print onto a page as shown.

11. You can also obtain an unofficial copy of your document suitable for framing. Choose the

Email Document button. You will automatically be sent an email attachment of yourdocument you can print. Be sure the email address in your personal profile (see step d)is the one you are currently using. Commission emails may be sent to a SPAM or JUNKfolder if the Commission address is not in your Favorites.


12. Here is a sample of the document.