EO 14E Reemployment of Retired Teachers Reporting
Use this form to report reemployed retired teachers in regards to executive order 14E. You MUST be logged in using your school account to use this form.
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Email *
Employing Board of Education *
School Official Phone Number *
Name of Certifying Official *
Title of Certifying Official *
Employee's Name *
Employee's SSN *
Employee's Date of Birth *
MM
/
DD
/
YYYY
Employee's Email *
Post Retirement Teaching Assignment *
3 Digit SDE Endorsement Number *
Enter 000 for post secondary education. See: https://portal.ct.gov/SDE/Certification/Endorsement-Codes
Employee Retirement Date *
MM
/
DD
/
YYYY
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