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Fees and Forms
Most forms below are to be used for documentation/verification purposes only.  All applications for certification must be submitted online through the Teacher Information Management System (TIMS).
 
 
FORMS
 
 
 
Documentation Worksheet for Determining Certificate Validity - Educators are required to convert a Level I (provisional) certificate to a Level II (permanent) certificate.  This worksheet is to be submitted by individuals requesting an actual time frame in which a certificate will lapse.
 
Health Certificate - Only required when applying for a Private Academic certificate.
 
PDE 338 A - Used by out-of-state graduates to obtain a college/university verification when applying for Pennsylvania certification.
 
PDE 338 C - Used by the Pennsylvania program providers when recommending a graduate for certification.
 
PDE 338 CAC - Used by applicants who have been denied Pennsylvania certification and wish to appeal the decision.
 
PDE 338 ES - Used only if specifically requested by your reviewer when applying for a Vocational Emergency permit.
 
PDE 338 G - May be requested by a prospective employer for documentation/verification purposes.
 
PDE 338 P - Used by school entities to verify service for Level II.
 
PDE 338 PS - Used to apply for the Program Specialist - ESL Endorsement.
 
PDE 338 R-4 - Used to file an appeal of the Department's Notice of Inactive Certification for failure to meet Act 48 Professional Development requirements.
 
PDE 338 U - Used by educators who were certified prior to 1967, have no educator record in TIMS, but have a copy of their certificate.
 
PDE 338 V - Used by school entities to verify any professional experience.
 
PDE 338 VB - Used to verify business work experience when applying for a Superintendent's Commission or Commission Qualification Letter.
 
PDE 427 and 427A - Instructional I to Instructional II Assessment and Attachment
 
PDE 430 - Student Teacher Assessment
 
PDE 430A - Student Teacher Assessment Attachment
 
PDE 82-1 - Classroom Teacher Rating Form
 
PDE 82-2 - Principal-School Leader Form
 
PDE 82-3 - Non Teaching Professional Form
 
 
 
For additional information, please contact:

Division of Certification Services
 

Pennsylvania Department of Education - School Leadership and Teacher Quality
333 Market Street | Harrisburg, PA 17126-0333
Phone: 717.728.3224

Certification, Application or Technical Questions - Please submit a Help Desk Ticket.