Ospra 102 Form PDF Details

Are you looking for an easy way to file your Ospra 102 form? The process can be intimidating, but with a little patience and the right resources, it doesn't have to be. In this blog post, we'll provide an overview of what is required when filing an Ospra 102 form, how to determine if you need one in the first place, and tips on how to make the filing process as painless as possible. By understanding how this form works, you can easily complete any necessary paperwork without having to put forth too much effort. Read on to learn more!

QuestionAnswer
Form NameOspra 102 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesospra, fillable ospra 102, nys ospra, nyssed ospra 102

Form Preview Example

OSPRA 102 (1/03)

Clearance For Employment Request Form

Type or Print All Information

Office of School Personnel Review and

Accountability

NYS Education Department

987 Education Building Annex

Albany, NY 12234

ph: (518) 473-2998 fax: (518) 473-8812

www.highered.nysed.gov/tcert/ospra

OSPRA@mail.nysed.gov

Instructions

This form is to be filed to secure a "Clearance for Employment" for an individual who has been previously fingerprinted on New York State Education Department (SED) fingerprint cards or the New York City Department of Education (NYCDOE) fingerprint cards.

Sections 1 and 3 are to be completed by the prospective employee.

The school district, charter school or BOCES must complete section 2.

Type or print all information. Inaccurate, incomplete or illegible information will delay processing.

SECTION 1

Name: (Last, First, Middle Initial)

Social Security Number:

Date of Birth: (00/00/0000)

Mailing Address

City

State

Zip

SECTION 2

(This section MUST be completed by the school district, charter school or BOCES)

•Please neatly print, type or attach a label in the box below with the name and mailing address of the fingerprint contact person of the school district, charter school or BOCES.

•This form will be returned to the person identified below if SED has no fingerprint application on file for the above individual as of the "OSPRA Processing Dates."

•Make no other marks in the box below or the box to the right of this space.

OSPRA Processing Dates

(leave blank)

First 6 digits of school BEDS or CS-ID #:

Charter Schools: Please contact OSPRA to

obtain your specific CS-ID number:

Title of position employee will be placed in:

Signature of employer representative or fingerprint contact person:

Date:

Telephone # of fingerprint contact person:

SECTION 3

1.I have read "Fingerprinting Information and Instructions" issued by the State Education Department and (SED) have previously submitted fingerprints to SED pursuant to the SAVE legislation.

2.I understand that if I have any questions about my rights, I may contact the OSPRA office at (518) 473-2998. .

I hereby authorize the Commissioner of Education to review my criminal history record as secured from DCJS and the FBI for the purposes of conducting a determination on a Clearance for Employment as a condition for my new employment. I understand that the Commissioner will forward such final determination to my prospective employer in accordance with Part 87 of the Commissioner's Regulations. I further understand that once the Clearance for Employment is issued, the Commissioner of Education is authorized to forward certain information regarding any subsequent criminal history notifications from DCJS to my new employer

Signature:Date:

 

 

 

SECTION 4

 

 

 

 

 

 

 

 

 

 

Mail or fax

OSPRA

 

 

 

 

NYS Education Department

 

 

 

 

 

 

 

 

 

completed

987 EBA

 

 

 

 

OSPRA 102 to:

Albany, NY 12234

 

 

 

 

fax: (518) 473-8812

 

 

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ospra completion process shown (stage 1)

2. Now that the last part is complete, you're ready add the needed specifics in Charter Schools Please contact, obtain your specific CSID number, Title of position employee will be, Signature of employer, Date, Telephone of fingerprint contact, SECTION, I have read Fingerprinting, I hereby authorize the, Signature, Date, Mail or fax completed OSPRA to, SECTION, OSPRA, and NYS Education Department in order to go further.

Writing segment 2 of ospra

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