Resignation and Retirement Forms

Resignation and Retirement Forms

The following Human Resources forms are available in the Portable Document Format (PDF). Download the free Acrobat Reader plug-in if you cannot view PDF files.

Teachers Resigning or Retiring Should Complete the Following Forms:

Application for Payment of Unused Vacation Pay - Calendar Month Employee
PHSA/COBRA Notice/Dependent Election Form
PHSA/COBRA Notice/Election Form
Resignation Form
Resignation Form (Pension Enhancement Program - PEP)

ESP Resigning or Retiring Should Complete the Following Forms:

Application for Payment of Unused Vacation Pay - Calendar Month Employee
PHSA/COBRA Notice/Dependent Election Form
PHSA/COBRA Notice/Election Form
Resignation Form
Resignation Form (Pension Enhancement Program - PEP)

Administrators Resigning or Retiring Should Complete the Following Forms:

Application for Unused Earned Vacation - No Pension Pay
Application for Unused Earned Vacation - Pension Pay
PHSA/COBRA Notice/Dependent Election Form
PHSA/COBRA Notice/Election Form
Resignation Form
Resignation Form (Pension Enhancement Program - PEP)

Day-to-Day Substitutes Retiring Should Complete the Following Form:

Resignation Form

Legal Statement (Title IX): It is the policy of the Board of Education of the City of Chicago not to discriminate on the basis of race, color, creed, religion, national origin, sexual orientation, age, disability or sex. Inquiries concerning the application of Title IX of the Education Amendments of 1972 and the regulations promulgated thereunder concerning sex discrimination should be referred to the Title IX Officer, Chicago Public Schools, 125 S. Clark St., Chicago, Illinois 60603, 773-553-2688 (TTY-773-553-2699).

© 2007 CPS Human Resources