Resignation/Retirement Form
Please complete this form if you are resigning or retiring from the La Mesa-Spring Valley School District. 

  1. DO NOT complete this form if you are transferring to another position or site. 
  2. If you are resigning/retiring before completing your contract year, your final paycheck may be adjusted. Salary is calculated based on total contract days in the year; therefore, failure to complete an entire contract year may result in overpayment. If you have any questions regarding your final check, please contact
Once Human Resources receives your resignation/retirement form, your site administrator/supervisor will be notified and this action will be placed on the next board agenda under Standard Recommendations. If you would like this information to remain confidential until you notify your supervisor, please notify in Human Resources. You may complete this form up to one year prior to your last day; merely enter the date you plan on resigning/retiring. 
Email *
This resignation and/or retirement is effective for the following school year *
Last Name *
First Name *
Best phone number to reach me *
Work Site/Department: *
Current position *
Which of the following applies to you? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of La Mesa-Spring Valley School Dist. Report Abuse