30-Day Substitute Application Process

For First-Time 30-Day Substitute Credential Applicants

Form 41-4 “Application for Credential Authorizing Public School Service” – You must send the signed originalCopies cannot be accepted.

Form 41-4 Instructions

Form 41-LS Live Scan Receipt

  • If you have not completed fingerprints for the Commission on Teacher Credentialing (CTC): Make sure the “Agency Billing Number” is included on your form: 141079. Otherwise, you will be charged for the Live Scan processing in addition to the rolling fee (which is your responsibility). Please be aware that you will also have to complete the Live Scan form for employment through the Inyo County Office of Education Clearing house (click here to be directed to this form). They are two different forms, with different “ORI” numbers since the results will go to each agency. Make sure to take both forms with you to your fingerprint appointment to avoid having to go back or paying an additional rolling fee.
  • If you already hold a valid a certificate of clearance: submit a copy from the CTC website, in lieu of Form 41-LS. This means you already have fingerprint clearance on file with the CTC and don’t need to do it again. You will only be required to complete fingerprints for employment (click here to be directed to the ICOE Live Scan form).

If you are unsure or have any questions, please contact Marlene Dietrich at (760) 878-2426 ext. 2222

*Current Fees – $100 (plus $2.50 processing fee) Do not submit payment if applying through the Inyo County Superintendent of Schools. Note: You must supply an email address on the application to receive an email from the California Commission on Teacher Credentialing (CTC) with instructions to pay your fees online using a Visa or MasterCard debit or credit card.

Please only mail required original documents to:


Attn: Marlene Dietrich
P.O. Drawer G
Independence, CA 93526

Additional Forms & Information:

30-Day Emergencey Substitute Permit Instructions

CTC Professional Fitness Explanation Form