Licensure FormsTeacher Support : Minnesota Department of Education

Licensure Forms

Licensure Forms

Below is a list of the various forms needed when applying for licensure in the State of Minnesota.

Each form is available in both Word and pdf. format. You will need *Adobe Acrobat Reader to download pdf. version.

*By selecting this link, you will be leaving the MDE Web site. See our copyright notice at the bottom of the page for our disclaimer regarding these links.

Application for an Addition to a Minnesota Education License (Teaching/Administrative/Related Services)  152Kb (5/6/08)  274Kb (5/6/08)
     Use this form to add a field to an existing Minnesota license.
Application for Minnesota Education License (Limited or Nonrenewable)  193Kb (5/9/08)  372Kb (5/9/08)
     Use this form to apply for an initial or renewal of a limited full-time, limited intern, limited short call substitute or nonrenewable license.
Application for Voluntary Surrender of a Standard Education License (Teaching / Administrative / Related Services)  125Kb (5/2/08)  86Kb (5/2/08)
     Use this form to surrender a Minnesota license.
Duplicate License Application  85Kb (7/27/07)  83Kb (7/27/07)
     To obtain a duplicate license, return completed application with the $1.00 processing fee.
Personnel Variance/"Highly Qualified" Memo  9Kb (8/29/05)
     Please read this memo regarding the reporting of "highly qualified" staff before applying for a variance
Request for Personnel Variance  124Kb (7/25/08)  129Kb (7/25/08)
     Only school districts may apply. Please read the variance/"highly qualified" memo regarding the reporting of "highly qualified" staff before applying.
Verification of Teacher Retirement  22Kb (2/14/06)  70Kb (2/14/06)
     Use this form to verify that you are receiving a retirement annuity to qualify for the lifetime shortcall substitute teaching license.