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City of Daly City


Request for Certification/Educational Pay Form Instructions
•Please have all information and attachment readily available when completing this form.
•If you have multiple documents to upload please combine them into one file. Seamless Docs only allows you to upload one attachment.
•Please enter your name, regular position and select the certification you possess.
•Click on the paperclip at the bottom of the page to attach a copy of your certification.
•Click submit and sign.
•Click finalize and submit.
•Your department head will review and electronically forward to Human Resources for approval.

If you require assistance please contact Human Resources at (650) 991-8028.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
12/02/2023Click to Sign
Signature HereJoshua Cosgrove Will Sign Here

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