School System Superintendent/Chief Administrator Attestation

School System Superintendent/Chief Administrator Attestation
The form should be used to update the LDOE when a Superintendent/Chief Administrator for a School System has been appointed. Submitting this form is the first step in notifying all LDOE Offices and Program Teams of the change and ensuring the update is reflected in LDOE Data Systems.

Fill in all required data fields denoted by an *.

Once submitted, the Superintendent/Chief Administrator will receive instructions via email on how to complete the attestation. After completing the final step, LDOE will verify the attestation and update LDOE Offices, Program Teams, and data systems such as Sponsor Site.

For assistance, reach out to LDEData@la.gov
School System (District/LEA) Name*
School System Sponsor Code*
School Type*
Security Coordinator Name*

First NameLast Name
Security Coordinator Email*

Confirmation Emailexample@example.com
Superintendent/Chief Administrator Name *

First NameMiddle InitialLast NameSuffix (Jr., Sr., etc.)
Superintendent/Chief Administrator Title*
Superintendent/Chief Administrator Email *

Confirmation Emailexample@example.com
Phone Number*
Format: (000) 000-0000.
Fax Number
Format: (000) 000-0000.
This change should be made ASAP or In the Future? Indicate the date for the change to occur below. *

MonthDayYear
The date should be today unless this is a FUTURE change to be made at a later date.
By submitting this form, you're completing the first step in the process outlined below.
Should be Empty: