Form RU1 "Withdrawal of Application" - South Dakota

What Is Form RU1?

This is a legal form that was released by the South Dakota Department of Education - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the South Dakota Department of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form RU1 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Education.

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Download Form RU1 "Withdrawal of Application" - South Dakota

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Date Received by SD DOE:
Form RU1 (12-2019)
Withdrawal of Application
Office of Educator Certification
Type all information or use blue or black ink.
Part 1 – Applicant Information
Telephone Number
Last 4 digits of SSN
Last Name
First Name
Maiden/Previous Last Name
Email Address
Part 2 –Withdrawal of application request.
Email completed form to
certification@state.sd.us
24:28:04:03. Withdrawal of application. An applicant may submit a written request to withdraw a certification
application for good cause. The Secretary shall determine if cause exists to permit withdrawal. If withdrawal is
permitted, the applicant may not receive a refund of submitted fees.
Type of application submitted:
Date application submitted:
Describe the reason you are requesting approval to withdrawal your application:
I understand that I am requesting my application to be withdrawn. I understand that if the withdrawal is permitted
that I will not receive a refund of the submitted fees and that they are non-transferrable.
Applicant Signature
Date
Save the completed form as a PDF and Email to
certification@state.sd.us
Date Received by SD DOE:
Form RU1 (12-2019)
Withdrawal of Application
Office of Educator Certification
Type all information or use blue or black ink.
Part 1 – Applicant Information
Telephone Number
Last 4 digits of SSN
Last Name
First Name
Maiden/Previous Last Name
Email Address
Part 2 –Withdrawal of application request.
Email completed form to
certification@state.sd.us
24:28:04:03. Withdrawal of application. An applicant may submit a written request to withdraw a certification
application for good cause. The Secretary shall determine if cause exists to permit withdrawal. If withdrawal is
permitted, the applicant may not receive a refund of submitted fees.
Type of application submitted:
Date application submitted:
Describe the reason you are requesting approval to withdrawal your application:
I understand that I am requesting my application to be withdrawn. I understand that if the withdrawal is permitted
that I will not receive a refund of the submitted fees and that they are non-transferrable.
Applicant Signature
Date
Save the completed form as a PDF and Email to
certification@state.sd.us