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The form explains key eligibility limits during ongoing investigations, prohibits repeated removal requests more than once every 10 years, and provides mailing/email submission instructions. Applicants must complete all sections, list license details and the endorsements/approvals to be removed, and certify accuracy with a dated signature.","!73-76  \nREQUEST FOR VOLUNTARY REMOVAL OF ENDORSEMENTS  \n100 North First Street, E-240 AND APPROVALS Springfield, Illinois 62777-0001  \nEDUCATOR EFFECTIVENESS DEPARTMENT  \nI understand that I may voluntarily surrender an endorsement or approval only between January 1 and May 1 of a calendar year, and the endorsement or approval will be removed no later than July 1 of the same calendar year. I may not request removal of any endorsement or approval from a Professional Educator License or an Educator License with Stipulations if I am subject to an ongoing investigation conducted by the Illinois State Board of Education or there is other evidence or allegations of misconduct. I may not request the removal of the same endorsement or approval from my Professional Educator License or Educator License with Stipulations more than once every 10 years.  \nDIRECTIONS: Return this completed form to the Illinois State Board of Education at the address above or emailed to [educatorcredibility@isbe.net](educatorcredibility@isbe.net. Al)[. Al](educatorcredibility@isbe.net. Al)l requests must be postmarked or received between January 1 and May 1. There is no cost for the surrender of an endorsement or approval.  \nCOMPLETE ALL SECTIONS OF THIS FORM. You may find information about your license on the “Credentials”page when  \n\n|  |  |\n| --- | --- |\n|  |  |\n|  |  |\n\nyou login to your Educator Licensure Information System (ELIS) account.  \nNAME OF APPLICANT (As recorded in your ELIS file) IEIN  \nADDRESS (Street, City, State, ZIP Code) TELEPHONE (Include Area Code)  \nEMAIL  \n\n| TYPE OF LICENSE |  |  | Approval\u003Cbr>Educator License with Stipulations | LICENSE ID NUMBER (if applicable) |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  | Professional Educator License |  |  |  |\n|  |  |  |  |  |\n\nENDORSEMENT(S) OR APPROVAL(S) TO BE REMOVED  \n\n| DESCRIPTION | GRADE | ISSUE DATE |\n| --- | --- | --- |\n| 1. |  |  |\n| 2. |  |  |\n| 3. |  |  |\n| 4. |  |  |\n\nI certify that the information above is true and accurate to the best of my knowledge and that I am exercising my right to have the endorsement(s) or approval(s) listed above removed from my educator license. I understand that I may reapply for an endorsement or approval that has been removed by paying the required fee, provided that (1) at least 10 years have passed since the endorsement or approval was removed,(2) I have passed all tests required for the endorsement or approval at the time of application, and (3) I meet all other requirements in effect for the endorsement or approval at the time I make application.  \nDate Digital or Original Signature of Licensee","cbCaivoDEL3Mm0zw","https://ap.wps.com/l/cbCaivoDEL3Mm0zw","pdf",479329,"English","en",105,"# Directions\n## Eligibility and timing\n## Submission instructions\n# Applicant information\n# License and endorsement details\n# Certification and signature","[{\"question\":\"When can an educator request voluntary removal of an endorsement or approval?\",\"answer\":\"The request may be made only between January 1 and May 1 of the calendar year, and removal occurs no later than July 1 of the same year.\"},{\"question\":\"Are there limits or restrictions on requesting removal?\",\"answer\":\"Removal cannot be requested while the educator is subject to an ongoing investigation or other evidence or allegations of misconduct, and the same endorsement or approval cannot be requested for removal more than once every 10 years.\"},{\"question\":\"What must the applicant submit and what fields need to be completed?\",\"answer\":\"The completed form must be returned to the Illinois State Board of Education by the stated date range, include all required sections (name, address, contact details, license type, license ID, and endorsement/approval entries), and be certified with a dated digital or original signature.\"}]","REQUEST FOR VOLUNTARY REMOVAL OF ENDORSEMENTS - 73-76 - Complete the Form | PDF",1791601315,3,{"code":4,"msg":81,"data":82},"ok",{"site_id":74,"language":73,"slug":83,"title":65,"keywords":84,"description":66,"schema_data":85,"social_meta":138,"head_meta":140,"extra_data":142,"updated_unix":143},"request-for-voluntary-removal-of-endorsements-73-76-complete-the-form","",{"@graph":86,"@context":137},[87,100,120],{"@type":88,"itemListElement":89},"BreadcrumbList",[90,94,96,98],{"item":91,"name":92,"@type":93,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":95,"name":9,"@type":93,"position":14},"https://docshare.wps.com/document/",{"item":97,"name":20,"@type":93,"position":79},"https://docshare.wps.com/document/exam/",{"item":99,"name":65,"@type":93,"position":19},"https://docshare.wps.com/document/request-for-voluntary-removal-of-endorsements-73-76-complete-the-form/535895/",{"url":99,"name":65,"@type":101,"image":102,"author":107,"headline":65,"publisher":109,"fileFormat":112,"inLanguage":73,"description":66,"dateModified":113,"datePublished":114,"encodingFormat":112,"isAccessibleForFree":115,"interactionStatistic":116},"DigitalDocument",{"url":103,"@type":104,"width":105,"height":106},"https://docshare.wps.com/thumbnails/request-for-voluntary-removal-of-endorsements-73-76-complete-the-form/535895.png","ImageObject",300,407,{"name":63,"@type":108},"Person",{"url":91,"name":110,"@type":111},"DocShare","Organization","application/pdf","2026-11-10","2026-10-10",true,{"@type":117,"interactionType":118,"userInteractionCount":24},"InteractionCounter",{"@type":119},"ViewAction",{"@type":121,"mainEntity":122},"FAQPage",[123,129,133],{"name":124,"@type":125,"acceptedAnswer":126},"When can an educator request voluntary removal of an endorsement or approval?","Question",{"text":127,"@type":128},"The request may be made only between January 1 and May 1 of the calendar year, and removal occurs no later than July 1 of the same year.","Answer",{"name":130,"@type":125,"acceptedAnswer":131},"Are there limits or restrictions on requesting removal?",{"text":132,"@type":128},"Removal cannot be requested while the educator is subject to an ongoing investigation or other evidence or allegations of misconduct, and the same endorsement or approval cannot be requested for removal more than once every 10 years.",{"name":134,"@type":125,"acceptedAnswer":135},"What must the applicant submit and what fields need to be completed?",{"text":136,"@type":128},"The completed form must be returned to the Illinois State Board of Education by the stated date range, include all required sections (name, address, contact details, license type, license ID, and endorsement/approval entries), and be certified with a dated digital or original signature.","https://schema.org",{"og:url":99,"og:type":139,"og:title":65,"og:site_name":110,"og:description":66},"article",{"robots":141,"canonical":99},"index,follow",{"doc_id":61,"site_id":74},1791710304]