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Florida Department of Education
Bureau of Educator Certification
Room 201, Turlington Building
325 West Gaines Street
Tallahassee, FL 32399-0400
District Number
Communication Number
K
A T R 8 2 9
Natural Disaster Fee Waiver
Applicant’s Personal Information
First Name
Social Security Number
Middle Name
Last Name
Initial Certificate Fee Waiver Request Form
Extraordinary, Extenuating Circumstances
Relating to Hurricane Katrina August 29, 2005
The educator identified above is an employee or perspective employee in a Florida public school in my district and
has experienced extreme loss of property or personal hardship resulting from the natural disaster of Hurricane
Katrina.
Due to these extraordinary, extenuating circumstances, I am requesting that the certification fee be waived for an
initial Florida educator certificat
e
pursuant to the Commissioner’s authority in Section 1012.56(15), Florida
Statut
es.
Please check the box below:
Waiver of the application fee for an initial educator certificate with subject area requests not to exceed three
coverages or endorsements. (CG -10 Application Form is required but fee waived).
This KATR 829 form
must accompany the CG-10 application.
Signature of Superintendent or Designee
Date
