Fairfield-Suisun Unified School District
OATH OF ALLEGIANCE AND DECLARATION OF PERMISSION TO WORK FOR
PERSONS EMPLOYED BY THE FAIRFIELD-SUISUN UNIFIED SCHOOL DISTRICT
Oath may be administered by a person having general authority by law to administer oaths—or may be
administered by the appointing power, or by a person for whom written authorization to witness oaths has been
executed by the appointing power. The appointing power maintains a file of such authorizations.
PART 1—OATH OF ALLEGIANCE
TO BE COMPLETED BY UNITED STATES CITIZENS ONLY
WHO MUST SIGN OATH--As required in Section 3 of Article XX of the Constitution of California, every State employee except
legally employed noncitizens, must sign the following oath or affirmation before he or she enters upon the duties of his or her State
employment. Noncitizens are required to possess a Declaration of Permission to Work. If an alien employee becomes a naturalized
citizen, an oath must then be obtained and filed.
WHEN OATH MUST BE SIGNED--As required in Government Code Section 3102, all public employees and all volunteers in any
disaster council or emergency organization accredited by the California Emergency Council must sign an oath or affirmation before
entering upon the duties of their employment. For intermittent, temporary or emergency employments, an oath or affirmation may,
at the discretion of the employing agency, be effective for all successive periods of employment which commence within one
calendar year from the date of the oath.
OATH OF ALLEGIANCE (Type or print name of employee)—Then complete Part 3.
PART 2—DECLARATION OF PERMISSION TO WORK
TO BE COMPLETED BY LEGALLY EMPLOYED NONCITIZENS ONLY
I am a lawful permanent resident alien of the United States. YES NO
If NO, please read the following:
I hereby certify, that I have permission to work in this country and have declared any restrictions placed upon me in this regard
by the United States government to the appointing power.
PART 3—SIGNATURE AND CERTIFICATION (No fee may be charged for administering)
TO BE COMPLETED BY UNITED STATES CITIZENS AND LEGALLY EMPLOYED NONCITIZENS
EMPLOYEE'S SIGNATURE
AUTHORIZED OFFICIAL'S SIGNATURE
AUTHORIZED OFFICIAL'S TITLE
Taken and subscribed before me this
Day of
(SEAL)
STATE DEPARTMENT OR AGENCY DIVISION/UNIT
I, , do solemnly swear (or affirm) that I will support and defend
the Constitution of the United States and the Constitution of the State of California against all enemies, foreign and domestic; that
I will bear true faith and allegiance to the Constitution of the United States and the Constitution of the State of California; that I take
this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties
upon which I am about to enter.
WHERE OATHS ARE FILED--As required in Government Code Section 3105, all oaths for public employees and all volunteers
in any disaster council or emergency organization accredited by the California Emergency Council, shall be filed in the official
employee file within 30 days of the date the oath is executed. The oath is considered a public record.
FAILURE TO SIGN--As stated in Government Code Section 3107, no compensation or reimbursement for expenses incurred shall
be paid to any public employee or any volunteer in any disaster council or emergency organization accredited by the California
Emergency Council unless such public employee has taken and subscribed to the oath or affirmation.
PENALTIES (Government Code)
"3108. Every person who, while taking and subscribing to the oath or affirmation required by this chapter, states as true
any material matter which he knows to be false, is guilty of perjury, and is punishable by imprisonment in the state prison
not less than one nor more than 14 years."
✍
✍
Fairfield-Suisun Unified School District
Human Resources
