Available Online Forms

Business & Finance Department

Form NameView/Download
Automatic Payroll Deposit Authorizationapda1
Budget Transfer Requestbtr1
Extra Duties Payment Formexdut1
Federal Withholding (W-4) (2012)fw1
Goldenrod Procurement Formgpf1
In-County Travel Expense Reimbursementicter1
Out-of-County Travel Expense Reimbursement (Form Revised 3/1/2006)octer1
Out-of-County Travel Expense Reimbursement (Limits and Policies Revised 3/1/2006)octer2
Proof of Receiptpor1
Virginia Withholding (VA-4)vw1

Human Resources Department

Form NameView/Download
Certification of Absenceca1
Child Protective Services Formcps1
Classified Staff Improvement Plan and Goals Formcsimgf1
Donate Sick Day to Staffdsd1
Exit Checklistec1
Extended Contract Scheduleecs1
Employee Evaluation Summaryees1
Employee Recommendation Former1
Employment Reference Check Formercf1
Employee Sign In Sheetesis
Extended Contractextcon1
FMLA - Family and Medical Leave Act Formfmla1
GCN - Administrator Evaluationsgcn1
GCN - Teacher Evaluationsgcn2
GCN - Instructional Technology Teacher Evaluationgcn3
GCNA - School Psychologist Evaluationgcna1
GCNA - Visiting Teacher/Psychologist Evaluationgcna2
GCNB - Guidance Counselor Evaluationgcnb1
GCNB - Librarian Evaluationgcnb2
GDN - Support Staff Generic Objectivesgdn
GDN - Bus Driver Evaluationgdn1
GDN - Custodian Evaluationsgdn2
GDN - Maintenance Evaluationsgdn3
GDN - Mechanic Evaluationsgdn4
GDN - Office Professional Evaluationsgdn5
GDN - School Nutrition Evaluationsgdn6
GDN - Technology Staff Evaluationsgdn7
GDN - Nurse Evaluationsgdn8
GDN - School Nutrition Specialist Evaluationsgdn9
Interviewer Notesin1
Licensure Renewal Manuallrm1
Leave Without Pay Request Formlwpr1
Overtime Approval Request Form (Yellow paper only)oarf1
Payroll Checklistpc1
Personal Leave Request Formplr2
Reference Check Formrcf1
Request to Fill Vacanciesrtfv1
Request to Hold Over Vacation Leaverthovl1
Sick Leave Bank Applicationsla
Temporary Approval Formtwa2
Vacation Requestvr1
Worker's Compensation Incident Reportwcir1
Worker's Compensation Medical Status Reportwcmsr1
Worker's Compensation Panel of Physicianswcpp1
Worker's Compensation Telephonic Reportingwctr1
Work Reference Releasewrr1

Information Systems Department

Form NameView/Download
Computer Account/Access Request Formcarf
Computer Account/Access Building Transfer Formcatf
Computer & Office Machine Work Ordercomwo1
Equipment Discard Notificationedn1
Equipment Loan Formel1
Technology Purchase Order Formtpof1

Instructional Department

Form NameView/Download
Chaperone Informationci1
Certificate of Religious Exemptioncre1
Courses to be Transferredctbt1
2011-2012 Elementary and Middle School Student Transfer Request Formemsstrf-1112
2012-2013 Elementary and Middle School Student Transfer Request Formemsstrf-1213
2011-2012 High School Student Transfer Request Formhsstrf-1112
2012-2013 High School Student Transfer Request Formhsstrf-1213
Parental (Guardian) Permission to Have a Cellular Phone, Beeper, or Portable Communication Devicejfc4
Over the Counter Medication Permission Formmpf1
Overnight/Out-of-state Field Trip Request Formoftr1
Parental Consent and Licensed Prescriber Authorization For Administering Medicationpclpaam1
Pre-Kindergarten Experiencepkef
Professional Leave Requestplr1
Request to Conduct Fund Raising Activityrcfa1
Request for Consideraction of Learning Resourcesrclr1
Requisition for School Maintenance Suppliesrsms1
Supplemental Fundingsfc1
Student Fund Raising Statement of Understandingsfrsu
Student Health Informationshi1
Race and Ethnicity Identification Formsreif1
Student Registration Formsrf
Student Sign Inssi
Student Sign Outsso
Staff Sign Out Rosterssor

Maintenance Department

Form NameView/Download
Custodial Guide (January 2007)custguide1
Requisition for School Maintenance Suppliesrfsms1

Miscellaneous

Form NameView/Download
Agenda Item Proposalaip1
Student Flu Packetflu2
Facility Use/Rental Contractkg3
School Exit Drillsed
Surplus Formsf1
Staff Immunizationssi1
Student Insurance Claim Formsicf1
Teacher Report of Accidenttra1

Parent Resource Center

Form NameView/Download
PAC Representativespac1
Parent Address Formpaf1
Parent Contactspc2
Parent Surveyps1
Parent/Teacher/Student Partnership Agreementptspa1
Title I Attendance Recordtiar1
Title I Class Scheduletics1

School Nutrition Programs

Form NameView/Download
Accommodating Children with Special Dietary NeedsSNP-ACSDN-1
Calibrating ThermometersSNP-CBT-1
Cooking and Reheating Temperature LogSNP-CRTL-1
Cooling Temperature LogSNP-CTL-1
Condiment Usage RecordSNP-CUR-1
Disciplinary ActionSNP-DA-1
Dish Machine Temperature LogSNP-DMTL-1
Eligibility Manual for School MealsSNP-EMSM-1
Expense VoucherSNP-EV-1
Food Production RecordSNP-FPR-1
Food Production Record InstructionsSNP-FPRI-1
Inventory Control Self-CheckSNP-ICSC-1
Income Eligibility GuidelinesSNP-IEG-1
Meorandum Of UnderstandingSNP-MOU-1
Meals Per Labor HourSNP-MPLH
Order Form for Office SuppliesSNP-OFOS-1
Pest ControlSNP-PC-1
Physicians StatementSNP-PS-1
Thermometer Calibration LogSNP-TCL-1
Taking and Documenting TemparaturesSNP-TDT-1
Weekly Cleaning ScheduleSNP-WCS-1
Weekly Employee Work ScheduleSNP-WEWS-1

Special Services Department

Form NameView/Download
Certification for Need for Homebound Instructioncnhi1
Homebound Instruction Time Sheethits1

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