FORMS: Employee benefits | ESL | Financial Services | Gifted / Talented Services | Grants / Grant Accounting Office | Human Resources | Legal | Office of the Superintendent | Professional Development | Pupil Personnel | Risk Management / Safety | SBDM / Equity | Special Education | Staffing / Budget | Student Support Services | Tax Office | Transportation | KECSAC / 504

Professional Development

Certified Evaluation Forms

Certified evaluation forms have been moved to their own page.

Travel Forms

Professional Leave Handbook - Microsoft Word document (Rev. 9/06)

Request For Professional Leave / Sub Request - Microsoft Excel workbook (FCPS Form 101 - Rev. 11/2004)

Professional Leave Reimbursement Form (April - June 2008) - Microsoft Excel workbook (FCPS Form 102 - Rev. 3/08)

Professional Leave Reimbursement Form (January - March 2008) - Microsoft Excel workbook (FCPS Form 102 - Rev. 1/08)

Substitute Request Form - (This form was merged with Form 101 above.)

Professional Leave Evaluation Form - Microsoft Word (FCPS Form 104 - Rev. 03/2000)

Other PD Forms

Classified Evaluation - Microsoft Word document (Rev. 1/2008)

Classified Individual Corrective Action Plan - Microsoft Word document

FRYSC Coordinator Evaluation - Microsoft Word document

Certified Staff Stipend Form - Microsoft Word document (Rev. 9/2004)

Agreement To Provide Professional Services - Microsoft Word document

Request for Professional Development Funds - Microsoft Word document (Rev. 10/2004)

Planning Period Stipends - Microsoft Word document (Rev. 9/2004)

Proposed Professional Development Budget Calculator - Microsoft Excel workbook (Rev. 3/2008)

Annual School 24 Hour Professional Development Plan & Supporting Budget Allocations - Microsoft Word document (Rev 3/2008)

Standard Invoice - Microsoft Excel workbook

Financial Services

Mileage Reimbursement Form (April - June 2008) - Excel workbook

Mileage Reimbursement Form (January - March 2008) - Excel workbook

Purchase Order Maintenance Request - Excel workbook - Rev. Nov. 2007

Journal Entry Form - Excel workbook

W-9 Form - Adobe Acrobat - Rev. 11/2005

W-9 Form - Microsoft Word - Rev. 11/2005

Vendor Request Form - Microsoft Word- Rev. 7/05

Payroll Direct Deposit Authorization Word version | Acrobat version - Rev. 3/08

School Activity Fund - Internal account budget (F-SA-3) - Excel workbook - Rev. 3/08

School Activity Fund - Receipts & Expenditures budget (F-SA-4) - Excel workbook - Rev. 3/08

Stipend Assurance Form - Excel Workbook

Fixed Asset Transfer/Disposal Form - Adobe Acrobat

 

Office of the Superintendent

Critical Incident Form - Adobe Acrobat document

Extended Field Trip Request - Word version | Acrobat version (Revised 11/2005)

Tax Office

Tax forms and information are available on the Tax Office page.

Transportation

Transportation Request Form - Microsoft Word document

Special Transportation Request Form - Microsoft Word document

Supervised Stop Information Sheet Form - Microsoft Word document (Rev. July 2006)

Pre-School Transportation Request Form - Microsoft Word document

Annual Safety Training for School Bus Riders - Microsoft Word document

Report of Misconduct on School Bus Form - Microsoft Word document

Transportation Concern Form - Microsoft Word document

Bus Evacuation Drill Report - Microsoft Word document

Boarding Pass - Microsoft Word document

Staffing / Budget

Budget Transfer Request - Excel Workbook

Budget Setup Request Form (Grant) - Excel Workbook

Budget Form (Departments) - Excel Workbook

Zero Based Budgeting Form - Excel Workbook

Grants / Grant Accounting Office

Extensive documentation on the use of these forms can be found on the Grant Accounting Web site

Intent to Apply - Internal Approval - Adobe Acrobat PDF

Grant Proposal - Internal Approval - Adobe Acrobat PDF

Grant Time sheet (Effort Log) - Adobe Acrobat PDF

Record of Cost-Sharing Match - Adobe Acrobat PDF

Blank Contract - Microsoft Word - Revised July 2004

Special Education

Medicaid Service Log (Speech version) - Microsoft Excel workbook, updated 10/7/03

Medicaid Service Log (Mental Health version) - Microsoft Excel workbook, updated 10/7/03

Medicaid Service Log (PT version) - Microsoft Excel workbook, updated 10/7/03

Medicaid Service Log (OT version) - Microsoft Excel workbook, updated 10/7/03

Safe Crisis Management (SCM) Incident Report Form - MS Word document

Human Resources

Volunteer Form - Adobe Acrobat (Rev. 7/2004) English | Spanish

Grievance Form - Adobe Acrobat PDF

Contractual Status form - Microsoft Word (Rev. 2/2006)

Daily Record Sheet for Hourly Employees - Adobe Acrobat PDF (Rev. 10/2007)

Acceptance Letter Boilerplate - Microsoft Word

Rejection Letter Boilerplate - Microsoft Word

Supplemental Duty Expectations Form- Microsoft Word

Supplemental Duty Hiring- Microsoft Word

Supplemental Position Evaluation- Microsoft Word

Supplement Personnel Evaluation- Microsoft Word

Name/Address Change Form - Microsoft Word

Federal Withholding Form (W-4) - Adobe Acrobat

State Withholding Form (K-4) - Adobe Acrobat

Exclusion Form for Substitute Teachers and Paraeducators - Microsoft Word

PAF / Vacancy Notice (for Principals' use) - Link to online application

KTIP

Resource Teacher Timesheet - Microsoft Excel

RTIY Form - Microsoft Word

TPA IPR Form - Microsoft Word

Intern Performance Record - Microsoft Word

College/University Student Placement Forms

Request for Field Experience Placement - Microsoft Word

Practicum Request Form - Microsoft Word

Student Teaching Cancellation - Microsoft Word

Student Teacher Placements - Microsoft Word

 

Employee benefits

Employee benefits forms and brochures, including the flex spending account reimbursement form, may be found on the employee benefits home page.

Legal

Permission slip general information English: (Word | Acrobat) Spanish: (Word | Acrobat)

Permission slip #1 - Photo, Video, Interview and Web Publication English: (Word | Acrobat) Spanish: (Word | Acrobat)

Permission slip #2 - Parent use English: (Word | Acrobat) Spanish: (Word | Acrobat)

Permission slip #3 - Student work English: (Word | Acrobat) Spanish: (Word | Acrobat)

Permission slip #4 - Transportation English: (Word | Acrobat) Spanish: (Word | Acrobat)

Harassment / Discrimination Complaint Procedure with forms

Gifted / Talented Services

Parental Response Form - Adobe Acrobat PDF

Student Services Plan - Adobe Acrobat PDF (revised 8/28/03)

Monitoring Report for Gifted/Talented Student Services Plan - Adobe Acrobat PDF

ESL

ESL Handbook - Adobe Acrobat PDF

Risk Management / Safety

Reports and forms are available on the Risk Management and Safety home page.

SBDM / Equity

Notice of special SBDM meeting - Microsoft Word

DPP (Department of Pupil Personnel)

Also see Out-of-Area Requests for information and procedures.

2006-2007 Child Care Verification - Adobe Acrobat

Educational Enhancement Opportunity Request Forms - Adobe Acrobat

Release of Information to Military Recruiters (Opt-Out Form) English: (Word | Acrobat) Spanish: (Word | Acrobat)

Request for Extension of Parent Notes (Word | Acrobat)

KECSAC / 504

A1 - Referral for 504 Assistance - Microsoft Word

A2 - Notice of Conference - Microsoft Word

A3 - Student and Parental Rights - Microsoft Word

A4 - Parental Consent for Initial 504 Evaluation - Microsoft Word

A5 - Evaluation Summary - Microsoft Word

A6 - Physical Questionnaire for Medical Concerns - Microsoft Word

A7 - Conference Summary Report - Microsoft Word

A8 - Eligibility Determination - Microsoft Word

A9 - Accommodation Plan - Microsoft Word

A10 - Documentation of Manifestation Determination - Microsoft Word

A11 - Teacher Survey for Re Evaluation - Microsoft Word

A12 - Exit Form - Microsoft Word

A13 - Communication Plan - Microsoft Word

A14 - Transition Conference Report - Microsoft Word

Student Support Services

Application for Home/Hospital Instruction (Word | Acrobat)