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Form Description |
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ACTIVITY FUND
FORMS |
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BUILDING &
EQUIPMENT FORMS |
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BUSINESS OFFICE
FORMS |
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CURRICULUM FORMS |
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NURSE
FORMS |
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PAYROLL FORMS |
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PERSONNEL FORMS |
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RISK MANAGEMENT
FORMS |
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STUDENT RELATED
FORMS |
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OTHER MISC. FORMS |
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ACTIVITY
FUND FORMS |
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Activity
Fund Yearly Budget
Yearly
Amended Budget for Approved Sub-Accounts in the
Activity Fund |
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Activity Fund Purchase Request
Request
for Purchase Order or Request for Payment for
Existing Purchase Order |
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Activity
Fund New Account Request Form
Request
for a New Activity Fund Sub-Account |
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Request
for AF Cash Advance
To be used by Teacher/Sponsor when receiving check for trip
expenses etc. |
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BUILDING &
EQUIPMENT FORMS |
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Application
for Use of School Buildings
To be used by organizations wishing to use the Public Schools
Facilities. Policies
and procedures for use of School Buildings |
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Computer
and Equipment Checkout
To filled out by employees when checking out computer
equipment before equipment is taken from the site. |
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Inventory
Form To be used to
list inventory at each site. |
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Equipment Loan Form
Employees
Who Check Out Equipment for Use at Home |
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BUSINESS OFFICE
FORMS |
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Assumption
of Responsibility
To be used when an inappropriate business transaction has occurred. |
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Budget Authorization Request
Use when requesting a change in the current approved
budget. Use always with a change in payroll costs, even
if budget does not increase. |
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Budget Worksheet Form
Form
for Budget Purposes, by Object and Function.
Original Budget and Revised are to be Submitted
to the Financial Department ** LANDSCAPE PRINT
FORMAT ** |
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Copy
Center Request Form To be
filled when requesting copies to be made at the Central
Office Copy Center. |
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Fee
& Expense Claim (Non-school employee)
To be used for an individual who has performed a service for
our school district (ex. speaker, presenter). |
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General
Fund Purchase Request Form
Request
a Purchase or Service from the General Fund (Instructional
Money), Building Fund or Gifts & Endowment
Fund. ** MUST BE PRINTED ON PINK PAPER
AND IN LANDSCAPE PRINT FORMAT ** |
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Local Travel Mileage Claim Form
Request
Reimbursement for In-District Travel.
** YOU MUST HAVE A PRE-APPROVED PO FOR RE-IMBURSEMENT
**
SITE TO SITE
MILEAGE CHART Use to
calculate mileage between school sites and other common
destinations
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Non-Itemized
Meal Reimbursement To
be used when claiming meal reimbursement and the ticket has
not been itemized. Attach receipt ticket to this form. |
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Non-School
Employee Only To be used when using a
non-school employee for services such as: sports officials,
speakers, security guards, etc. This form needs to be
turned into the central office.
All contract labor should receive a W-9 in addition to this
form.
W-9
Form |
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Request
For Partial Payment Use
when requesting payment from a blanket purchase order, or when
you will need to leave purchase order open for back-order,
etc. |
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Request
for Purchase Order Increase/Decrease
Use
when requesting an increase for a purchase order over
25% of the original amount. (not to exceed $3000) |
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Request
for Vacation/Personal Leave
To be used for personnel requesting vacation or personal
leave. Present to immediate supervisor for approval. |
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Travel Claim Form
Travel
Re-Imbursement of Employees for Out-of-District
Expenses
Travel
Reimbursement Guide |
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Travel
Request Form
MUST BE FILLED OUT ON GREEN PAPER! To be filled
out any time an employee will be absent from their site for
school business. (even if there will
be no reimbursement) |
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NURSE
FORMS |
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Immunization
Letter - Personal |
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Medicaid
Counseling
Services Documentation |
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Medicaid
Documentation
of Speech Language Therapy Services |
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Medicaid
Nursing Services Documentation |
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Medicaid
Occupational Therapy Services |
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Medicaid
Paraprofessional Personal Care Assistant (PCA) Documentation
Chart |
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Medicaid
Physical Therapy |
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Medicaid
School
Psychological Services Documentation |
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Medicaid
Targeted Case Management Documentation Form |
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Parent
Authorization for Prescription Medication |
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PAYROLL FORMS |
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Payroll
Close-Out and Delivery Dates 2004-2005 |
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Authorization
to Release Pay Check
Use
When Someone Other than the Employee will be
Picking up their Paycheck |
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Comp
Time Consent Form To
be used when overtime will be used in comp hours rather than
overtime pay. |
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Direct
Deposit Authorization To be used by
employee wanting to have their check direct deposited in their
bank account. |
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Emergency Leave Form
Employee
Absence Due to a Personal Emergency |
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Funeral
Leave Form
To be used for an employee who is absent due to the death of a
family member. |
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Non-Contract Extra Duty Request
The Non-Contract Extra Duty Form is designed
to streamline the information that is required for Board
approval of certain extra duties, both for certified and support
staff (i.e. curriculum work (indicate
type), enrollment, athletic duties, before or after school
tutoring, performance assessments, homebound/homebased,
etc. This form should also be used for any stipends to be paid
for facilitators, prep time, attending workshops, administering
testing, etc. When completing
the form, please be specific with the name of the extra duty and
the project code that is to be charged. |
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Payroll
Recap - Support
or
Payroll Recap - Certified. To be used
monthly for each department to recapture employees work log
for the previous month. This
form must be printed on landscape format. Legal size
paper. |
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Request for Approval of
Overtime To be used when
an employee expects to work overtime. |
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Request
for Vacation/Personal Leave
To be used for personnel requesting vacation or personal
leave. Present to immediate supervisor for approval. |
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Substitute's
Monthly Time Report
To be filled out weekly by the site secretary. |
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W-4
Employee's Withholding Allowance
Certificate
To
be used by employees for Federal Tax Withholding. |
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PERSONNEL FORMS |
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Certified
Interview Statement
To be used by Principal/Supervisor when interviewing an
applicant for an open position. |
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Clearance
Slip To be
filled out by teachers at the end of the school year and
turned into their principal. |
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Employee Personal Information Change Form
To be used when an employee has a change in status that could
impact her/his payroll/personnel records. |
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Evaluation
Record
To be used by Principal for annual teacher evaluation. |
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Request
for Transfer - Certified To be used by
certified staff when wanting to move from one site to another. |
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Request
for Transfer - Support To be used by
support staff when wanting to move from one site to
another. |
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Substitute
Evaluation
To be filled out by the regular teacher. |
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Substitute's
Report to the Regular Teacher
To be filled in by the substitute during the day they
substitute. |
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Support
Evaluation To be used by
Supervisors to evaluate support personnel they are responsible
for. |
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Support
Interview Statement To
be filled out by Principal./Supervisor after interviewing a
prospective employee |
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RISK MANAGEMENT
FORMS |
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Employee's Report of Injury on the Job
To be filled out by employee who
has had an accident. |
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Report of Occupational Injury or Illness To be filled
out by supervisor of the employee who had the accident. |
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Witness/Co-Workers Statement
To be filled out by a witness of an
employee's accident. |
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Authorization for Disclosure of Protected
Health Information
To be filled out by employee
authorizing disclosure of health information. |
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Asbestos
Sign-In Log and Visitor's Log
To be used for workers and visitors in buildings that have
been identified as having asbestos. |
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Blood
Borne Pathogens Exposure Control Plan
(Employer Referral) To be used when an employee is being referred for testing. |
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Blood
Borne Pathogens Exposure Control Plan (report to Employer
To be used by an employee to report exposure to Blood borne pathogens. |
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Fire
& Tornado Drill Schedule
To be filled out each time there is a fire/tornado drill and
turned into Bret Smith. |
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STUDENT RELATED
FORMS |
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Accident Report Form
To
Report an Accident of a School Student |
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Athletic
Physical Form To be used for
students participating in school athletic programs. Filled out
by a physician, physician's assistant or ARNP. |
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Student Behavior Referral
Disciplinary
Action of a Student |
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Driver's
Ed Form
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Documentation of driver education course
completion |
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Emergency
Health Care Information
To be used for Special Needs Students who will be riding the
bus. |
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Home
Language Survey
To be used for students that speak another language other than
English
Home
Language Instructions Sheet
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Medication
Authorization
To be filled out by Parent/Guardian, Health Care
Provider for medication brought to
school.
Medication
Record Log Sheet To be used by
school keeping track of administering medication
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Parent Permission Form
To
be Used for Students Participating in Any Off-Site
School Event |
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Pre-Enrollment
Returning Elementary To be used for students planning to
return to the same school in the following school year. |
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Retention
Form
To be used by the school when a student is being recommended
for retention. |
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Suspension Forms
Notice of Administrative Action
Notice of Out-of-School Suspension and Right to Suspension
Conference
Notice of Suspension Review Committee Meeting
Suspension Review Committee Memorandum
Individualized Plan for Out-of-School Suspension |
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CURRICULUM |
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Conoco Philips Grant |
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Curriculum Proposal Guidelines |
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Summer School
Petition |
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OTHER MISC. FORMS |
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Booster
Club Agreement Letter
To be used by booster club and/or parent organizations wishing
to operate independently from the Ponca City Public Schools
for fund raising projects. |
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Citizen's Request for Review of Library
And/Or Instructional Materials
For
Use by Citizen Who Takes Issue with Library/or
Instructional Materials |
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