DISTRICT FORMS

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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10 Day Drop to Court Referral

10 Day Notice of Birth Certificate
10 Day Notice of Birth Certificate (Spanish)

504 Forms

504 Training Powerpoint

506 Form.pdf

A

Absence Form Teacher/Administrator

Absence Request Form

Acceptable Use Agreement

Administrator/Teacher Job Application

After Interview Checklist

Application for Educational Financial Assistance

Approval for Display of Advertising

Association Leave Form

Athletic Participation Consent and Liability Disclosure

Athletic Preparticipation Physical Evaluation Form

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B

Benefit Election Form

Benefit Percentage Estimates 2014

Benefit Plan Booklet

Birth Certificate 10 Day Notice

Boundary Change Form

Building Access Form

Building Use Contract

Building Use Insurance

Building Use Procedures

Building Use Fees

Building Use Supervisor Waiver Form

Bus Driver Job Application

 

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C

Cash Analysis Form

Cash Receipts Deposit Form

Chart of Accounts

Classified Job Application

Classified Contract Time Sheet (Electonic Version)
Classified Contract Time Sheet

Classified Transportation Time Sheet

Computer Checkout Form

Conference In-Service Registration Form.pdf
Conference In-Service Registration Form.doc

Connections Registration Form

Court Referral Checklist

Credit Cards (See Purchasing Cards)

Custodial/Maintenance Job Application

Custody Issues in Schools-FAQ

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D

Dental Insurance Summary
Dental Insurance Rates
Dental Enrollment Form

Dependent Care Claim Form

Diabetes Plan

Direct Deposit

Donation, Contribution, or Sponsorship Form

Donation Request Form (electronic version)
Donation Request Form (print version)

Dual Enrollment Form

Drug Free Workplace Pamphlet

Drug Testing Consent Form

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E

Educational Financial Assistance - Application
Educational Financial Assistance - Direct Pay Request and Agreement
Educational Financial Assistance - Reimbursement Request

Elementary Student Withdrawal Form

Email Access Form

Emergency Prep Guide

Emergency Procedures Manual
Emergency Procedures Manual (Spanish)

End of Employment Checklist

EVALUATIONS
Counselor

Food Service Worker
Media
High School Media Specialist
Office Personnel
School Nurse
Transportation and Maintenance
Teaching Assistants

Teacher Formative Evaluation Tools
Teacher Self-Assessment Worksheet
Parent Survey of Teacher
Administrator Survey of Teacher

Building Administrator Evaluation Tools
Building Admin. Self-Assessment Worksheet
Parent Survey of Building Admin.
Staff Survey of Building Admin.
Building Admin. Evaluation Form

District Director/Instructional Coordinator Evaluation Tools
District Director/Instructional Coordinator Self-Assessment Worksheet
Staff Survey of District Director/Instructional Coordinator
District Director/Instructional Coordinator Evaluation Form

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F

FAQ-Custody Issues in Schools

Fee Waiver Form

Flex Spending Claim Form

Fire Prevention Safety Record Keeping (Fire Drill Form)

FMLA Request for Medical Certification

Foreign Exchange Document

Free & Reduced Lunch
Free & Reduced Lunch In Spanish

Foundation Funding Proposal
Foundation Funding Proposal.pdf

Foundation Funding Proposal PowerPoint

FUNDRAISING FORMS
School Sponsored Activities
Financial Summary for Fundraising Including Camps & Clinics
Off-Campus District-Sponsored Activity - Disclosure Statement
Athletics and Activities Annual Financial Acknowledgement
Donation, Contribution, or Sponsorship Form

Private and Non-School-Sponsored Activities and Fundraising
Disclosure Statement - Employee Involvement in Non District Sponsored - Indepent or Self Employed
Disclosure Statement - Employee Involvement in Non District Sponsored - Employee of an Outside Sponsor
Non-Sponsored Activities Parent Notification and Release of Liability

Fundraising Request Form

G

GRAMA Request Form

Guardianship (Out-of-State)

Guardianship (In-State)

Group Dental Enrollment Form

H

Handling Suspicious Mail and Packages

Hartford Life Insurance Form

HIPPA Release

Home Language Survey Form
Home Language Survey Form (Spanish)

Home School Form

Hotel/Motel Pre-Payment Form

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I

ID Authorization Form

Immunization - Personnel Information (Employee)
Immunization - Voluntary Decline of Vaccinations (Employee)

In Lieu of Transportation Application

In Lieu of Transportation Voucher

In-State Guardianship Forms

Indian Education 506 Form

In-Service/Conference Registration Form.pdf
In-Service/Conference Registration Form.doc

In-State Overnight Superintendent's Approval (Form A - Student)

In-State Travel Voucher

In-State Travel Request for Program Director's Approval (Employee)

Insurance Rates PEHP 15.85%
Insurance Rates PEHP 20.85%

Insurance Rates PEHP-Summit 15.85%
Insurance Rates PEHP-Summit 20.85%

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J

JPAS Professional Development Materials

JPAS Orientation Power Point

K

Key Authorization Form

L

Lane Change Application

Letter of Intent 2014-2015

Letters of Intent Summary 2014-2015

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M

Maeser Training Center Building Use Form

Maintenance/Custodial Job Application

MEDICAL FORMS FOR STUDENTS
7th Grade Immunization Requirements
7th Grade Immunization Requirements (Spanish)
Asthma Administration
Asthma Administration (Spanish)
Athletic Preparticipation Physical Examination Form
Diabetes Plan
Diabetes Monitoring Log
Epinephrine Authorization Form
Epinephrine Authorization Form (Spanish)
Glucagon Authorization Form
Glucagon Authorization Form (Spanish)
Health Care Plan Forms
Medical Statement to Request Special Meals, Accommodations, and Milk Substitutes
Medical Statement to Request Special Meals, Accommodations, and Milk Substitutes (Spanish)
Medication In Schools Form
Medication in Schools Form (Spanish)
Medication Log (Option 1)
Medication Log (Option 2)
Release of Records
Student Health Information

Medical Enrollment/Change Form

Medical Expense Claim Form

Miscellaneous Voucher.pdf
Miscellaneous Voucher.doc

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N

Name/Address Change

Non-Employee Passenger Permission Form

Notice of Compulsory Education Violation
Notice of Compulsory Education Violation (Spanish)

Notice of Court Referral
Notice of Court Referral (Spanish)

Notice of Habitual Truancy Citation

Notice of Truancy
Notice of Truancy (Spanish)

Notification of Vacancy

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O

Opticare Rates
Opticare Enrollment Form
Opticare Contacts

Out-of-State Guardianship Information

Out-of-State Travel Superintendent's Approval (Form B - Student)

Out-of-State Travel Voucher

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P

Payroll Deduction

Payroll Deduction STOP Form

Permission for Non-Employee in District Car

Piano Procedures

Prevention and Safety Policy Record Keeping (fire drill record)

Professional Experience Report Certified
Professional Experience Report Classified

Purchasing Card Change Form.pdf
Purchasing Card Change Form.doc

Purchasing Card Log

Purchasing Card New Account.pdf
Purchasing Card New Account.doc

Purchasing Card PowerPoint

Purchasing Flow Chart

Purchasing PowerPoint

Purchasing Procedures (District)

Purchasing Procedures (School)

Purchasing Quick Reference

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Q

Quotation Sheet

R

Recreation Center Facilities Use Application

Reference Check Form

Reimbursement - Educational Financial Assistance

Registration Form

Registration Form (Spanish)

Release of Student Records

Request for Superintendent's Approval for 6th, 7th and/or 8th Grade Travel

Request for Transportation Change

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S

Safe School Hearing Notification

Salary Schedules

Sales Tax Exempt Form

School Bus Driver Job Application

MUST COMPLETE ALL FORMS TO APPLY FOR SICK LEAVE:
Sick Leave Bank Application
Sick Leave Bank Physician's Recommendation
FMLA Request for Medical Certification
HIPPA Release

Sick Leave Bank Sign-Up

SIS Access Form.pdf
SIS Access Form.doc

Sole Source Form (electronic version)
Sole Source Form (print version)

STOP Payroll Deduction

Student 506 Forms

Student Acceptable Use Form

Student Accountability Membership Form

Student Health Information

Student Intervention Profile

Student Parent Handbook 14-15

Student Record Handling Guidelines

Student Record Transfer Form

Student Registration Checklist

Student Registration Form

Student Registration Form (Spanish)

Substitute Salaries

Superintendent's Approval for In-State Overnight (Form A - Student)

Superintendent's Approval for Out-of-State Travel (Form B - Student)

Superintendent's Approval for 6th, 7th and/or 8th Grade Travel

Supervisor Request Form to Increase Hours or Change Funding Source

Supplemental Life Insurance

Surplus Handling Guidelines

Surplus Textbook Disposal Procedures

Sweeper (Maintenance/Custodial) Application

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T

Tax Exempt Form

Teacher/Administrator Absence Form

Teacher/Administrator Job Application

Testing Ethics Sign Off Sheet

Threat Assessment Documentation

Threat Assessment Student Interview Form

Threat Assessment Witness Interview Form

Time Sheet Classified Contract

Time Sheet Classified Transportation

Time Sheet Voucher Employee

Total Dental Administrators
TDA Enrollment Form
TDA Rates

Travel Form for Board Approval (Employee Out-of-State)

Travel Form for Program Director's Approval (Employee In-State)

Travel Form for Superintendent's Approval of In-State Overnight Travel (Form A - Student)

Travel Form for Superintendent's Approval of Out-of-State Travel (Form B - Student)

Travel Form for Superintendent's Approval for 6th, 7th and/or 8th Grade Travel

Travel Hotel/Motel Pre-Payment.pdf
Travel Hotel/Motel Pre-Payment.doc

Travel In-Service/Conference Registration.pdf
Travel In-Service/Conference Registration.doc

Travel Request to Take Non-District Employee in a District Vehicle

Travel Voucher In-State

Travel Voucher Out-of-State

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U

UEA Leave Request.pdf
UEA Leave Request.doc

Uintah School Foundation Funding Proposal
Uintah School Foundation Funding Proposal.pdf

Uintah Schools Foundation Funding Proposal PowerPoint

Uintah Online Registration Form

Uintah Recreation Center Facilities Use Application

USBA Flex Medical Claim Form
USBA Dependent Care Form

UT Retirement Enrollment Form

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V

Vision Insurance Enrollment
Vision Insurance Rates
Vision Insurance Contacts

Voluntary Decline of Vaccinations (Employee)

Volunteer Application

Volunteer Background Check Authorization

Volunteer Coach Application

Voucher Employee Time Sheet

W

Waiver of Biometric Screening by PEHP

WELLNESS COUNCIL FORMS
Wellness Waiver Form
Name Release Form
Waiver of Biometric Screening by PEHP
Wellness Verification Form
Healthy Utah First Steps and Good for You
Healthy Utah Improvement Rebate

W-4 Form

W-9 Form

X

Y

Z

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Uintah School District