District Forms

Washington County School District Policy Approved and Sanctioned by the Board of Education.

All District Forms

DOC #	CATEGORY	DOCUMENT
050	000 - 000	Public Comment - Request to Address the Board
096	000 - 000	School Truancy Referral & Request for Juvenile Court Action
122	100 - 100	Workplace Injury Forms
125	100 - 100	Reasonable Suspicion Record
126	100 - 100	Initial Investigation Questions
143	100 - 100	Notice of Supervisory Probationary Period
145	100 - 100	School Leadership Clinical Experience Program
146	100 - 100	Teacher Clinical Experience Application
149	100 - 100	School Counselor Practicum Application
151	100 - 100	Dixie State University S.E.E. Program Participant Agreement
152	100 - 100	Graduate Student Speech-Language Pathologist Application
153	100 - 100	School Psychologist Internship Application
156	100 - 100	Voucher Generation Process Form
157	100 - 100	Staff Training Tracker Sheet
160	100 - 100	Confidentiality Acknowledgement Affidavit and Non-Disclosure Agreement
202	200 - 200	School Building Rental
205	200 - 200	Absence Record
207	200 - 200	Financial Report of all School Funds--Monthly
210	200 - 200	Administrator Absence Report
215	200 - 200	Time & Attendance Report - Individual
216	200 - 200	Teacher Trainer Stipend
218	200 - 200	Time Swipe Correction Request - Kronos
220	200 - 200	Payroll Deduction Cancellation Form
222	200 - 200	Transfer of Funds
232	000 - 000	Hotel Reservation Request for Credit Card
233	200 - 200	Claim Sheet
235	200 - 200	Conflict of Interest and Non-Disclosure Certification
308	300 - 300	Homebound Student Program Contract (Secondary)
309	300 - 300	Homebound Student Weekly Assignment Form
310	300 - 300	Homebound Student Program (Elementary)
313	300 - 300	Student Health Information
313	300 - 300	Student Health Information-Spanish
322	300 - 300	Maturation Program
323	300 - 300	Maturation Program-Spanish
324	300 - 300	Spinal Screening Permission
324	300 - 300	Spinal Screening Permission-Spanish
326	300 - 300	First Aid Supplies Order Form
342	300 - 300	Medication Authorization - Multiple Medications
343	300 - 300	Medication Authorization - Asthma
344	300 - 300	Medication Authorization - Food Allergy & Anaphylaxis Emergency Plan
344	300 - 300	Medication Authorization - Food Allergy & Anaphylaxis Emergency Plan-Spanish
345	300 - 300	Medication Authorization - Epinephrine Auto Injector Authorization Form
350	300 - 300	Medication Administration Guide
351	300 - 300	Medication Authorization - Single Medication
352	300 - 300	Permission to Release Health Records
353	300 - 300	Individual Student Medication Calendar
357	300 - 300	Vision Screening Volunteers Training List
362	300 - 300	Child Abuse Reporting
366	300 - 300	Medical Exclusion Notice for Inadequate Immunizations
367	300 - 300	Medical Exclusion Notice for Vaccine Preventable Disease
368	300 - 300	Exclusion Letter for Communicable Disease
370	300 - 300	Medical Procedure Authorization
371	300 - 300	Exclusion for Illness
372	300 - 300	Exclusion for Illness (ECSE/Millcreek Nursery)
373	300 - 300	373-Chickenpox Exclusion Letter
374	300 - 300	Chickenpox Outbreak Letter
379	300 - 300	Student Medical Release to Return to School Following Surgery/Injury
381	300 - 300	Medication Authorization - Diabetes Medical Management Orders (DMMO)
382	300 - 300	Medication Authorization - Enteral Feeding
383	300 - 300	Food/Beverage Substitution Request Form
384	300 - 300	Media Release Form
405	400 - 400	Request for New Vendor
406	400 - 400	Telephone Quotation Sheet
407	400 - 400	Request for Written Quotation
410	400 - 400	Fundraising Application
411	400 - 400	Modified Graduation Requirement Request
504	500 - 500	Education Adjustment Application
507	500 - 500	Release of Information for Leave Donation Appeal
508	500 - 500	Supplemental Application
512	500 - 500	Application for Family or Medical Leave
513	500 - 500	Leave Donation Release Form
514	500 - 500	Personal Leave Form
515	500 - 500	Association Leave Approval Form
521	500 - 500	Research Project Request
527	500 - 500	Longevity Step Increase
530	500 - 500	Unpaid Absence Request
540	500 - 500	Resignation, Employee
541	500 - 500	Employee Request for Leave of Absence
542	500 - 500	Separation Incentive Application
543	500 - 500	Sabbatical Leave Request
544	500 - 500	Volunteer Orientation and Agreement
545	500 - 500	Request for Overtime/Comp Time
551	500 - 500	Education Adjustment Verification
552	500 - 500	Professional Development Course Approval
553	500 - 500	Reading Endorsement Project-Application
554	500 - 500	Criminal Background Check
555	500 - 500	Anti-Discrimination & Civil Rights Investigation Form
558	500 - 500	Professional Development Plan
559	500 - 500	Professional Development Enrollment Form
561	500 - 500	Keys to Buildings
566	500 - 500	Application, Substitute Bus Driver, Bus Aide, Sub Bus Aide
572	500 - 500	Secondary Principal Evaluation Summary
590	500 - 500	Application for Use of Classified Inservice Funds
601	600 - 600	Title II Funds Request Form
602	600 - 600	Transportation - In Lieu of Application
603	600 - 600	Request to Add or Move Bus Stop
605	600 - 600	Non-resident Choice Application
611	600 - 600	Student Transportation Request for Payment
612	600 - 600	Dual Busing/Joint Custody Form
701	700 - 700	Agreement for Use of Washington County School District Copyright
702	700 - 700	Statement and Acceptance
703	700 - 700	Out-of-State Travel Consent
704	700 - 700	Principal Out-of-State Travel Checklist
705	700 - 700	Employee Travel Request
801	800 - 800	Consent for Release of Student Records - Special Education
802	800 - 800	Record of Access - Special Education
803	800 - 800	Education Meeting Summary - Special Education
804	800 - 800	Additional Locations of Special Education Information - Special Education
805	800 - 800	WCSD File Compliance Checklist - Special Education
806	800 - 800	Procedural Safeguards Checklist - Special Education
807	800 - 800	End of School Year File Transfer - Special Education
808	800 - 800	Transfer of Confidential File - Special Education
809	800 - 800	Consent to Invite Outside Agency - Special Education
810	800 - 800	Parent Authorization for School Psychologist Services
811	800 - 800	Classroom Behavior Observation
812	800 - 800	Access to Student Records - Special Education
813	800 - 800	SLD RTI/Alternative Patterns of Strengths and Weaknesses Model
814	800 - 800	Request for School Psychologist
815	800 - 800	Initial Evaluation Procedure Checklist - Special Education
816	800 - 800	Reevaluation Procedure Checklist - Special Education
817	800 - 800	Exit Procedure Checklist - Special Education
818	800 - 800	SLD Patterns of Strengths and Weaknesses
819	800 - 800	SLD Patterns of Strengths and Weaknesses Evidence Guide for Teachers
820	800 - 800	Vision Symptoms Questionnaire
821	800 - 800	WCSD Intervention Documentation Form
822	000 - 000	Medical History Information - Special Education
822	800 - 800	Medical History Information - Special Education
823	800 - 800	Developmental History - Special Education
824	800 - 800	Medical History/Developmental - Special Education
825	000 - 000	Medical History Form - Special Education
825	800 - 800	Medical History Form - Special Education
901	900 - 900	Student Registration
902	900 - 900	Compulsory Attendance Exemption Certificate for Home School Instruction
904	900 - 900	Credit by Examination
905	900 - 900	College Credit Contract
906	900 - 900	Professional Development Calendar Update
911	900 - 900	Student Retention
912	900 - 900	Planned Course Statement
913	900 - 900	Activity Disclosure Statement
917	900 - 900	Release of Records
918	900 - 900	Conduct Statement
918	900 - 900	Conduct Statement-Spanish
930	900 - 900	Elementary School Counseling Referral
933	900 - 900	Work-Based Learning - Student Application
934	900 - 900	Work-Based Learning - Student Commitment
935	900 - 900	Work-Based Learning - Worksite Agreement
936	900 - 900	Work-Based Learning - Release Form
937	900 - 900	Work-Based Learning - Transportation
938	900 - 900	Work-Based Learning - Time Sheet
939	900 - 900	Job Shadowing Agreement/Evaluation
940	900 - 900	Parental Permission to Review/Obtain Personal Info-Privacy in Testing
941	900 - 900	Review of Educational Materials-Request
942	900 - 900	Work-Based Learning - Student Evaluation
943	900 - 900	Human Sexuality/Sex Education Consent Form
950	900 - 900	UHSAA/WCSD 150-Mile Contest Approval Form.pdf
950	900 - 900	UHSAA/WCSD 150-Mile Contest Approval Form.doc
955	900 - 900	Student Acceleration Form
956	900 - 900	Independent Study/Home Release
957	900 - 900	Lunch Money Donation
960	900 - 900	Internship Work Site Safety Agreement
1014	1000 - 1000	Field Trip Permission Form
1024	1000 - 1000	Driver Preference App.-Closed Bid
1029	1000 - 1000	Textbook Reuse
1032	1000 - 1000	Medical Request for Special Meals
1105	1000 - 1000	Construction Projects-Changes Additions, or Donated
1111	1000 - 1000	Textbook Inventory
1113	1000 - 1000	Painting List
1120	1000 - 1000	Application for Student Club
1125	1000 - 1000	Parental Consent Form for Student Participation in School Clubs
150A	100 - 100	Student Teacher Employment Program (STEP) Application
150B	100 - 100	School Counselor Internship Clinical Experience Application - Full Year
150C	100 - 100	School Counselor Clinical Internship Experience Program Application - Partial Year
150D	100 - 100	School Leadership Clinical Experience Program Application
150E	100 - 100	Student Teacher Employment Program (STEP) Application - Partial Year
1520	1000 - 1000	Injury Report Flow Chart
202A	200 - 200	Request for Use of School Facilities Agreement
202B	200 - 200	Facility Rental Fees
210A	200 - 200	Employee Absence Report
232A	200 - 200	Hotel Reservation - Direct Bill
232B	200 - 200	Hotel Reservation - Credit Card
402B	400 - 400	Inventory Report - Deletion
402E	400 - 400	Inventory Report - Transfer/Correction
402T	400 - 400	Inventory Report - Transfer/Delete (Technology) Form
5001	5000 - Other	Business Documentation Form - Charitable Fundraisers & Scholarships
5006	5000 - Other	Business Documentation Form - Meals
5009	5000 - Other	Business Documentation Form - Rewards & Recognitions
5014	5000 - Other	Safe & Drug-Free Schools Reporting For
5015	5000 - Other	CPS-Child Abuse and Neglect
5016	5000 - Other	CPS-Support Person
5017	5000 - Other	CPS-Check-in Form
5018	5000 - Other	UDH-Asthma Action Plan, Medication Authorization & Self-Administration Form
5019	5000 - Other	UDH-Diabetes Medication Management Orders
5020	5000 - Other	UDH-Visual Acuity Screening Letter
5021	5000 - Other	UDH-Visual Acuity Screening Letter - Spanish
5023	5000 - Other	Business Documentation Form - Fundraisers for School Activities & Programs
5024	5000 - Other	Cash Count Form
5025	5000 - Other	Checks Received By Mail
359-A	300 - 300	Medical Vision Screening Referral
359-C	300 - 300	Medical Vision Screening Referral-Spanish
385-A	300 - 300	Student / Parent Computing Device Agreement - English
385-B	300 - 300	Acuerdo de Estudiante/Padre de familia para uso de dispositivo de computadora - (Español)
A202A	000 - 000	Request for Use of School Facilities Agreement