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Counseling Release Forms

School Counseling Release Form-English (PDF)

School Counseling Release Form-Spanish (PDF)

IEP/Medi-Cal Billing Parent Consent Form

Parent Consent to Bill Medi-Cal-English (PDF)

Parent Consent to Bill Medi-Cal-Spanish (PDF)

Medi-Cal Billing Assessment Forms

These forms to be used by the School Counselor, School Psychologist and Speech Therapist

IEP Direct COUNSELING Services Form (XLSX)

Psychological Assessment Form (XLSX)

IEP Driven Direct Health Services Log (XLSX)

Nurse Assessment Form (XLSX)

TCM Encounter Log (XLSX)

Transportation Services Form (XLSX)

IEP Direct SPEECH Services Form.8.2017.xls (XLS)

SPEECH ASSESSMENTS.8.2017.xls (XLS)

SDC Referral Forms

SDC Packet-Documentation of Interventions (PDF)

SDC District Referral (PDF)

Special Education

Manifestation Determination Findings (PDF)

Sp Ed Transportation Request Form (PDF)

SBAC Usability Form (PDF)

CAASP Testing Tools and Support Matrix (PDF)

Staff Use Forms

Enrollment Forms

Registration Form-English (PDF)

Registration Form-Spanish (PDF)

Request for Student Records (PDF)

Field Trip Request

Field Trip Request Form (PDF)

Field Trip Required Forms Checklist (PDF)

Field Trip Forms for Students & Parents

Field Trip Request_Med Authorization form_ENG_EOP stmt UE.pdf (PDF)

Field Trip Request_Med Authorization form_SPAN_EOP stmt UE.pdf (PDF)

Field Trip_Adult Medical Authorization-English (PDF)

Field Trip_Adult Medical Authorization-Spanish (PDF)

Independent Home Study Forms

Ind Study-Is it right for me-English (PDF)

Ind Study-Is it right for me-Spanish (PDF)

Ind Home Study Program Entry Form-English (PDF)

Ind Home Study Program Entry Form-Spanish (PDF)

Ind Home Study Goals and Objectives-English (PDF)

Ind Home Study Goals and Objectives-Spanish (PDF)

Ind Study Master Agreement-English (PDF)

Ind Study Master Agreement-Spanish (PDF)

Ind Home Study Instructional Material Agreement-English (PDF)

Ind Home Study Instructional Material Agreement-Spanish (PDF)

Ind Home Study Assignment Record-English (PDF)

Ind Home Study Assignment Record-Spanish (PDF)

Ind Home Study Attendance Credit Report-English (PDF)

Ind Home Study Attendance Credit Report-Spanish (PDF)

Misc. Forms

Complaints Concerning Dist Employees Form-English (PDF)

Complaints Concerning Dist Employees Form-Spanish (PDF)

Complaints Concerning Dist Employees-AR and BP 1312.1-English (PDF)

Complaints Concerning Dist Employees-AR and BP 1312.1-Spanish (PDF)

Donation Form-English (PDF)

Donation Form-Spanish (PDF)

In-House Employment Application (PDF)

Use of Facilities Form-English (PDF)

Use of Facilities Form-Spanish (PDF)

Internet and Technology Use Form-English (PDF)

Internet and Technology Use Form-Spanish (PDF)

Training Credit Request Form (PDF)

Volunteer Registration Packet-English (PDF)

Volunteer Registration Packet-Spanish (PDF)

Meeting Sign-In Sheet (PDF)

Staff Evaluation

Certificated Evaluation Form (PDF)

Classified Evaluation Form (PDF)

Employee Improvement Plan Form-Page 1 (PDF)

Employee Improvement Plan Form-Page 2 (PDF)

Grievance

Grievance Form (DOCX)

Teachers! Pay for your meals online! Select the link below.

Pay for your meals online!

Misc. Student Related Forms

Academic Action Plan-English (PDF)

Academic Action Plan-Spanish (PDF)

CDS Administrative Placement Checklist (PDF)

CDS Administrative Placement Contract (PDF)

Child Abuse Reporting Form (DOC)

Reclassification Checklist-All Grades (PDF)

Reclassification Letter-English (PDF)

Reclassification Letter-Spanish (PDF)

Grade Promotion Agreement-English (PDF)

Grade Promotion Agreement-Spanish (PDF)

Media Opt-Out Form-Eng.pdf (PDF)

Media Opt-Out Form-Span.pdf (PDF)

Retention Notification Form-English (PDF)

Retention Notification Form-Spanish (PDF)

Kindergarten Continuance Agreement-English (PDF)

Kindergarten Continuance Agreement-Spanish (PDF)

Student Accident Reporting Form-English (PDF)

Student Accident Reporting Form-Spanish (PDF)

Reimbursement Forms

Conference_Workshop REIMBURSEMENT Claim as of 1-1-19 (PDF)

Meals and Mileage Reimbursement Rates_Rvsd 1-1-19 (PDF)

Mileage Claim_Rvsd 1-1-19 (PDF)

Supplies and Materials REIMBURSEMENT Form (PDF)

Request Forms

Request to attend Conference_Workshop Rvsd as of Jan 2019 (PDF)

Leave Request Form (PDF)

Maintenance Work Request Form (PDF)

Supplies and Materials Order Form (PDF)

Student Attendance Verification Forms

Hourly Attendance Form for Multi-Hour Sessions (Sat School).pdf (PDF)

Hourly Attendance Form for One Hour Sessions-After School Tutoring.pdf (PDF)

Period Attendance Validation Form (PDF)

Time Sheets & Extra Pay Request

Pay Request-Extra Duty (PDF)

Pay Request-Sports and Activities (PDF)

Timesheet_rvsd 2018.pdf (PDF)

Transportation Time Sheet (PDF)

Transportation Forms

School Bus Student Referral (PDF)

Transportation Time Sheet (PDF)

NCSIG Insurance Claim Forms

NCSIG Claims Instructions.pdf (PDF)

Accident Injury Report 2018.pdf (PDF)

Claim for Injury or Dmg ENG 2018.pdf (PDF)

Claim for Injury or Dmg Spanish 2018.pdf (PDF)

Property Loss Report 18.pdf (PDF)

Vehicle Accident Report 18.pdf (PDF)

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