Forms

Forms

Title Description DeptID Filename SubmittedBy Uploaded
MW 507 Employee's Maryland Withholding Exemption Certificate Use form to change or to add the number of exemptions for Maryland Income Tax to deduct from your salary. Finance and Business bfm/2017_mw507.pdf Elizabeth Miller 2017-01-03 12:00:00
VA-4 Virginia Income Tax Withholding Exemption Certificate Use form to change or to add the number of exemptions for Virginia Income Tax to deduct from your salary. Office of Fiscal Services bfm/2016 VA-4taxform.pdf Elizabeth Miller 2016-10-28 12:00:00
W-4 Federal Withholding Form Form to change Federal withholding exemptions. Finance and Business bfm/2019_W-4.pdf Theresa McPherson 2019-05-13 12:00:00
Request to Transfer Expenses To Another Account Form to request transfer of expenses from one account to another Finance and Business bfm/adjentryrequest.doc Elizabeth Miller 2017-05-08 12:00:00
Request for Budget Change Request for budget change for the current fiscal year. Finance and Business bfm/BudgetChange.xlsm Elizabeth Miller 2015-01-09 12:00:00
CCPS Agreement for Contracts under $1,000 One page agreement to vendors for services under $1,000. Keep a copy in your files. Finance and Business bfm/CCPSOnePageICA-Revised080119.pdf Eleanor Foddrell 2019-04-02 12:00:00
Payroll - Leave Form For Certificated Staff Leave form for Certificated Staff. Use this form to submit request for Annual Leave, Sick Leave, Funeral Leave, etc. Form was revised November 2016. Office of Fiscal Services bfm/LeaveRequest_Certificated.doc Elizabeth Miller 2016-11-17 12:00:00
CIMS Access Request Form Form to get access to financial and employee information. This form must be filled out and signed by employee's supervisor and submitted to Accounting Manager. Accounting Manager will review request, adjust access for employee's position and forward to Data Processing. DP will give employee access to CIMS. Finance & Business bfm/CIMS_EMS-FMS Access form.xls Elizabeth Miller 2015-01-09 12:00:00
Contractor Invoice for Time Worked Use this form for security officers to send time worked. Invoice number should contain month-first date and last date worked on sheet plus the four digit year (October 1-30 2009). Finance and Business bfm/Contractor-time-worked.xls Elizabeth Miller 2015-01-09 12:00:00
DC D-4 Withholding Allowance Certificate Use form to change or to add the number of exemptions for District of Columbia Income Tax to deduct from your salary. Finance and Business bfm/2015_D4.pdf Elizabeth Miller 2015-01-09 12:00:00
Deposit Summary Form - Central Office Form to fill out for deposit of weekly money received from outside sources Finance and Business bfm/DepositSummaryForm-CentralOffice.xls Elizabeth Miller 2015-01-09 12:00:00
Payroll - Direct Deposit Form Form to fill out to request and change direct deposit information. Along with form, submit a voided or cancelled check from your account, if available. Takes at least one payroll for direct deposit to take effect. Direct Deposit is available to all employees. Finance and Budget bfm/DirectDepositAuthorization.doc Elizabeth Miller 2015-09-24 12:00:00
Emergency Purchase Authorization Form This form must be submitted along with purchase order requisition for all emergency purchases. Finance and Business bfm/EmergencyPurchase.pdf Eleanor Foddrell 2019-08-06 12:00:00
Food Service Leave Report This form is used in each school to record the weekly Food Service staff attendance. The Food Service manager must submit the completed form to the financial secretary every Friday and retain a copy for his/her records. 1 bfm/foodserviceleaveform.xls 2005-12-05 00:00:00
Grant Amendment Request Form To request a grant (restricted funds only) changes Finance and Business bfm/GrantAmendmentRequestForm.xls Elizabeth Miller 2015-01-09 12:00:00
Payroll - Hourly/Daily/Contract Time Sheet with Description This timesheet replaces the stipend form. Use time sheet to pay employees who work on an hourly, daily or contracted rate of pay. One timesheet per employee. If using the daily rate, days worked must be entered on timesheet. Finance and Business bfm/hourlyDailyContracttimesheetdesc.xls Elizabeth Miller 2014-12-03 12:00:00
Payroll - Hourly Time Sheet with Lunch Time Deducted For employees paid on hourly basis where lunch is not included in the pay. Enter time in and time out followed by AM or PM. Finance and Business bfm/hourlytimesheet-L.xls Elizabeth Miller 2006-03-22 00:00:00
Payroll - Guidance Summer Coverage Payroll Information Guidance Summer Coverage Payroll Information. Payroll Finance and Business bfm/hourlytimesheet.xls Elizabeth Miller 2008-08-28 00:00:00
Payroll - Hourly Time Sheet Can be used for any hourly employee. Time sheet will calculate time worked if PM and AM are entered with the beginning and ending time. Finance and Business bfm/hourlytimesheet.xls Elizabeth Miller 2014-12-03 12:00:00
Payroll - Hourly Time Sheet with Description of Activity Use this form to pay hourly staff. Can be used to pay stipend. A description of the activity to be paid can be listed for each day worked. Finance and Business bfm/hourlytimesheetdesc.xls Elizabeth Miller 2014-12-03 12:00:00
Maryland Tax Codes Maryland tax codes used on paychecks for married and single taxes by county. Finance and Business bfm/Mdcountycodes.xls Elizabeth Miller 2014-12-03 19:00:00
Request for New Vendor Request to add a vendor name to the Vendor file. This form requires answering conflict of interest question between company/individual and CCPS, amount of annual amount, and will company/individual interate directly with students. . If the company will provide a service,then a contract between the company and CCPS must be initiated and submitted with this form. Send completed form to Accounting. If there is any informaiton that is not filled out or provided , this ommision may delay the process. Finance and Business bfm/NewVendorForm-2016.doc Elizabeth Miller 2013-12-18 19:00:00
Payroll - Report of Overtime Hours for Classified Employees Report of Overtime Hours for Classified Employees. Payroll Finance and Business bfm/overtime-hourlytimesheet.xls Elizabeth Miller 2013-10-22 19:00:00
Payroll - Multiple Payroll Request in Please Pay Format Payroll Request to pay multiple people with same job description (teachers, instructional aids, etc.), Excel spreadsheet. Finance and Business bfm/PayrollStipendMultiple1.xls Elizabeth Miller 2014-12-03 19:00:00
Please Pay Spreadsheet This is a spreadsheet template designed in Excel that can be used as a please pay form. Many sheets can be saved together in one workbook. Same form is also available in Word. Finance and Business bfm/PLEASEPAY.xls Elizabeth Miller 2014-12-03 19:00:00
PUR - Competitive Price Quote This form must be attached to all requisitions with totals between $2,500 and $25,000 Finance and Business bfm/3pricequotesform.pdf Eleanor Foddrell 2019-08-06 19:00:00
PUR - Report of Product Failure This form shall be completed whenever a product fails to meet the standards of your department or a vendorÕs performance is not adequate. 1 bfm/PUR-REPORTOF PRODUCTFAILURE FORM.pdf Elizabeth Miller 2009-04-29 00:00:00
PUR - Warehouse Shortage This form shall be used to report a Warehouse delivery discrepancy. This form shall be faxed to Warehouse Manager at 301-934-7399 to resolve. Finance and Business bfm/WarehouseShortagesForm.pdf Eleanor Foddrell 2019-09-17 12:00:00
PUR - Sole Source This form shall be used when: 1) vendor is the original equipment manufacturer; there are no regional distributors; 2) the parts/equipment are not interchangeable with similar parts of another manufacturer; 3) this is the only equipment that meets the specific needs of CCPS. Finance and Business bfm/SoleSourceFillable11_11_16.pdf 2018-08-27 12:00:00
PUR - Surplus Property Transfer Agreement This agreement shall be used to transfer surplus school system furnishings and/or equipment from the Charles County Public Schools (CCPS) system to another party. Finance and Business bfm/PUR-SURPLUS- PROPERTY-TRANSFER-AGREEMENT.pdf Elizabeth Miller 2015-01-13 12:00:00
PUR - Warehouse Credit This form shall be used when returning an item to the warehouse indicating the reason for the return with the item attached. Finance and Business bfm/WarehouseCreditForm11_11_16Fillable.pdf Eleanor Foddrell 2019-09-24 12:00:00
PUR - Warehouse Request for New Item This form shall be used when requesting a new item to be stored in the Central Warehouse. The request will be evaluated based on need and the final determination will be made by the Procurement Manager. Finance and Business bfm/WarehouseRequestToAddNewItemsFillable.pdf Eleanor Foddrell 2019-09-17 12:00:00
Request for New Purchasing Card Employee This form must be filled out completely and signed by supervisor and department head. Send completed form to Purchasing for processing. Once approved by Purchasing, the employee must have training prior to obtaining purchasing card Finance and Business bfm/PurchaseCardRequest Employee-NewCard 11_11_16Fillable.pdf Eleanor Foddrell 2019-09-12 19:00:00
Purchasing Card - Department Log This log is used with the Departmental card. Accounting prefers that the purchasing card transaction log be submitted instead of department log. The departement log can be used by the school or department to keep track of who has the card at any one time, and also to make sure that if the documentation is not received, that the preparer knows who to ask for the documentation. Finance and Business bfm/PurchasingCard-DepartmentLog.xls Elizabeth Miller 2014-12-03 19:00:00
Purchasing Card - Transaction Log Use this log to fill out the monthly purchasing card transactions. Each entry should have a receipt or other documentation. Documentation should be submitted with the transaction log and a copy kept by the office or school. Log must be completed during the month, reconciled to the purchasing card statement, signed by authorized personnel and sent to the manager for his/her signature and then routed to Accounts Payable for processing. Signoff in Works must be done before submitting log sheet to Accounts Payable. Finance and Business bfm/PurchasingCardTransactionLog.xls Elizabeth Miller 2017-01-05 19:00:00
Payroll - Request W2 Replacement CCPS Employee requesting a W2 Replacement Finance and Business bfm/Req_W2_Replace.doc Elizabeth Miller 2014-12-03 19:00:00
Payroll - Request for Pay Rate Request for Pay Rate Finance and Business bfm/Request_For_Pay_Rate.doc Elizabeth Miller 1969-12-31 19:00:00
Request to Create a PO Teachers can use this form to identify materials they wish to order. Form must be signed by authorizing person and given to a financial secreatary to enter in the AS400 as a Purchase Order Requisition Finance and Business bfm/request_to_create_PO.doc 1969-12-31 19:00:00
Mileage Chart Chart to show distances between schools and centers. Finance and Business bfm/MileageChart2019.pdf Debbie Hale 2019-01-23 19:00:00
Payroll - Substitute Form Substitutes should be coded to General fund (001) for all regular substitutes. Only exception are those substitutes paid out of special grants or funds. Submit this form for time worked for substitutes. Finance and Business bfm/Substitutetimesheet.xls webmaster 2013-10-14 12:00:00
Payroll - Leave Form - Support Staff Leave form for Support Staff. Use this form to submit requests for Annual Leave, Sick Leave, Funeral Leave, etc. This form was revised on November 2016 Do not use any other form to report leave with a different revision date. Office of Fiscal Services bfm/LeaveRequest_Support.doc Elizabeth Miller 2016-11-17 19:00:00
Travel/Conference Guidelines Guidelines for travel and conferences. Guidelines includes a need to have conference form pre-approval for all conferences and high and low conference cities. Finance and Business bfm/TRAVELGUIDELINES.pdf Debbie Hale 2019-01-07 12:00:00
403 (b) & 457 Contacts with MetLife Agent and Insurance Providers Listing of all 403(b), 457, life insurance providers and AFLAC that an employee can use as a payroll deduction. The listing contains agent's name(s), office address, and telephone numbers. Finance and Business bfm/TSAlistingof403band457vendors.pdf Liz Miller 2017-02-23 12:00:00
W-9 Form This form must be completed by the vendor and sent to Accounting before the company can be a Charles County Public School vendor. Accounting will also need a completed Request for New Vendor form. Finance and Business bfm/W9-2015.pdf Elizabeth Miller 2015-02-27 19:00:00
Request for Print Shop Services Revised 11/15/02 this is an acrobat form now instead of a word document. Attach this form to your original to request printing services from the printshop at Central. 2 printshop.pdf 1900-01-01 00:00:00
Proof Read Form for Printshop This form must accompany all documents sent to the printshop. 2 proof.doc 1900-01-01 00:00:00
Video Request Form Fill this form out if you would like an event covered by the CCPS communications department. 2 video_request_form.pdf 1900-01-01 00:00:00
Learning Lesson Plan for Charles County Charles County Lesson Plan. All teachers can use this word document as a template for lesson plans. 3 ccps_Learning_Lesson_Plan.doc 1900-01-01 00:00:00
Request for Catered Meals Use this form to request catered meals for scheduled events from the Central Office Cateteria. 4 request_for_catered_meals.dot 1900-01-01 00:00:00
BCBS - Vision Claim Form Vision Claim Form Claims for Glasses and Exams 5 BCBS_Vision_Claim_Form.PDF 2011-07-12 00:00:00
APE Proposed Goals Used for Non Special Ed students 10 sef/APE_Proposed_Goals.doc 1969-12-31 19:00:00
Assessment Report Assessment Report - all 4 pages 10 sef/assessment0707.doc 1969-12-31 19:00:00
Assisting Technology Referral Assistive Technology Referral Form 10 sef/Assistive.doc 1969-12-31 19:00:00
Autism Referral Form used to request assessment and/or instructional or behavioral support. 10 sef/AutismReferral.docx 2009-08-27 00:00:00
Behavior Management Referral Referral for Behavior Management 10 sef/BehaviorManagementReferralSE124.doc 1969-12-31 19:00:00
Consent for Release of Records Consent for Release of Educational, School, Health Records 10 sef/consentreleaseofrecords.doc 1969-12-31 19:00:00
Contact Log Telephone / Contact Log 10 sef/contactlogform.doc 1969-12-31 19:00:00
Cover Letter for IEP Meetings This form may be used with other correspondence as well 10 sef/CoverLetterforIEPMtgs.doc 1969-12-31 19:00:00
Data Collection Matrix Data Collection 10 sef/DataCollection.doc 1969-12-31 19:00:00
EA Monthly Totals Excel worksheet with formulas for data entry of point system 10 sef/EA_Monthly_totals.xls 1969-12-31 19:00:00
EA Application for Mainstream Review EA Document for Application for Mainstream 10 sef/EA_Application_for_Mainstream_Review.doc 1969-12-31 19:00:00
EA Intake Form EA Program 10 sef/EA_Behavior_Intake.doc 2012-12-10 00:00:00
EA Case Management Summary EA Program 10 sef/EA_Case_Management_Summary.doc 1969-12-31 19:00:00
EA Daily Log for the Month EA daily log sheet for the month 10 sef/EA_dailylog.doc 1969-12-31 19:00:00
EA Home School Report for ES &MS Form used in the EA Program for ES & MS Home / School Report 10 sef/EA_ESandMSReport.doc 1969-12-31 19:00:00
EA Home School Report for HS EA Program uses this form for High School students 10 sef/EA_Home_School_Report.doc 1969-12-31 19:00:00
EA Level Day Middle School Block 4 EA Program Middle School 10 sef/EA_MS_LevelDay2.doc 1969-12-31 19:00:00
EA Problem Solving Sheet Used by EA Program 10 sef/EA_ProblemSolving.doc 1969-12-31 19:00:00
EA Staff Meeting Agenda EA Program 10 sef/EA_Staff_Meeting_Agenda.doc 1969-12-31 19:00:00
EA Supervision Plan EA form used to document inicidents and behaviors for Supervision 10 sef/EA_SupervisionPlan.doc 1969-12-31 19:00:00
EA Weekly Totals Used by EA Program 10 sef/EA_WeeklyTotals.doc 1969-12-31 19:00:00
EA Worksheet for Monthly % EA Program 10 sef/EA_Worksheet_for_monthly.doc 1969-12-31 19:00:00
EA Yearly Point Sheet % EA Program 10 sef/EA_YearlyPointSheet.doc 1969-12-31 19:00:00
Equipment Loan Agreement Parent/Guardian agreement between school for loaning school equipment for student 10 sef/EquipmentLoanAgreement.doc 1969-12-31 19:00:00
ESY Caseload Form ESY Caseload Form 10 sef/ESYCaseload.doc 1969-12-31 19:00:00
ICIEP Referral IEP Facilitator uses form to refer a student to the Intra County Committee 10 ICIEPchecklist.docx 1969-12-31 19:00:00
IEP Meeting Report Form used to notify parent of conclusion of IEP Meeting 10 sef/IEPMtgReport.doc 1969-12-31 19:00:00
SLP Informal Language Screening Check SLP's use as a checklist 10 sef/InformLangScreenCheck.doc 2010-05-17 00:00:00
Monthly Medicaid for I&T Used by I&T Health Providers for billing 10 sef/ITMonthlyMedicaid.doc 2010-04-23 00:00:00
EA Level Day High School Used by EA Program 10 sef/EALevelDay.doc 1969-12-31 19:00:00
Life Skills Program Information/Medical Form Life Skills Program Information/Medical Form 10 sef/LS_Information_Medical_Form.doc 1969-12-31 19:00:00
Monthly Medicaid Services Record Form used by Facilitator or Case Mgr 10 sef/MedicaidCaseMgr.doc 1969-12-31 19:00:00
Medicaid Case Manager Letter Be sure to print or copy your School Letter Head on document 10 sef/MedicaidCMLetter.doc 2009-08-27 00:00:00
Monthly Medicaid Services Record Form used by OT, PT, and Speech. Form allows you to list objectives. 10 sef/MedicaidSvcProv_obj.doc 1969-12-31 19:00:00
OT Occupational Therapy Record Review Form used by Occupational Therapist for review 10 sef/occupational_therapy_review.doc 1969-12-31 19:00:00
OT Occupational Therapy Forms used by OT to track student's attendance 10 sef/OT_Students_Attendance_Tracking.doc 1969-12-31 19:00:00
OT/PT Data Collection Form used by OT and PT for data collection 10 sef/OTPT_Data_Collection.doc 1969-12-31 19:00:00
OT Referral for Occupational Therapy Referral for Occupational Therapy 10 sef/OTReferralSE122.doc 1969-12-31 19:00:00
Transition Parent Release to DDA Parent Release to DDA 10 sef/Parent_release_to_DDA.doc 1969-12-31 19:00:00
Transition Parent Release to DORS Parent Release to DORS 10 sef/Parent_release_to_DORS.doc 1969-12-31 19:00:00
Parent Request to Delay Parent Signature required to delay Initial Review of Testing 10 sef/Parent_Request_to_Delay.doc 1969-12-31 19:00:00
Parent Guardian Questionnaire Parent Guardian Questionnaire - PRINT FORM ONLY 10 sef/ParentGuardianQuestionnairSE0902.doc 1969-12-31 19:00:00
Physcial Therapy Record Review Form used by Physical Therapist for eview 10 sef/physical_therapy_review.doc 1969-12-31 19:00:00
IEP Quarterly Updates Form used by Facilitator to track receiving the completed IEP quarterly updates from the Case Manager 10 sef/ProgressReportsUpdates.doc 1969-12-31 19:00:00
PT Plan of Care Form used by the Physical Therapist to document Plan of Care 10 sef/PT_PlanOfCare.doc 1969-12-31 19:00:00
PT Physical Therapy Forms used by PT to track student's attendance 10 sef/PT_Students_Attendance_Tracking.doc 1969-12-31 19:00:00
Record Access Record log sheet of signatures who have viewed the IEP student folder 10 sef/RecordAccessFormSE035.doc 1969-12-31 19:00:00
PT Referral for Physical Therapy Referral for Physical Therapy Screening and/or Evaluation 10 sef/ReferralPhysicalTherapy.doc 1969-12-31 19:00:00
Review of Outside Psychological Report Form used by Psychologist 10 sef/ReviewOutsidePsych.pdf 2009-08-27 00:00:00
Review of Outside Assistive Technology Review of Outside Assistive Technology 10 sef/RevOutsideATreport.doc 2011-04-07 00:00:00
Review of Outside OT Report OT Report for Outside Testing 10 sef/RevOutsideOTreport.doc 1969-12-31 19:00:00
Review of Outside PT Report PT Report for Outside Testing 10 sef/RevOutsidePTreport.doc 1969-12-31 19:00:00
Educational History Educational History - PRINT FORM ONLY 10 sef/Educational History.doc 1969-12-31 19:00:00
Service Provider IEP Recommendations Form used by Service Provider to note IEP recommendations for student 10 sef/ServiceProvIEPRecomm.doc 1969-12-31 19:00:00
SL Consultation Student Progress Report Speech & Lang Consultation Student Progress Report 10 sef/SL_consult_form.doc 1969-12-31 19:00:00
SL Consultation Student Progress Report Speech & Lang Consultation Progress Report Form 1 10 sef/SL_consult_progress_report1.doc 1969-12-31 19:00:00
SL Language Impact on Educational Performance Questionnaire: 4th -12th Grades Form used by SLP for Performance Questionnaire for 4th -12th Grades 10 sef/SL_Lang_Impact4thto12th.doc 1969-12-31 19:00:00
SL Language Impact on Educational Performance Questionnaire: K-3rd Grades Form used by SLP for Performance Questionnaire for K-3rd Grades 10 sef/SL_Lang_ImpactKto3rd.doc 1969-12-31 19:00:00
SL Language Impact on Educational Performance Questionnaire: PreK Form used by SLP for Performance Questionnaire for PreK 10 sef/SL_Lang_ImpactPreK.doc 1969-12-31 19:00:00
SL Speech & Language Quarterly Report BI-Monthly report developed in Excel for caseload distributions 10 sef/SL_monthly_report.xls 1969-12-31 19:00:00
SL Request for Speech Language Screening Form used by SLP to request screening 10 sef/SL_Request_for_Screening.doc 1969-12-31 19:00:00
SL Review of Outside Speech-Language Report Review of Outside SLP Report 10 sef/SL_RevOutsideSLP.doc 1969-12-31 19:00:00
SL Screening Permission Form used by SLP to get signature from parent to screen student 10 sef/SL_Screening_Permission.doc 1969-12-31 19:00:00
SL Screening Follow-up Form used to send results of screening to parent 10 sef/SL_ScreeningFollowup.doc 1969-12-31 19:00:00
SL Speech Language Observation Form used by SLP to document Observation 10 sef/SL_SLP_Observation.doc 1969-12-31 19:00:00
SL Student Attendance Tracking Tracking no. of sessions, length of service, etc. 10 sef/SL_Students_Attendance_Tracking.doc 1969-12-31 19:00:00
SL Voice Impact on Educational Performance Questionnaire Voice Impact Questionnaire 10 sef/SL_VoiceImpactQuestionnaire.doc 1969-12-31 19:00:00
Transition to Middle and High School Used by department chairs for tranisiton meetings for 5th graders and 8th graders 10 sef/TransitionUp.xls 2010-04-23 00:00:00
Request for Special Transportation Request for Special Transportation 10 sef/transportation.doc 1969-12-31 19:00:00
Transportation Parent Signature Special Transportation Bus Pick-Up/Drop-Off Curb to Curb Svc Memo 10 sef/TransportationParentSig.doc 1969-12-31 19:00:00
Understanding the Evaluation, Eligibility, and IEP Process PDF files - Need Adobe Acrobat - 16 pages 10 sef/Understanding_Evaluation_Eligibility.pdf 1969-12-31 19:00:00
Exclusion Documents and Log for Exclusion 10 sef/Use_of_Exclusion.doc 1969-12-31 19:00:00
Restraint Documents and Log for Restraint 10 sef/Use_of_Restraint.doc 1969-12-31 19:00:00
Seclusion Documents and Log for Seclusion 10 sef/Use_of_Seclusion.doc 1969-12-31 19:00:00
In-Service Request Form (inservice, in service) Use this form to request approval for in-service dates that are not part of the countywide inservice plan. See also the link to the In-Service Request Procedures at ftp://ftp.ccboe.com/forms/sdf/in-servicerequest-procedures.pdf 11 In-ServiceRequestFormrev2019-06.xlsx Dawn Schaeffer 2013-08-07 00:00:00
In-Service Request Procedures (inservice, in service) Use these procedures to submit the In-Service Request Form to request approval for in-service dates that are not part of the Countywide In-service Plan dates. 11 In-ServiceRequest-Procedures.pdf Dawn Schaeffer 2013-07-16 00:00:00
Maryland Professional Development Planning Guide Use this guide to complete the Maryland Professional Development Planning Guide. The forms are in the back pages of the guide. Also included in this folder is an excel sheet to help you calculate your budget and Talking Tips for the Planning Guide 11 MSDEProfDevPlan/MarylandTeacherProfessionalDevelopmentPlanningGuid.doc 1900-01-01 00:00:00
Educational Exit Interview Form The form is filled out by counselors and/or PPWs for students that will be withdrawing without expectation of completing High School 12 EducationalExitInterviewForm.doc 2010-11-22 00:00:00
Foster Child Application Foster Child Application form 12 FosterChildApplication.doc 1900-01-01 00:00:00
Suspension Notice - Print Only Form filled out by administrators for suspensions from school. This version should be printed out and filled in by hand. 12 notice_of_suspension_Print_Only.doc Amy Hartline 2011-09-28 00:00:00
Physicians Order and Authorization for Medications and Treatments Parent/Guardian permission for medication and treatments 12 Physician_Order_Authorization_Form.doc 1900-01-01 00:00:00
CCPS Registration Statement Used when registering children in charles county for first time 12 registration_statement.doc 1900-01-01 00:00:00
Board of Education of Charles County Release of Information Schools complete to request information or records for new enrollees 12 release_of_information.doc 1900-01-01 00:00:00
Report of Suspected Child Abuse/Child Neglect Form completed when child abuse is suspected 12 report_of_child_abuse.doc 1900-01-01 00:00:00
Pupil Discipline Standard Referral Form Completed at school level when student is referred to the office 12 standard_referral.doc 1900-01-01 00:00:00
Statement of Residence Verification This form is to be used to enroll if a family is living in the residence of a friend or relative 12 StatementOfResidenceVerification.doc 2011-08-03 00:00:00
Bldg. & Grounds Improvement Request To request approval for improvements to buildings & grounds 13 Bldggrndform06.doc 1900-01-01 00:00:00
Request Facility Use by Board Employees Use when staff member requests to use a school facility (cannot be used for outside organizations) 13 facilityuseformstaff.doc 1900-01-01 00:00:00
Fire Protection Inspection Report Monthly Fire Protection Inspection Report 13 fireprotectioninspectionreport.pdf 1900-01-01 00:00:00
HVAC Services Request To request HVAC services 13 HVACSERVICESREQUESTFORM.doc 1900-01-01 00:00:00
Workers' Comp Billing Letter Where Medical provider is to send bills 13 /workerscomp/Workers Compensation Billing Letter 2019.doc Bryan Cummings 2019-07-24 19:00:00
Workers' Comp Emp Incident/Injury/Illness Report To report job-related accident 13 /workerscomp/employees incident report .pdf Bryan Cummings 2019-07-24 19:00:00
Workers' Comp Restriction & Limitations Form Doctor's restrictions and limitations 13 /workerscomp/workmens comp restriction medical form2014.pdf Bryan Cummings 2019-07-24 19:00:00
Workers' Comp Suppervisor's Investigation Report Supervisor's Investigation of Work Related Injury 13 /workerscomp/Supervisor Invest Report.doc Bryan Cummings 2019-07-24 19:00:00
iPad Authorization Form This form must be filled out each school year. Once completed return the form to your Computer Analyst. 14 AuthorizationForPossessionOfIpad.doc 2011-07-15 00:00:00
Laptop Authorization Form This form must be filled out each school year. Once completed return the form to your Computer Analyst. 14 AuthorizationForPossessionOfLaptop.doc 1900-01-01 00:00:00
Acceptable Use Policy Internet Contract for Elementary Students Students and parents must sign this form before students are allowed to use the Internet. The schools distribute and collect this form and keep a list of student's Internet eligibility. 14 Internetpolicyelem.doc 1900-01-01 00:00:00
Acceptable Use Policy Internet Contract for Secondary Students Students and parents must sign this form before students are allowed to use the Internet. The schools distribute and collect this form and keep a list of student's Internet eligibility. 14 Internetpolicyhighsch.doc 1900-01-01 00:00:00
MICCA Multimedia Contest Application Application to submit a student PowerPoint or other Multimedia Project to MICCA for their student Contest in Spring of 2001. Deadline for Applications Jan 5, 2001. Four age groups: K-2, 3-5, Middle, High. Elem can submit group projects. Middle & High m 14 micca_multimedia_contest.pdf 1900-01-01 00:00:00
Image of Ink Jet Transparencies This is not a form. Iit is a sample image 14 mvc-0035.jpg 1900-01-01 00:00:00
Software Review - Step 2: Instructional Software Review Form Use this instructional checklist to indicate the instructional use and curricular and grade level matches to the software. 14 SR-InstructionalSoftwareReviewForm.doc 1900-01-01 00:00:00
Software Review - Step 3: 508 Checklist for Software This 508 checklist must be completed for each software title. Send completed checklist to Instructional Technology at the Central Office. You can request that the software publisher complete the checklist for you and return it. Mail the blank checklist 14 SR-letter-checklist.doc 1900-01-01 00:00:00
Software Review - Step 3b: Explanation of 508 Checklist for Software This handout explains each part of the 508 checklist which must be completed for each software title. Send this along with a letter to the software publisher requesting that they complete the checklist. 14 SR-letter-checklist-Explanation.doc 1900-01-01 00:00:00
Software Review - Step 3c: Sample of Completed 508 Checklist for Software This is a sample completed 508 checklist. Send with the letter to the software publisher as an example when you ask them to complete the checklist for their software. 14 SR-letter-cklist-Sample.doc 1900-01-01 00:00:00
Software Review - Step 3a: Letter to Software Publisher for 508 Use this sample letter as a guide to send a letter to the software publisher requesting that they complete the 508 Checklist 14 SR-lettertosoftwarepublisher.doc 1900-01-01 00:00:00
Software Review - Step 1: Technology Review Form Complete the top of this form to describe the instructional software you wish to purchase. Send form to Instructional Technology at the Central Office. 14 SR-Tech-SystemCompatibilityRequestForm.doc 1900-01-01 00:00:00
Technology Equipment - Damage or Loss Report Complete this form to describe the incident. After employee and pricinpal signs, forward to Technology Department at Central Office. 14 TechnologyEquipmentDamageOrLossReport.doc 1900-01-01 00:00:00
Request for Network and Telecommunications Services New employees request email, voicemail, or login. Current employees report changes in job title, location and/or name. Used to delete services when a person leaves the school system. 14 vm_email.doc 1900-01-01 00:00:00
PUR - Surplus Property Sales Agreement Use for the sale school system surplus furnishings and/or equipment. Finance and Business bfm/PUR-Surplus_Property_Sales_Agreement.pdf Angela McIntosh Davis 2015-01-13 12:00:00
Suspension Notice - Electronic Fill In Form filled out by administrators for suspensions from school. This version can be filled out electronically before it is printed. 12 Notice_Of_Suspension_Electronic_fill_in.docm Amy Hartline 2011-09-28 00:00:00
SLP Dismissal Report for Articulation Assessment of Progress - Dismissal Report 10 sef/dismissal_report_for_articulation.doc 2011-10-20 00:00:00
Equipment Disposal Form The form should be used by all locations when textbooks, equipment, sensitive items or fixed assets need to be disposed or transferred to another location. The form should be signed by the principal/department head and either forwarded to Assistant Superintendent of Instruction for textbooks or Assistant Superintendent of School Administration for all other items. Finance and Business bfm/DisposalForm10-04-2019Fillable.pdf Eleanor Foddrell 2019-10-11 12:00:00
Discrepancy Chart This document is used to document discrepancy in determining eligibility for a learning disability. 10 sef/DiscrepancyChart.doc 2012-01-03 00:00:00
Mileage Travel Guidelines Use these guidelines along with the CCPS mileage chart to request payment for in county and out of county business mileage when using a personal vehicle. 1 Mileage Travel Guidelines.doc Elizabeth Miller 2012-01-09 00:00:00
Course Proposal for MSDE Approval Use this template in MS Word to develop a new Course and apply for MSDE credit approval. 11 MSDECourseProposal Dawn Schaeffer 2012-02-01 00:00:00
MSDE Professional Development Planning Guidelines and Talking Points MSDE has developed this document to be used as a resource and process guide when developing any staff development activity. 11 MSDEProfDevPlan Dawn Schaeffer 2012-02-02 00:00:00
Physical Therapy Consult PDF file for Physical Therapists 10 sef/Physical_Therapy_Consult.pdf 2012-03-16 00:00:00
FBA - Functional Behavior Assessment Template used school psychologist and behavior specialist. 10 sef/FBA_July_19.docx 2012-08-21 00:00:00
BIP - Behavior Intervention Plan Template used by school psychologist and behavior specialist. 10 sef/BIP_July_19.docx 2012-08-21 00:00:00
Guidelines for Completing FBA The purpose of the Guidelines for “Completing Functional Behavior Assessment and Behavior Intervention Plan” is to provide instructions to assist team members in completing a FBA and BIP. 10 sef/Guidelines_Completing_FBA.docx 2012-08-21 00:00:00
APE Referral Referral for Adaptive Physical Education Screening and/or Evaluation 10 sef/APE_Referral.docx 2012-09-13 00:00:00
Conference Request Form Use this form when requesting permission to attend a conference on a work day. This is an Excel Workbook with 3 tabs: The Form, Sample Form, and Directions. Please print all three tabs and follow the directions carefully. The form has changed. For funding from an grant or local account in the office of instruction, submit the form to Staff Development. For all other offices, submit the form through your Assistant Superintendent. Instructions are available at http://www.ccboe.com/Departments/staffdevelopment/conferences.php 11 ConferenceRequestForm.xlsx Dawn Schaeffer 2018-06-20 12:00:00
Student Bus Referral Form For use by bus drivers as a part of student discipline on the bus. 15 bus_referral_06_10_12.pdf Julia Tate 2012-10-31 00:00:00
Benefits Open Enrollment Change Form Use this form for open enrollment for benefits for 2013. This form must be returned to Human Resources no later than November 16, 2012. 5 open_enrollment_change_form.doc Julia Tate 2012-10-31 00:00:00
EA Cover Letter Cover letter used for seclusion or restraint. 10 sef/EA Cover_letter_sec_res.doc
Receipt of Parental Rights Used by IEP Facilitator when providing Procedural Safeguards to parents. 10 sef/Receipt_of_Parental_Rights.docx M. Diaz 2013-10-30 00:00:00
Observation Form Used to conduct observations during eligibility process. 10 sef/Observation_typeformat.docx M. Diaz 2013-11-07 00:00:00
Graduation Requirements 2013 Requirements for a HS diploma. 10 sef/Graduation_Requirements_2013.docx M. Diaz 2013-11-07 00:00:00
Graduation Requirements in Spanish. Graduation requirements for a HS Diploma. 10 sef/Graduation_Requirements_2013_Spanish.docx M.Diaz 2013-11-07 00:00:00
Eligibility Deaf-Blindness Eligibility form used to determine deaf-blindness. 10 sef/Eligibility_Deaf_Blindness.docx M.Diaz 2013-11-07 00:00:00
Eligibility Developmental Delay Forms used to determine eligibility for a developmental delay. 10 sef/Eligibility_Developmental_Delay.docx M.Diaz 2013-11-07 00:00:00
Eligibility Autism Form used to determine eligibility for Autism 10 sef/Eligibility_Autism.docx M. Diaz 2013-12-06 00:00:00
Eligibility Emotional Disability Form used to determine Emotional Disability 10 sef/Eligibility_Emotional_ Disability.docx M.Diaz 2013-12-06 00:00:00
Eligibility Functional Language Form used to determine Functional Language Disability 10 sef/Eligibility_Functional_Language_Impairment.docx M. Diaz 2013-12-07 00:00:00
Eligibility Hearing Impairment Form used to determine eligibility as hearing impaired. 10 sef/Eligibility_Hearing_Impairment.docx M. Diaz 2013-12-06 00:00:00
Eligibility Intellectual Disability Form used to determine if a student has an Intellectual Disability. 10 sef/Eligibility_Intellectual_Disability.docx M. Diaz 2013-12-06 00:00:00
Eligibility Language Impairment Form used to determine if a student has a language impairment. 10 sef/Eligibility_Language_Impairment.docx M. Diaz 2013-12-06 00:00:00
Eligibility Learning Disability Form used to determine if a student has a learning disability. 10 sef/Eligibility_Learning_Disability.docx M. Diaz 2013-12-06 00:00:00
Eligibility Multiple Disabilities Form used to determine if a student has multiple disabilities. 10 sef/Eligibility_Multiple_Disabilities.docx M. Diaz 2013-12-06 00:00:00
Eligibility Orthopedic Impairment Form used to determine if a student has an Orthopedic Impairment. 10 sef/Eligibility_Orthopedic_Impairment.docx M. Diaz 2013-12-06 00:00:00
Eligibility Other Health Impairment Form used to determine if a student has an Other Health Impairment. 10 sef/Eligibility_Other_ Health_Impaired.docx M. Diaz 2013-12-06 00:00:00
Eligibility Speech Articulation Form used to determine if a student has a speech articulation disorder. 10 sef/Eligibility_Speech_Articulation.docx M. Diaz 2013-12-06 00:00:00
Eligibility Speech Fluency Form used to determine if a student has a speech fluency impairment. 10 sef/Eligibility_Speech_Fluency_Impairment.docx M. Diaz 2013-12-06 00:00:00
Eligibility Speech Voice Impairment Form used to determine if a student has a voice impairment. 10 sef/Eligibility_Speech_Voice_Impairment.docx M. Diaz 2013-12-06 00:00:00
Eligibility Traumatic Brain Injury Form used to determine if a student has a Traumatic Brain Injury. 10 sef/Eligibility_Traumatic_Brain_Injury.docx M. Diaz 2013-12-06 00:00:00
Eligibility Visual Impairment Form used to determine if a student has a visual impairment. 10 sef/Eligibility_Visual_Impairment.docx M. Diaz 2013-12-06 00:00:00
Tax Sheltered Annuity Change and/or Cancellation - 2019 Any Tax Sheltered Annuity changed or cancelations need to be submitted using this form. If the employee is going to use the catch up limit, this form must be filled out in order for Payroll to make changes in CIMS on an annual basis. Finance and Business bfm/TSA_Authorization_Agreement.pdf Theresa McPherson 2018-12-14 12:00:00
Consultant/Trainer Independent Contractor Agreement for Contracts Over $1,000 Vendor contract for services over $1,000 and one year in duration. This is a 5 page Agreement for an Independent Contractor. This agreement needs to be filled out for any new vendor who will preform services for Charles County Public Schools (CCPS) and should be included with the new vendor form to create the vendor in CCPS.. Finance and Business bfm/Consultant-TrainerIndependentContractorAgreement080119.pdf Eleanor Foddrell 2019-08-06 10:14:00
Kindergarten Maturity Waiver To be filled out when a parent would like child to delay child from starting kindergarten for a year 12 KindergartenMaturityWaiver.docx 2014-04-14 15:09:00
grant budget development form Budget and Finance bfm/GrantBudgetDevelopmentForm.xlsm gary nagel 2017-01-23 14:57:00
Authorization for Administrative Leave Form and Funding - Instructional Purposes Used to authorize a sub for instructional purposes. Central Office will use this form when requesting that teachers attend meetings and workshops for instructional purposes where a sub code will be given to the school. Schools must return this form to the originating office with copies of the sub forms showing that the code was used for the correct date and teacher. INS Authorization_for_Administrative_Leave_Form_and_Funding.doc Dawn Schaeffer 2014-10-01 12:02:00
Change of Status Request Form Employee changes of name, addrress, or other information can be submitted to Human Resources staff for the change to be made to the employee's personnel profile. Human Resources bfm/Change of Status form.pdf 2015-12-11 18:04:00
Project Approval Form Use this form when an estimated cost of a proposed project is over $25,000 or greater. Purchasing /bfm/ProjectApprovalFormforBiddingFillable.pdf Eleanor Foddrell 2019-04-16 00:00:00
FY 2016 Pay Dates FY 2016 pay dates. Includes first pay dates for 12, 11 and 10 month employees as well as the three pay dates in the month. Finance and Budget bfm/FY16 paydates.pdf Elizabeth Miller 2015-05-15 15:16:00
Development Request Forms DevelopmentRequestForm.pdf
Planning Period Coverage Time Card bfm/PlanningPeriodCoveragetimecard.xlsx 2017-02-03 11:07:00
Checklist for Opening and Closing Bank Accounts Banking Audit & Investment bfm/ChecklistforOpeningandClosingBankAccounts.pdf Terri Lundskow 2017-01-05 13:10:00
Financial Questionnaire 2016 Year End Banking Audit & Investment bfm/FinancialQuestionnaire2016YearEnd.pdf Terri Lundskow 2017-01-05 13:20:00
Exhibit 28 Employees authorized to transport money and who have access to safe Banking Audit & Investment bfm/Exhibit28Employeesauthorizedtotransportmoneyandwhohaveaccesstosafe.pdf Terri Lundskow 2017-01-05 13:25:00
Envisions CH27 School FSL with Courtesy Limit DIR Banking Audit & Investment bfm/EnvisionsCH27SchoolFSLwithCourtesyLimitDIR.pdf Terri Lundskow 2017-01-05 13:27:00
Do's and Dont's for Principals Do's and Dont's for Principals for Accounts Payable, Payroll, Purchasing Card, Board Allocation Funds. Audit & Investments bfm/DoandDontsforPrincipals.pdf Terri Lundskow 2017-01-05 13:39:00
Exhibit 3 Principal's Monthly Review Checklist Principal's Monthly Review Checklist for Student Activity Funds Audit & Investments bfm/Exhibit3PrincipalsMonthlyReviewChecklist.pdf Terri Lundskow 2017-01-05 13:43:00
Sales Tax Work Sheet with formulas Audit & Investments bfm/Salestaxworksheetwithformulas.xls Terri Lundskow 2017-01-05 14:17:00
Summary of Sales Tax Rules Sales Tax; Financial Secretary Duties Audit & Investment bfm/SummaryofSalesTaxRules.pdf Terri Lundskow 2017-01-05 14:22:00
Exhibit 2 Monthly Checklist For Financial Statements Financial Secretary Duties Audit & Investments bfm/Exhibit2MonthlyChecklistForFinancialStatement.pdf Terri Lundskow 2017-01-05 14:46:00
Exhibit 15 Deposit Summary Verification Financial Secretary Duties Audit & Investments bfm/Exhibit2MonthlyChecklistForFinancialStatement.pdf Terri Lundskow 2017-01-05 14:52:00
Exhibit 18 Guide to Voiding Checks Financial Secretary Duties Audit & Investments bfm/Exhibit18GuidetoVoidingChecks.pdf Terri Lundskow 2017-01-05 14:54:00
Exhibit 12 Activity Sponsor Procedure Form Receipt Acknowledgement Activity Sponsors Audit & Investments bfm/Exhibit12ActivitySponsorsProceduresFormReceiptAcknowledgement.pdf Terri Lundskow 2017-01-05 15:06:00
Sales Tax Exemption Certificate Accounting bfm/SalesTaxExemptionCertificate.pdf Terri Lundskow 2017-01-05 16:04:00
Procurement Card Procedural Manual and User's Guide bfm/P-CardProceduresManualRev-Feb2017.pdf Terri Lundskow 2017-02-23 11:22:00
Purchasing Manual bfm/PurchasingManualRev-February2017.pdf Terri Lundskow 2017-02-23 11:34:00
Warehouse Procedure Manual bfm/WarehouseProcedureManual-Rev2-17-17.pdf Terri Lundskow 2017-02-23 11:35:00
Book Study Syllabus and Application for CPD Credit Use this form to submit a request to offer 1 CPD credit for a book study. _BookStudySyllabus.doc dschaeffer 2017-08-16 08:18:00
Book Study Sample Classlist All CPD credit classes must have a classlist showing all participants whether they completed the course or not. Like a gradebook, columns show attendance for the dates of participant and completion of any required assignments. This is turned in to the Staff Development office with the signed CPD forms. It is kept on file to answer questions about why people did or did not earn credit for the class. Instructors who use the online registration system can print the "Initial In Sign In Sheet" from the system and use that instead. That version of the sign-in sheet makes a column for each meeting date where participants can initial to sign in. Instructors who take their own registrations use this form to track all participants. BookStudyClasslist_Sample.doc dschaeffer 2017-08-16 08:18:00
Conference Travel & Per Diem Request 2019 Use this from to request reimbursement for conference travel and per diem for calendar year 2019. Conference mileage must not be requested before the conference. This form has tabs on bottom for high and low cost cities. Refer to Travel/Conference Guidelines to check if conference city is a high or low cost city, then use appropriate form. The designation of whether the city is high or low is from federal guidelines and is changed once a year when the guidelines are updated. bfm/conference_travel_&_per_diemRequest-2019.xlsx Deborah Hale 2019-01-07 13:48:00
DHS Background Clearance Packet This form must be completed, printed, signed, and notarized and submitted to HR before employment will be considered. DHS Background Clearance Packet 2018.pdf dschaeffer 2018-07-26 08:47:00
EMPLOYEE IDENTIFICATION BADGE REPLACEMENT REQUEST CHARLES COUNTY PUBLIC SCHOOLS OFFICE OF SAFETY & SECURITY School Safety bfm/REPLACEMENTBADGEREQUEST.pdf
Travel Form FY 2019 Report monthly business travel made in the calendar year 2019 (January 1, 2019 to December 31, 2019) on this form. Report travel amounts from school to school only and use the CCPS Mileage Chart. If you have any questions on travel, use the Mileage Travel Guidelines also found in the Web forms page. Do not report conference expenses on this form. Use the Conference travel and Per Diem Request form for these expenses. bfm/Travel-OnePage-2019.xlsx Debbie Hale 2019-01-02 13:58:00
Maryland Diabetes Medical Management Plan /Form-MDDMMPDiabeticOrders7-2017.pdf
Bullying, Harassment or Intimidation Reporting Form 2019-20 Bullying, Harassment or Intimidation Reporting Form 2019-20 /studentservices/BullyingHarrassmentorIntimidationReportingForm2019-2020 .doc Mike Meiser 2019-07-24 08:20:00
Bullying Follow Up form Bullying Follow Up form /studentservices/BullyingFollowUpform.docx Mike Meiser 2019-07-24 08:22:00
Bullying Report School Investigation form Bullying Report School Investigation form /studentservices/SchoolInvestigationForm2019-2020.doc Mike Meiser 2019-12-04 08:23:00
School Request for PD Substitutes or Stipends Principals use this form to request funding for substitutes or stipends for a specific instructional need. This is submitted to the Deputy Superintendent for approval. If approved the form is returned with a funding code for the activity. For questions contact dschaeffer@ccboe.com. A professional development must be documented with a sign in sheet that includes the dates and times of the work. A sample is included. Staff Dev Principal Request School_Request_for_PD.docx Dawn Schaeffer 2019-08-29 15:16:00
Request for New Purchase Card - Executive Staff /bfm/PurchaseCardRequestExecStaff-NewCard 11_11_16Fillable.pdf Eleanor Foddrell 2019-09-12 13:47:00