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Public Forms
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Here are links to the most common forms used by the public, parents, doctors, businesses, and the community in general.
Employees | Enrollment | Facilities | Media Authorization | Student Related | Transfers | Transportation
HEALTH SERVICES
AD-H-516 Allergy/Anaphylaxis Action Plan Download pdf AD-H-365 Seizure Disorder Protocol Download pdf FSD-49 Medical Statement for Students Requiring Special Meals Download pdf AD-H-326 Medical Form for Administration of Medication and Self-Medication Administration Download pdf AD-H-358 Medical Order: Gastrostomy/Jejunostomy Tube Feedings Download pdf AD-H-503 Medical Statement / Asthma Action Plan Download pdf TRANSFERS
AD-102 Application for Student Transfer (2024-25 school year) Download pdf AD-102Sp Solicitud de Transferencia del Estudiante Download pdf AD-122 Student Transfer Appeal Download pdf TRANSPORTATION
AD-T-209 Parental Concern Download pdf AD-T-211 School Bus Complaint Download pdf MO-106 How To Get There (Directions to Schools) Download pdf FACILITIES
Facility Use Information Link to page FA-101 Facility Naming Application Download pdf MO-180 Storage and Use of Property on KCS Campus Download pdf MO-181 Knox County Schools Property Usage Authorization Form for Volunteers and Non-Employees Download pdf ENROLLMENT
CI-276 New Student Enrollment Download pdf CI-276Sp Inscripción para de estudiantes nueuos New Student Enrollment (Spanish) Download pdf CI-277 Student Medical Profile Download pdf CI-277Sp Perfil Médico Estudiantil del Condado de Knox Download pdf STUDENT RELATED
- Special Education, rights, safeguards, medical releaseCI-130 Notice of Appeal of Long-Term Suspension/Expulsion (For Suspensions and Expulsions of five (5) Days or More) Download pdf CI-168 Parent Referral to S-Team
NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal.Download pdf CI-190 Parent Communication Form Download pdf CI-191ABCDE Student Athletics – Preparticipation Physical Evaluation and Consent for Athletic Participation (History/Physical Examination/Clearance/Consent/Special Needs: Supplemental History) Download pdf CI-200 Notice of Parent and Student Rights Under Section 504 Download pdf CI-202 Request for Short-Term Suspension Review (For Suspensions from School of Four (4) Days or Less) Download pdf CI-246 Optional Medical Release (for use with field trips) Download pdf CI-246Sp Permiso Médico Opcional Download pdf FSD-49 Medical Statement for Students Requiring Special Meals Download pdf MC-107 Access to Electronic Media Download pdf MC-107Sp Acceso a los Medios Electrónicos Download pdf MC-108 Guidelines For Access to Electronic Media Download pdf MC-108Sp Pautas para el Uso Aceptable de los Medios Electrónicos Download pdf MC-114 Request for Reconsideration of Instructional Materials Download pdf PP-155 Special Education Services Available Through Knox County Schools Download pdf PP-156 Notice of Procedural Safeguards Download pdf COMMUNICATIONS
- Media releases, comments, request for production, volunteer background check authorizationPA-100 Student Media Release Form Download pdf PA-100Sp Autorización de los padres/guardianes para la divulgación publicitaria Download pdf PA-102 Comment Card Download pdf PA-103 KCS-TV Video Production Download pdf PA-105 Volunteer Confidentiality Agreement Download pdf PA-107 Open Records Request Form Download pdf EMPLOYEES
BO-106 Flexible Benefit Plan Compensation Reduction Agreement Download pdf BO-121 Tax Shelter Payroll Deduction/Change Authorization Download pdf BO-130 Employee Medical History Download pdf BO-132 Knox County Check Request Download pdf BO-133 Classified Sick Leave Bank Request Download pdf BO-134A Travel Expense Reimbursement/Summary LOCAL TRAVEL ONLY BO-134B Travel Expense Reimbursement/Summary OUT OF TOWN TRAVEL BO-135 Certified Employees' Sick Bank Enrollment Request Download pdf HR-136 Cancellation Notification for Automatic Deposit Download pdf BO-138 Classified Sick Leave Bank Enrollment Request Download pdf HR-141 Authorization Agreement for Automatic Deposits (Credit) Download pdf BO-149 Certified Sick Leave Bank Physician's Statement Download pdf BO-150 Certified Sick Leave Bank Request to Use Sick Leave Days from Sick Leave Bank for Employee's Personal Illness Download pdf HR-156A Authorization and Request of Protected Health Information (PHI) – MENTAL HEALTH (for employees) Download pdf HR-156B Authorization and Request of Protected Health Information (PHI) – MEDICAL INFORMATION (for employees) Download pdf BO-157 Leave Request Download pdf BO-161 Payroll Deduction/Change Authorization Download pdf BO-162 Classified Sick Leave Bank Physician Statement Download pdf BO-164 Classified Sick Leave Bank Membership Cancellation Download pdf BO-166 Life Insurance Enrollment/Change Request Download pdf BO-176 Vision Insurance Enrollment/Change Download pdf BO-177 Health Enrollment Change Application (State of TN Group Insurance Program) Download pdf BO-178 Dental Insurance Enrollment/Change Download pdf BO-180A
BO-180B
BO-180CInsurance Intent
Leave of Absence - Continue Insurance Coverage
Leave of Absence - Suspend Insurance CoverageDownload pdf BO-181 Insurance Cancel Request Application (State of TN Group Insurance Program) Download pdf BO-182 Certified Sick Leave Bank Membership Cancellation Download pdf HR-102 Physician’s Verification of Illness and/or Maternity Leave Download pdf HR-104 Leave of Absence Download pdf HR-112 Employee Name and Address Change Download pdf