Knox County Schools most commonly used forms for parents, businesses, and community
Here are links to the most common forms used by the public, parents, doctors, businesses, and the community in general. Employees will find additional KCS forms on the KCS Intranet's searchable forms online database.
Transfers | Transportation | Facility Use | Enrollment | Student Related Concerns | Media Authorization | Employees
Here are links to the most common forms used by the public, parents, doctors, businesses, and the community in general. Employees will find additional KCS forms on the KCS Intranet's searchable forms online database.
Transfers | Transportation | Facility Use | Enrollment | Student Related Concerns | Media Authorization | Employees
| HEALTH SERVICES |
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| AD-H-485 | Asthma - Self Possession of an Asthma Inhaler by a Student | Download pdf | |
| AD-H-472 | Dental Services | Download pdf | |
| AD-H-434 | Individualized Seizure Protocol for Uncontrolled Seizure Disorder | Download pdf | |
| FSD-49 | Medical Statement for Students Requiring Special Meals | Download pdf | |
| AD-H-326 | Physician Form for Administration of Medication and Self Medication Administration | Download pdf | |
| AD-H-358 | Physician Order: Gastrostomy/Jejunostomy Tube Feedings | Download pdf | |
| AD-H-443 | Protocol for Dental Concerns | Download pdf | |
| AD-H-502 | Standing Orders for Anaphylaxis | Download pdf | |
| AD-H-503 | Physician's Medical Statement / Medical Action Plan | Download pdf | |
| TRANSFERS |
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| AD-102 | Application for Student Transfer (2013-14 sch yr) Summer transfer window: May 28-July 12, 2013 |
Not available at this time - Contact: Transfer Office 594-1506 |
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| AD-102Magnet | Application for MAGNET Transfer (2013-14 sch yr) Summer transfer window: May 28-July 12, 2013 |
Not available at this time - Contact: Transfer Office 594-1506 |
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| AD-102NCLB |
NCLB Application for Student Transfer Available ONLY during NCLB transfer window |
Not available at this time - Contact: Transfer Office 594-1506 |
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| AD-122 | Student Transfer Appeal | Download pdf | |
| TRANSPORTATION |
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| 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 | |
| FACILITY USE |
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| ENROLLMENT |
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| CI-276 | New Student Enrollment | Download pdf | |
| CI-276 Spanish | Inscripción para de estudiantes nueuos New Student Enrollment (Spanish) |
Download pdf |
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| CI-277 | Student Medical Profile | Download pdf | |
| STUDENT RELATED - Special Education, rights, safeguards, medical release |
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| MC-114 | Citizen's Request for Reconsideration of Instructional Materials | Download pdf | |
| PP-155 | Special Education Services Available Through Knox County Schools | 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-130 | Notice of Appeal of Long-Term Suspension/Expulsion (For Suspensions and Expulsions of five (5) Days or More) | Download pdf | |
| CI-200 | Notice of Parent and Student Rights Under Section 504 | Download pdf | |
| PP-156 | Notice of Procedural Safeguards | Download pdf | |
| CI-246 | Optional Medical Release (for use with field trips) | Download pdf | |
| MC-108 | Guidelines For Access to Electronic Media | Download pdf | |
| MC-107 | Access to Electronic Media | Download pdf | |
| FSD-49 | Medical Statement for Students Requiring Special Meals | 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-202 | Request for Short-Term Suspension Review (For Suspensions from School of Four (4) Days or Less) | Download pdf |
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| PUBLIC AFFAIRS - Media releases, comments, request for production |
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| PA-101 | Authorization for News Media Contact | Download pdf | |
| PA-102 | Comment Card | Download pdf | |
| PA-103 | KCS-TV Video Production | Download pdf | |
| PA-100 | Release/Authorization to Publish | Download pdf | |
| EMPLOYEES Note: KCS Employees may access the complete database of additional FORMS ONLINE |
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| 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-135 | Certified Employees' Sick Bank Enrollment Request | Download pdf | |
| BO-182 | Certified Sick Leave Bank Membership Cancellation | 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 | |
| BO-138 | Classified Sick Leave Bank Enrollment Request | Download pdf | |
| BO-164 | Classified Sick Leave Bank Membership Cancellation | Download pdf | |
| BO-162 | Classified Sick Leave Bank Physician Statement | Download pdf | |
| BO-133 | Classified Sick Leave Bank Request | Download pdf | |
| BO-178 | Dental Insurance Enrollment/Change | Download pdf | |
| BO-130 | Employee Medical History | Download pdf | |
| BO-106 | Flexible Benefit Plan Compensation Reduction Agreement | Download pdf | |
| BO-177 | Health Enrollment Change Application (State of TN Group Insurance Program) |
Download pdf | |
| BO-181 | Insurance Cancel Request Application (State of TN Group Insurance Program) |
Download pdf | |
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BO-180A
BO-180B BO-180C
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Insurance Intent Leave of Absence - Continue Insurance Coverage Leave of Absence - Suspend Insurance Coverage |
Download pdf | |
| BO-132 | Knox County Check Request | Download pdf | |
| HR-104 | Leave of Absence | Download pdf | |
| BO-157 | Leave Request | Download pdf | |
| BO-166 | Life Insurance Enrollment/Change Request | Download pdf | |
| BO-161 | Payroll Deduction/Change Authorization | Download pdf | |
| HR-102 | Physician’s Verification of Illness and/or Maternity Leave | Download pdf | |
| BO-121 | Tax Shelter Payroll Deduction/Change Authorization | Download pdf | |
| BO-134P | Travel Expense Reimbursement Request for Private Schools | Download pdf | |
| BO-176 | Vision Insurance Enrollment/Change | Download pdf | |
