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Human Resources Forms

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Personnel Forms:

P1 Employment Opening: Administrator completes form and submits to the Human Resources office to open a position.
P7 Personnel Action: Complete for any change in assignment for certifcated or classified staff.
Independent Contractor vs Employee Determination Form
Verification of previous Certificated Experience
Criteria Form for Clock Hours (Information for Certficated Experience form)
Verification of previous Classified Experience
Verification of previous Coaching Experience


Forms from Negotiated Agreements - Certificated Staff

A-1: Classroom Employee Evaluation
A-2: Non-Classroom Employee Evaluation
A-3: Employee Observation
A-4: Professional Growth Plan
A-5: Short Form
Appendix B1: Formal Statement of Grievance (Step One/Two)
Appendix B2: Decision of Immediate Supervisor (Step One/Two)
Appendix B3: Decision by the Superintendent or Designee (Step Two)
Appendix D: Verification of Additional Time, Responsibilities and Incentive (TRI)


Forms from Negotiated Agreements - Classified Staff

Appendix B2: CIA Professional Growth Activity Certificate of Particpation
Appendix C: Classified Evaluation

Appendix D: CIA Formal Statement of Grievance (Step One/Two)


Risk Management Forms:

Accident Report (EIR) - Employee Injury
What to do if you have been injured

Helpful Information: Claims process & what to expect
L&I: Guide to Industrial Insurance Benefit for Employees of Self-insured Businesses

Hepatitis B/HIV Consent/Waiver Form
Hepatitis B Vaccination Record


Bloodborne Pathogen Exposure Forms:

Exposure Incident Report Form
Authorization/Waiver for Blood Collection/Testing of Exposed Employee

Medical Evaluation Report to be Completed by Health Care Provider
Identification of Source
Letter of Source of Exposure
Authorization for Release of Information to Health Care Provider

Additional Info