Employee Forms

Benefits Forms

File Type
   Spouse Insurance Verification Form (Spouse Employer form)  -   (99.63KB)
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   Spouse Eligibility Certification Form (WCS Employee form)  -   (21.33KB)
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   Dental Benefits Summary  -   (165.60KB)
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   Drug Benefits Summary  -   (55.99KB)
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   Medical Benefits Summary  -   (210.39KB)
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   Vision Benefits Summary  -   (168.77KB)
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   Summary of Coverage  -   (353.66KB)
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   Glossary of Health Coverage and Medical Terms  -   (89.27KB)
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   ACA Informational Brochure  -   (700.5KB)
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   FMLA General Notice  -   (238.25KB)
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   Anthem Life Insurance Beneficiary Form  -   (70.98KB)
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   Prilosec OTC Voucher (Marc's, Rite Aid, Drug Mart)  -   (116.47KB)
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   Rate Contribution Sheet (Full Time Employees)  -   (104.07KB)
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   Rate Contribution Sheet (Part Time Employees Paying 44% of Premium)  -   (108.83KB)
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   Rate Contribution Sheet (Part Time Employees Paying 17% of Premium)  -   (109.23KB)
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Payroll Forms

File Type
   Certificated Time Sheet  -   (51.5KB)
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   Certificated Substitute Time Sheet  -   (82.5KB)
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   Classified Time Sheet  -   (39.5KB)
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   Hourly/Daily Rate Time Sheet  -   (62KB)
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   Principal Time Sheet  -   (32KB)
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   Vacation Request  -   (33.5KB)
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   Vacation Change Request  -   (58.46KB)
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   Prep Period Substitute Form  -   (151.39KB)
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   W-4 Form  -   (113.40KB)
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   Ohio Employee’s Withholding Exemption Certificate Form  -   (27.62KB)
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   Absence Request Form  -   (657.09KB)
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   No Substitute Available - Assignment Form  -   (50.5KB)
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   Supplemental Voucher (2017-18)  -   (18.97KB)
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Human Resources Forms

File Type
   Resignation/Retirement Form  -   (353.39KB)
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   Transfer Request Form (WEA)  -   (32.97KB)
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   Continuing Contract Request Form (WEA)  -   (26.24KB)
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   Sick Leave  -   (39KB)
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   Vacation Request  -   (33.5KB)
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   Vacation Change Request  -   (10.10KB)
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   Tuition Reimbursement Form  -   (28KB)
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   Employee Information Change Form  -   (156.12KB)
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   WorkComp – Employee Incident/Accident Reports  -   (167.61KB)
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   Request for Severance Pay  -   (213.78KB)
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Student Activity Forms

File Type
   Student Activity Fund Handbook  -   (266.5KB)
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   Budget and Purpose Statement   -   (22.5KB)
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   Fundraising/Sales Potential Request   -   (21.5KB)
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   Fund Raiser Status Report  -   (22KB)
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   Fund Raiser Inventory  -   (22KB)
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   Ticket Sales Tally  -   (26.5KB)
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   Summary Ticket Tally Sheet  -   (24.5KB)
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   Revised Purpose Statement and Budget  -   (20.5KB)
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   Profit and Loss Statement   -   (20KB)
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   Deposit Statment   -   (19KB)
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   Disbursement Sheet  -   (15.5KB)
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   Payment Record Form   -   (26.5KB)
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Treasurer Forms

File Type
   Vendor Worksheet  -   (116.42KB)
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   Monthly Mileage Record  -   (94.48KB)
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   District Mileage Chart  -   (16.47KB)
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   Travel Expense Account Form  -   (82.26KB)
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   Salary and Benefit Code Change  -   (17KB)
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   Budget Modification   -   (40KB)
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   Grant appropriation resolution  -   (56.5KB)
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   Expenditure Adjustment  -   (31KB)
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   W-9 with instructions  -   (116.53KB)
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   Budget Revision Form  -   (15.21KB)
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   New Code Form  -   (6.32KB)
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Expired Forms (DO NOT USE)

File Type
   Guidelines for other activities to be used as CEU's  -   (B)
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   Guidelines for other activities to be used as CEU's (2012)   -   (B)
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ODE - WLPDC Forms

File Type
   MyEducator Profile User Guide  -   (1.95MB)
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Special Education Forms

File Type
   Individualized Education Program (IEP) PR-07 Form  -   (132.01KB)
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   Data Collection Tool for Students with Suspected/Identified Disabilities  -   (166.69KB)
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   Progress Report Form  -   (263.5KB)
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   Notice to Ohio students with disabilities and their parents or guardians  -   (31.69KB)
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   Whose IDEA  -   (702.66KB)
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   Whose IDEA - Amendment  -   (22.26KB)
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   Release of Educational Information Held by the Ohio Department of Education  -   (218.54KB)
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Technology Forms

File Type
   Student AUP  -   (134.57KB)
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   Staff AUP  -   (132.74KB)
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   Photo Release Form  -   (231.75KB)
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   Web Page Disclaimer  -   (49.49KB)
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   Technology Planning Tool 2006-09 (TPT)  -   (89.39KB)
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   ESIS Account Application  -   (583.14KB)
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Summer School

File Type
   Middle School Registration Form  -   (73.23KB)
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   High School Registration Form  -   (78.23KB)
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Associate Superintendent Forms

File Type
   Bullying Summary Form  -   (319.83KB)
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   Records Request Form  -   (35.77KB)
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Food Service

File Type
   Pre-Operation Visit/Site Selection Worksheet   -   (529.77KB)
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   Ethnic and Racial Data Form  -   (78.45KB)
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   Mileage Record-Administrative Staff  -   (79.32KB)
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   Mileage Record-Site and Food Service Staff  -   (78.45KB)
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   SFSP Site Monitoring Form for Self Preparation Sites   -   (626.07KB)
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Guidance Department

File Type
   Course Catalogue 2013-2014  -   (427.15KB)
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   Information on Grade 9  -   (81.45KB)
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   Information on Grade 10  -   (71.04KB)
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   Information on Grade 11  -   (95.99KB)
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   Timeline for seniors  -   (83.01KB)
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   Four Year Planning Guide  -   (21.37KB)
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   PE Waiver From  -   (361.94KB)
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WCS - WLPDC Forms

File Type
   WLPDC Pre-Approved Professional Development Providers List  -   (38.13KB)
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   WLPDC By-Laws  -   (114.76KB)
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   FORM G - The Appeals Process-WLPDC Report of Formal Appeal  -   (32.5KB)
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   5-Year License Renewal Worksheet  -   (22KB)
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   CEU Conversion Chart  -   (6.80KB)
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   September 2013 CEU Memo  -   (451.95KB)
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   How To Enter CEU & Other Activities into PD Express  -   (498.41KB)
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   Guidelines for other activities to be used as CEU's   -   (11.20KB)
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   FORM E- Other Activity Log PRE-K - 12 COMMITTEES  -   (285.19KB)
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   FORM E- Other Activity Log PreK-8 STAFF DEVELOPMENT  -   (286.79KB)
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   FORM E- Other Activity Log 9-12 STAFF DEVELOPMENT  -   (285.96KB)
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   FORM E- Other Activity Log BLT MEETINGS  -   (282.88KB)
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   FORM E- Other Activity Log DLT MEETINGS  -   (282.63KB)
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   FORM E- Other Activity Log TBT MEETINGS  -   (284.82KB)
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   WLPDC License Application Sheet  -   (132.76KB)
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   Warren LPDC License Application  -   (132.66KB)
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General

File Type
   2017 Alumni Hall of Fame Program  -   (676.89KB)
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   Alumni Hall of Fame 2017 Inductees  -   (199.28KB)
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   Alumni Hall of Fame Dinner Invitation 2018  -   (88.79KB)
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Business Forms

File Type
   Facility Rental Application  -   (145.72KB)
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   Warehouse Order Form - Updated 20170420  -   (40.62KB)
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   Moving Form  -   (52.34KB)
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District Files

File Type
   Official 2015-16 District Calendar  -   (B)
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   2014-15 District Annual Report  -   (17.84MB)
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   Student Guide to Positive Behavior  -   (946.14KB)
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   2017 Alumni Hall of Fame Yearbook  -   (719.20KB)
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   Alumni Hall of Fame Nomination Form  -   (174.14KB)
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   K-8 Building Lunch Menu  -   (415.66KB)
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   Warren G. Harding Lunch Menu  -   (261.21KB)
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   District Map  -   (1.09MB)
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   2016-17 Dress Code  -   (421.89KB)
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   2017-18 School Supplies  -   (175.69KB)
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