- Shoreline Public Schools
- Forms
General Forms
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Authorization to Transfer Personnel Records
Authorization to Transfer Personnel Records: Use this form to request your employment records from a prior district.
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Certificated Professional Development
Certificated Professional Development - Per the SEA Collective Bargaining Agreement (Article 29.0) each certificated staff member may access up to 1.5 days of substitute time to support educator-selected professional development, annually. In lieu of hiring a substitute, with pre-approval of the administrator the allocation may be used to provide individual compensation, to be paid at the cert hourly rate. This support is pro-rated according to individual employee’s contracted FTE (e.g. 1.0 FTE, 0.8 FTE, etc.)
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Employee Change of Address-Name-Phone Number
Employee Change of Address Submit this form to Human Resources with your new information. You may also make Address, Phone & E-Mail changes through Employee Access.
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Medical Certification - Employee
Medical Certification - Employee If you need to be off for a period of time for your own health issues, please provide this form to certify your time off. Send this form directly to Human Resource, once complete.
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Medical Certification - Family Member
Medical Certification - Family Member If you need to be off to care for a Family Member, please have this form completed by the Family Member's doctor, to certify your time off. This form is sent directly to Human Resoures, once completed.
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National Board - Fee Reimbursement
NBPTS - Request for Fee Reimbursement
Shoreline School District will reimburse NBPTS candidates for up to one-half the $1900 cost of component feesfor this national certification, in exchange for 25 hours of service, per Sections 30.1 and 30.2 of the SEA CollectiveBargaining Agreement. (Annual registration/processing fees and retake fees are not reimbursable.) -
National Board - Renewal Fee Reimbursement
NBPTS Renewal - Request for Fee Reimbursement
The Shoreline School District will reimburse NBPTS renewal candidates for up to one-half the $1250 cost of renewal fees for this national certification. (Any annual registration/processing fees or retake fees are not reimbursable.) -
Shared Leave Request
Shared Leave Request If you need to be off for a period of time, but do not have sufficient sick leave to cover your time off, you may be eligible for Shared Leave. Please completed this form and send to HR, along with Medical Certification.
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Verification of Professional Employment-Certificated
Verification of Professional Employment Use this form to verify your Certificated experience from another district, you may also use this form to transfer sick leave from a previous district.
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Verification of Classified Experience
Verification of Classified Experience. Use this form to transer your Classified School District Experience. You may also use this form to transfer your Sick Leave Balance.
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Workplace Hazard Reporting Form
Workplace Hazard Form Submit this form when you notice a workplace hazard.
Evaluation
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Evaluation Forms SEA (Forms A-G)
SEA Evaluation Forms Use these forms to evaluate Certificated employees.
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Evaluation Form Classified (SESPA)
Classified Evaluation - SESPA Use this form for SESPA represented employees.
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Evaluation Form Classified (Non-SESPA)
Classified Evaluation (Non-SESPA) Use this Evalution form for Bus Drivers, Custodians, Food Service, Maintenance, Mechanics, Non-Rep.
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Evaluation Form - Substitutes
Substitute Evaluation Form Use this form to Evaluate Classified or Certificated Substitutes.
Personnel Services (PS) & Reference Check Forms
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PS 101 - Personnel Change
PS 101 Use this form to change or add to an existing assignment.
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PS 102 - Leave Absence Record
PS 102 Leave Record Use this form to report time off. Provide this form to your Office Manager.
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PS 103 - Job Posting
PS 103 Use this form to request a Job Posting.
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Administrative Reference Check
Administrative Reference Check Used by Administrators during the hire process.
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Certificated Reference Check
Certificated Reference Check Used by Adminsitrators during the hire process.
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Classified Reference Check
Classified Reference Check Used by Adminsrators during the hire process.
Accident/Injury Forms – Worker’s Compensation Claim Information
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Report an On-The-Job Injury
If you were injured on the job, please use the link below to report an incident or injury AND to file a claim.
For best results us a laptop or desktop computer, you may not be able to access all option on a phone or tablet.
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Letter to Attending Physician
Provide this letter to the doctor attending to your injury.
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Provider's Initial Report
This form to be completed by the doctor attending to your injury.
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Activity Prescription Form (APF)
Take this form with you to the doctor.
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Employee's Guide to Self-Insurance
A guide to your industrial insurance benefits.
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For your Information
Helpful information on navigating an On-The-Job-Injury Claim.
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Pharmacy/Prescription Letter
Use this form to get an initial prescription filled.
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Leave Claim Form
Designate use of leave to supplement L&I payments.
Labor Law Posters – Safety Board – Board Policies
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Board Policy – Harassment – Student Abuse Protection
Board-Policy-Harrassment-Student-Abuse-Protection-3421-5013-8700.pdf 50.34 KB (Last Modified on August 8, 2016)