Forms → All Staff

Staff

Accounting
Authorization for Consultant/Independent Contractor (Vendor) Services66 K
280-49
Authorization for Employee Use of Overtime74 K
280-19
Checklist for Verification of Electronic Payment Information Change Requests88 K
280-52
CONTRACT REVIEW FORM69 K
203-6
Control Sheet -Check Issuance105 K
280-27
Customer Receipt Confirmation37 K
275-8
Executive Staff Expenditure Reimbursement Request46 K
203-4
Justification170 K
235-3
MCPS Deposit Log101 K
280-92
Monthly Statement of Mileage for Use of Private Vehicle77 K
220-2
Non-Teaching Long-Term Substitute Request141 K
430-22
Personal Property Claim Form 82 K
525-6
Purchasing Card Cardmember Transaction Log432 K
234-21
Purchasing Card File Maintenance Worksheet79 K
234-20
Purchasing Card: Approving Official Acknowledgement67 K
234-22
Receipt and Bond Form for Equipment Loan419 K
234-23
Receipt for Donated Items57 K
275-7
Record of Funds Transmitted to Montgomery County Public Schools101 K
280-45
Request/Accounting for Nonlocal Travel Funds145 K
281-1
Request/Authorization for Movement of Funds and/or Positions92 K
210-1
Response Form for Required Criminal Background Checks54 K
235-40
Telephone Toll Record104 K
202-3
ADAAA Accommodations
Binocular Disorder Questionnaire78 K
272-7A
Emergency Evacuation Accommodations50 K
336-2
EMPLOYEE REQUEST FOR ADA ACCOMMODATION445 K
270-6
Benefits
Acknowledgement of Medicare Enrollment Requirements for All Disability Retirees32 K
455-14
Application for Lump Sum (De minimis) Retirement Distribution72 K
455-26
Attending Physician's Statement112 K
455-25
Certification for Transfer of Service Credit92 K
450-4
Change in Personal Information for MCPS Employees462 K
445-1A
Designation of Beneficiary/Beneficiaries426 K
455-5
Employee Benefit Plan Enrollment168 K
455-20
Flexible Spending Account Election88 K
450-3
MCPS Retirement §403(b) Leave Payout Contribution Agreement79 K
455-28
MCPS Retirement, Section 457(b) Leave Payout Contribution Agreement80 K
455-29
Membership Information Montgomery County Public Schools Employee Pension System434 K
455-3
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 21.F) Verification Form41 K
430-52
Optional Dependent Term Life Insurance103 K
450-2
Optional Employee Term Life Insurance100 K
450-1
PACS TIMESHEET Lunch/Recess Coverage (SEIU Only)73 K
430-15
PACS TIMESHEET Missed Duty-Free Lunch (MCEA Only)70 K
430-14
Preliminary Application for Disabiity Benefit89 K
455-23
Request for Estimate of Retirement Benefits63 K
455-2A
Request for Leave under the Maryland Healthy Working Families Act59 K
430-1B
Request for Refund of MCPS Prepaid Benefits68 K
455-4
Retiree Benefit Plan Enrollment - FOR NEW RETIREES ONLY188 K
455-22R
Retiree Benefit Plan Enrollment (2023)145 K
455-22
RETIREE BENEFIT PLAN ENROLLMENT 2022137 K
455-22 (2022)
Statement of Disability and Medical Release82 K
455-24
Student Debt Relief Fund for SEIU Local 500 Bargaining Unit Members 108 K
442-1
Transfer of Cumulative Sick Leave97 K
430-62
Board of Education
Financial Disclosure Statement for Calendar Year ______ (For Board Members)411 K
281-52
Bullying
Bullying, Harassment, or Intimidation Incident School Investigation Form138 K
230-36
Bullying, Harassment, or Intimidation Reporting Form 179 K
230-35
Discrimination, Harassment, and Workplace Bully Complaint585 K
230-39
Complaint
Administrative Complaint 503 K
430-42
Data Request
Request for an Internal Data Collection Activity117 K
226-21
Request for Information or Support65 K
365-54
Educational Services
Addendum To MCPS Forms53 K
336-01
Appeal of Attendance Recording 421 K
560-26A
Application for Admission of Exchange Students in MCPS444 K
335-66
Application for Interim Instructional Services, Administrative Placement 490 K
311-15A
Application for Partial Tuition Waiver for Regional Summer School Courses 457 K
325-4
Application for Partial Tuition Waiver of Student Online Learning Credit Courses 437 K
325-4B
Application for Partial Waiver of Summer Online Pathway to Graduation (OPTG) Tuition 422 K
325-4A
Application Form for Community Peers 102 K
335-47
Assistive Technology Family Loan Agreement49 K
336-17
Attendance Intervention Plan448 K
560-26B
Authorization for Assessment 78 K
336-31
Authorization for Release/Exchange of Confidential Information 101 K
336-32
Authorization for School Psychologists Section 504 Attentional Disorders Assessment 49 K
270-2a
Behavioral Intervention Plan (BIP)170 K
336-65
Bilingual Assessment Team Referral68 K
336-26a
Bilingual Assessment Team Referral65 K
336-26c
Bilingual Assessment Team Referral for Special Education Assessment(s)59 K
336-26b
Binocular Disorder Questionnaire78 K
272-7A
Bridge Plan for Academic Validation434 K
320-15
Career and Technology Education (CTE) Programs Summer Experience Verification455 K
560-60
Classroom Observation226 K
336-21
Consent for Group Counseling 457 K
339-2
Consent for Individual Counseling 457 K
339-1
Distribution of Section 504 Plan39 K
270-2D
Documentation of Parent/Guardian Agreement to Delay Initial Evaluation 35 K
336-46A
Dual Credit Refusal Form 463 K
280-93
Early College Program Withdrawal Form 41 K
280-94A
Educational History156 K
336-20
Educational Management Team (EMT) Summary53 K
272-4
Educational Management Team Program Plan for Students Being Retained 426 K
272-42
Elementary Teacher Report146 K
272-7
Eligibility Screening Parent Interview/Questionnaire 175 K
336-22
Emergency Evacuation Accommodations50 K
336-2
Emotional Disability 124 K
336-67
Five-Day Disclosure Notice of Documents Provided to Parent/Guardian for Review at an IEP Meeting 339 K
336-39A
Five-Day Extenuating Circumstances Notice of Documents Provided to Parent/Guardian for Review at an IEP Meeting 339 K
336-39C
Five-Day Opt Out Disclosure Notice on Documents Provided to Parent/Guardian at an IEP Meeting 338 K
336-39B
Five-Day Verification Notice of Documents Provided After an IEP Meeting 415 K
336-39D
Functional Behavioral Assessment (FBA)185 K
336-64
G Suite for Education: Additional Services 439 K
271-2
Grade Report for Elementary School Students (Grades K–5) Receiving Interim Instructional Services433 K
311-34A
Grade Report for Secondary School Students (Grades 6–12) Receiving Interim Instructional Services417 K
311-34
High School Apprenticeship or Internship Program Counselor Recommendation Form462 K
280-91A
High School Apprenticeship or Internship Program Teacher Recommendation Form468 K
280-91B
History of Early Interventions 475 K
335-83
Homeless Status 74 K
335-77
Homeless Student Transportation Action Request (HSTAR)1,884 K
335-77B
Instructional Music Application 34 K
334-7
Intellectual Disability 101 K
336-66
MCPS English Learners (ELs) Accommodations Plan 426 K
320-53
MCPS Referral for OT/PT Review/Assessment58 K
336-27
Mealtime Plan of Support 90 K
336-69
Move-in Preschool Child Find Questionnaire 449 K
335-49A
Multidisciplinary Evaluation Report for Students Suspected of Having a Specific Learning Disability 418 K
336-41c
Parent Letter: Recommended School54 K
335-77A
Parent Report 35 K
336-39
Parent/Guardian Notification 469 K
335-84
Physical Disabilities Program Motor Characteristics Checklist81 K
336-24
Prekindergarten Observation83 K
336-21A
Prekindergarten Record of ESOL Closure, Kindergarten Only413 K
335-41A
Prekindergarten Teacher Questionnaire 518 K
272-1
Prekindergarten/Head Start Checklist for Applications 476 K
335-9E
Prekindergarten/Head Start Parent/Guardian Volunteer Form 876 K
335-9D
Pre-Kindergarten/Head Start Speech-Language Screening Instrument209 K
335-37
Preschool Child Find Questionnaire 483 K
335-49
Project Discovery Summer School Registration 54 K
325-5PD
Referral for Alternative Program Placement 1,230 K
336-55
Referral for Consultation for Early Childhood Services51 K
337-12
Referral for ESOL Counseling66 K
335-60
Request for a De-identified Naviance Student Account 419 K
427-1
Request for MCPS Course Credit in High School Mathematics438 K
345-44
Request for Private Therapeutic Services in School 456 K
273-2
Request For Written Translations77 K
311-1
Review of Home Instruction Program455 K
270-35
School Truancy Referral61 K
560-11
Secondary School Support Programs 51 K
325-10
Secondary Teacher Report176 K
272-8
Section 504 Causation Meeting Form 84 K
270-2E
Section 504 Evaluation 85 K
270-2b
Section 504 Plan 181 K
270-2
Section 504 Progress and Accommodation Review Worksheet137 K
270-2c
Special Education Staffing Notes91 K
336-52
Speech-Language Screening Summary85 K
336-25
Student Record Transmittal65 K
336-37
Student Referral to the CREA Program476 K
280-82
Summer School Diploma Card54 K
226-1
Teacher Referral178 K
272-9
Teacher Report for Quarterly Progress443 K
272-5
Teacher Report for Quarterly Progress443 K
272-6
Team Consideration of External Report 46 K
336-68
Transfer Request for MCPS Service School Assignment for Parentally-Placed Private/Parochial School Students with a Disability 38 K
336-16
Electronic Services
Electronic Payments Request88 K
540-2
G Suite for Education: Additional Services 439 K
271-2
Request for ActiveSync8 K
271-8
Request for an MCPS Account 504 K
271-4A
Web Services Request97 K
271-5
Webmaster Account Request53 K
271-7
Enrollment
Annual Notice for Directory Information and Student Privacy 100 K
281-13
Annual Notice for Directory Information and Student Privacy for Innovative School Year Calendar Schools 98 K
281-13ISC
Application for Early Entrance Kindergarten Program 586 K
271-6
Application for Early Entrance, First Grade Program 48 K
271-1
Application Form for Community Peers 102 K
335-47
Authorization To Request/Release Student Records45 K
550-2
Dental Health Form 41 K
525-17
Dental Permission Form for Prekindergarten/Head Start 468 K
525-17A
Determination of Residency and Tuition Status 482 K
335-73
Elementary Immersion Interest Form 123 K
306-1
Health Screenings 440 K
SR-5
Hearing and Vision Screening Notice to Parents/Guardians 433 K
567-3
History of Early Interventions 475 K
335-83
Home Language Survey139 K
335-41
Maryland Department of Health Immunization Certificate 161 K
DHMH 896
Maryland DHMH Blood Lead Testing Certificate 876 K
DHMH 4620
Maryland State Department of Education Prekindergarten Experience 438 K
345-17
New Student Information 236 K
560-24
Parent Affidavit (for Evidence of Birth) 56 K
560-24A
Parent/Guardian Notification 469 K
335-84
Prekindergarten/Head Start Application Receipt 432 K
335-9A
Private/Parochial School Student Referral for Special Education Services 74 K
336-13
Project Discovery Summer School Registration 54 K
325-5PD
Quick Guide to Enrollment 106 K
560-24B
Receipt for Prekindergarten Pilot (Pre-K+) Application 473 K
335-9B
Shared Housing Disclosure 68 K
335-74
Student Emergency Information 84 K
565-1
Student Record Card 5a, Additional Comments on Student's Health 410 K
SR-5a
Student Record Card 6 - Health Assessment 900 K
SR-6
Student's Personal Data 421 K
SR-1
Verification of Enrollment167 K
226-19
Ethics
Employee Request for Religious Accommodation78 K
270-7
Financial Disclosure Statement for Calendar Year ______ (For Staff)91 K
281-51
Extended Leadership Program
The Extended Leadership Program Nominations/Request Form141 K
430-96
Extracurricular Activities
Change to Annual Plan for Extracurricular Activities486 K
430-58
Extracurricular Activity (ECA) Stipend Agreement and Assignment57 K
430-59
High Schools Extracurricular Activities Summer Athletic Practice148 K
430-61
Middle School Extracurricular Activities Annual Plan82 K
430-60
Facilities/Equipment Management
Computer Equipment Delivery Request66 K
234-5
Delivery Request47 K
234-9
Elementary Physical Education Indoor/Outdoor Equipment Status Report351 K
345-23A
Facility Emergency Plan152 K
236-5
Facility Project Request Form141 K
230-27
Furniture/Equipment Inventory Property Report142 K
234-17
Furniture/Equipment Inventory Property Report: Addition/Correction58 K
234-18
PROCOM Repair Order418 K
215-23A
Record of Maintenance Visits428 K
230-10
Relocatable Classroom Request55 K
281-5
Repair/Delivery Request41 K
234-3
Statement of Piano Tunings and Repairs88 K
235-34
Sustainability Action Plan156 K
201-10
Voluntary Recycling Reporting Form95 K
201-9
Field Trips/Student Travel
Approval for Extended Day, Out-of-Area, and Overnight Field Trips460 K
210-4
Approval for June Field Trips455 K
210-6
Emergency Plan for Field Trips453 K
210-5
Field Trip Accounting499 K
280-41
Parent/Guardian Approval for Trips 444 K
560-31
Parent/Guardian Approval for Trips 435 K
555-6
Parent/Guardian Approval MCPS Virtual Field Trip/Program Addendum 473 K
210-7
School Bus Disciplinary Report467 K
555-3
Food Services
Child Care Food Program Cycle Menus and Change Request77 K
240-53
Child Care Food Program Menu51 K
240-55
Child Care Food Program—Infant Menu55 K
240-56
Monthly Invoice-Child and Adult Care Food Program47 K
240-54
Notice of Change in Enrollment Child and Adult Care Food Program169 K
240-50
Permanent Agreement Between Sponsoring Organization70 K
240-51
Pre-Approval Visit Certification, Child Care Food Program47 K
240-57
Summary Report of Child Care Food Program Home Review50 K
240-52
Summary Report of Monthly Claim Discrepancies – Child Care Food Program93 K
240-58
Forms
Request for Interpretation Services 324 K
311-10
Request for Non-crisis OSFSE Services431 K
551-1
Request to Telework79 K
425-58
Return to Work Evaluation for Temporary Employees146 K
440-40T
Staff Self-Reporting of Arrests, Criminal Charges, and Convictions 73 K
230-41
State of Maryland, Consent for Release of Information197 K
DHR 1279A
Grant
Authorization for School Grant Application84 K
280-60
Information on School-Based Small Grant Award 8 K
280-71A
Health/Safety
Authorization to Provide Gastrostomy Tube Feeding87 K
525-15
Behavior Threat Assessment Team Confidentiality and Non-Disclosure Agreement Regarding Student Records 446 K
236-11
Bloodborne Pathogens Post-Exposure Report69 K
230-33
Building Sevices Indoor Air Quality Checklist166 K
230-24
Certification of Physician or Health Care Provider84 K
440-35
Crisis Center Referral Information 89 K
560-10
Emergency Care Plan448 K
345-14
Emergency Care Plan SUMMER ONLY446 K
345-14S
Emergency Preparedness Drills517 K
236-3
Extended School Year (ESY) Emergency Plan447 K
336-47
Facility Emergency Plan152 K
236-5
Family Child Care Enrollment Application58 K
240-62
Family Life and Human Sexuality (FLHS) and Disease Prevention and Control (DPC) Worksheet Annual Report—Elementary School 355 K
345-30a
Family Life and Human Sexuality (FLHS) and Disease Prevention and Control (DPC) Worksheet Annual Report—High School 273 K
345-30c
Family Life and Human Sexuality (FLHS) and Disease Prevention and Control (DPC) Worksheet Annual Report—Middle School 272 K
345-30b
Health Care Professional's Written Opinion --Confidential74 K
230-34
Health Requirements for MCPS Prekindergarten/Head Start Programs 430 K
567-1
Health Screenings 440 K
SR-5
Hearing and Vision Screening Notice to Parents/Guardians 433 K
567-3
Hepatitis B Virus Vaccination Authorization 78 K
230-32
Indoor Air Quality Complaint48 K
230-23
Mandatory Hepatitis B Vaccine Declination Statement66 K
230-31
Maryland Department of Health Immunization Certificate 161 K
DHMH 896
Maryland DHMH Blood Lead Testing Certificate 876 K
DHMH 4620
Medical Card For Athlete 80 K
560-30
Parent/Child Reunification (PCR) - USE MCPS Form 565-1467 K
236-1
Physical Education Short-term Illness or Injury Restriction Report 834 K
345-22
Report of Suspected Abuse and Neglect 87 K
335-44
Request for Health Information from Authorized Health Care Provider 449 K
567-2
Return to Work Evaluation: MCEA Employees51 K
440-40M
Return to Work Evaluation: SEIU Employees170 K
440-40S
School Emergency Plan302 K
236-2
School Fire Evacuation Drill Log453 K
230-1
Search and Seizure Report498 K
236-6
Student Accident Report462 K
525-2
Student Arrest on School Property476 K
236-4
Student Record Card 5a, Additional Comments on Student's Health 410 K
SR-5a
Student Record Card 6 - Health Assessment 900 K
SR-6
Suicide Risk Reporting Form 154 K
335-54
Independent Activity Fund (IAF)
Attachment for MCPS Form 280-49A (IAF Funds)16 K
281-49A
Authorization for Consultant/Independent Contractor (Vendor) Services83 K
280-49a
Centralized Investment Fund Deposit/Withdrawal55 K
280-44
Exception Request to Use Materials/Textbook Allocations for Furniture/Equipment Purchases82 K
410-1
Fee Waiver Record463 K
260-1
Field Trip Accounting499 K
280-41
Independent Activity Fund (IAF) Remittance Slip80 K
280-34
Independent Activity Funds Request for a Purchase34 K
280-54
Independent Activity Funds Request for Payment to MCPS Employees for Services (Work) Performed442 K
280-46
Independent Activity Funds Sponsor's Record363 K
281-21
Independent Activity Funds Statement of Assets and Liabilities439 K
281-24
Independent Activity Funds—Transfer73 K
281-46
iPayment Worksheet— School Reimbursement for MCPS Substitute Teacher Coverage92 K
203-2A
MCPS Deposit Log101 K
280-92
Purchasing Card Cardmember Transaction Log432 K
234-21
Purchasing Card File Maintenance Worksheet79 K
234-20
Purchasing Card: Approving Official Acknowledgement67 K
234-22
Receipt and Bond for Band/Orchestra Instruments 55 K
334-13
Receipt and Bond Form for Equipment Loan419 K
234-23
Receipt for Donated Items57 K
275-7
Request for Reimbursement of Invoices Paid by School45 K
280-48
Restricted Independent Activity Fund (IAF) Purchases (OCOO)75 K
281-53
Restricted Independent Activity Fund (IAF) Purchases (OOF)82 K
281-55
Sale of Merchandise Analysis481 K
281-22
Schedule of Accounts452 K
281-23
Student Financial Obligation110 K
560-4
Tickets and Cash Report of Admissions Manager58 K
280-50
Yearbook Analysis51 K
281-25
Interim Instructional Services
Application for Interim Instructional Services, Administrative Placement 490 K
311-15A
Application for Interim Instructional Services, with Qualified Physical Health Condition ONLY 92 K
311-15B
Grade Report for Elementary School Students (Grades K–5) Receiving Interim Instructional Services433 K
311-34A
Grade Report for Secondary School Students (Grades 6–12) Receiving Interim Instructional Services417 K
311-34
Payroll Timesheet, Total Hours Summary Timesheet103 K
311-19
Review of Home Instruction Program455 K
270-35
Teacher's Biweekly Report of Interim Instructional Services48 K
311-13
Time Report for MCPS Employees at NIH37 K
430-78
Interpretation Services
Pay Differential for Translation/Interpretation Services78 K
430-53
Request for Interpretation Services 324 K
311-10
Leave Request
Leave Request (NOT Requiring ERSC Authorization)74 K
430-1A
Leave Request (Requiring ERSC Authorization)140 K
430-1
Professional Leave (PRO)56 K
430-94
Library/Media/Technology
Evaluation and Selection of Instructional Materials Copyright Permission94 K
203-1
Media Purchase Order Professional Library39 K
235-26C
Periodical Purchase Order (Professional Library)40 K
235-26B
Record of Evaluation of Instructional Materials123 K
365-25
Request for Professional Materials Reimbursement to MCPS Employees31 K
365-41
Request for Waiver for the Instructional Use of Film52 K
365-21
Payroll
Authorization for Employee Use of Overtime74 K
280-19
Employee's Additional Withholding of Income Tax Agreement249 K
280-3
Employee's Withholding Allowance Certificate 356 K
W4MW507
MCPS Employees’ Retirement/Pension System Maryland State Withholding Request91 K
281-50
PACS Correction139 K
280-7
PACS Time Sheet for Summer Supplemental Employment (SSE)120 K
430-13
PACS Timesheet156 K
430-70
PACS Timesheet Extracurricular Class 1 or Class 2 Activities86 K
430-21
PACS Timesheet for Extracurricular Class 3–5 Activities, Dollars Only32 K
430-18
PACS Timesheet Short-Term Substitute Teachers and Staff Development Substitute Teachers109 K
430-17
PACS Timesheet Temporary Part Time104 K
430-12
Payroll Timesheet, Total Hours Summary Timesheet103 K
311-19
Request for Advanced Salary Placement471 K
475-1
Teacher's Biweekly Report of Interim Instructional Services48 K
311-13
Time Report for MCPS Employees at NIH37 K
430-78
Personnel
Addendum to Application for Retirement/Notice of Separation454 K
455-2B
Administrative & Supervisory Position Advertisement Form449 K
445-60
Administrative & Supervisory Position Interview Questions/Writing Prompt435 K
445-63
Administrative & Supervisory Position Proposed Interview Panel481 K
445-62
Administrative & Supervisory Proposed Candidates to Interview437 K
445-61
Administrative & Supervisory Proposed Candidates, Interview Panel66 K
445-61A
Administrative & Supervisory Recommendation to Hire463 K
445-64
Annual Update of School Administrative Staff Contact Information47 K
211-1
Application For Retirement44 K
455-2
Application for: IRT/Resource Teacher/Counselor, Media Generalist, Counselor, Reading Specialist167 K
430-47
Authorization Form Emergency Class Coverage Program—Support Staff102 K
430-10S
Authorization Form Emergency Class Coverage Program—Teachers97 K
430-10M
Authorization Form Volunteer Meeting Coverage Program—School Psychologists 70 K
430-10SP
Behind-the-Wheel Evaluation and Evacuation Proficiency109 K
215-41
Change in Personal Information for MCPS Employees462 K
445-1A
Change in Personal Information for MCPS Retirees and Former Employees81 K
445-1B
Clearance Form for Central Office (CESC) Staff34 K
220-3
Coach Evaluation Form152 K
565-13
Drugs/Alcohol Reasonable Suspicion Documentation Form for Physical Evidence140 K
338-2
Employee Change Request79 K
426-1
Employee Emergency Contact/Information32 K
565-10
Evaluation Form: Supporting Services Professional Growth System 112 K
430-90
Final Evaluation Report: Instructional Specialist509 K
425-44
Final Evaluation Report: Speech-Language Pathologist520 K
425-43
Final Evaluation Report: Assistant Principals, Assistant School Administrators, and Coordinators of School-Based Programs451 K
430-80
Final Evaluation Report: Business and Operations Administrators119 K
430-95
Final Evaluation Report: Central Services Administrators175 K
430-74
Final Evaluation Report: Counselor523 K
430-45
Final Evaluation Report: High School Resource Teacher519 K
425-48
Final Evaluation Report: Library Media Specialist514 K
430-79
Final Evaluation Report: Middle School Content Specialist194 K
425-56
Final Evaluation Report: Middle School Team Leader513 K
425-57
Final Evaluation Report: Montgomery County Infants and Toddlers (MCITP) Early Interventionists509 K
425-49
Final Evaluation Report: Occupational/Physical Therapist517 K
425-46
Final Evaluation Report: Principals428 K
430-69
Final Evaluation Report: Pupil Personnel Worker (PPW)555 K
425-42
Final Evaluation Report: Reading Specialist514 K
425-51
Final Evaluation Report: Resource Counselor514 K
425-47
Final Evaluation Report: School Psychologist511 K
425-45
Final Evaluation Report: Social Worker508 K
425-55
Final Evaluation Report: Staff Development Teacher (SDT) (.5 and above)515 K
425-40
Final Evaluation Report: Teacher519 K
425-39
High School Extracurricular Activity Summer Athletic Practice—Employee Eligibility Verification86 K
430-97
Job Banding Career Advancement97 K
336-84
Long-Term Teacher Substitute Assignment83 K
445-17
Non-Teaching Long-Term Substitute Request141 K
430-22
Notice of Separation/Termination of Employment from Montgomery County Public Schools299 K
480-4
Notification of Assignment/Hours Paraeducators51 K
447-6-PARA
Notification of Change in Hours/Title48 K
447-6
Paraeducator Staffing Grid for SY 2017-2018 1,153 K
425-9A
Position Change94 K
447-13
Reasonable Suspicion Behavior/Incident Documentation Form128 K
338-1
Recommendation for Social Worker Position221 K
430-92
Reference for Applicant for: IRT/Resource Teacher (Secondary), Resource Counselor, Media Specialist, Counselor, Reading Specialist113 K
430-48
Request for Approval of Higher Level Assignment (HLA)102 K
430-24
Request for Outstanding Service Award102 K
460-9
Request for Temporary Employment846 K
460-2
Request to Review Personnel File132 K
425-8
Return to Work Evaluation: MCEA Employees51 K
440-40M
Return to Work Evaluation: SEIU Employees170 K
440-40S
Statement of Military Service53 K
455-18
Student Teacher/Intern Assignment Verification462 K
440-12
Substitute Teacher Removal Request48 K
445-18
Summary of Employee Conference54 K
425-54
Supporting Services Involuntary Transfer Request90 K
425-9
Teacher Assignment41 K
440-6
Verification of Employment50 K
460-29
Prekindergarten/Head Start
Customer Satisfaction Survey 492 K
335-92
Dental Health Form 41 K
525-17
Dental Permission Form for Prekindergarten/Head Start 468 K
525-17A
Health Requirements for MCPS Prekindergarten/Head Start Programs 430 K
567-1
Hearing and Vision Screening Notice to Parents/Guardians 433 K
567-3
History of Early Interventions 475 K
335-83
Maryland Department of Health Immunization Certificate 161 K
DHMH 896
Maryland DHMH Blood Lead Testing Certificate 876 K
DHMH 4620
New Student Information 236 K
560-24
Parent/Guardian Notification 469 K
335-84
Prekindergarten/Head Start Application Receipt 432 K
335-9A
Prekindergarten/Head Start Checklist for Applications 476 K
335-9E
Prekindergarten/Head Start Parent/Guardian Volunteer Form 876 K
335-9D
Prekindergarten/Head Start Programs School Year 2024–2025 List of Documents 52 K
335-9C
Receipt for Prekindergarten Pilot (Pre-K+) Application 473 K
335-9B
Request for Health Information from Authorized Health Care Provider 449 K
567-2
Request for Transportation Services 447 K
335-82
Student Emergency Information 84 K
565-1
Student Record Card 6 - Health Assessment 900 K
SR-6
Professional Development
Administrative and Supervisors' Professional Development Plan (PDP)119 K
425-50
Continuing Professional Development (CPD) Request458 K
440-8
End of PDP Cycle Review Form91 K
425-37
Five-Year Certificate Renewal Plan for Renewal for the Standard Professional Certificate (SPC2) to Obtain the Advanced Professional Certificate (APC)473 K
440-36
Five-year Certificate Renewal Plan for Renewal of the Advanced Professional Certificate (APC)455 K
440-37
MCPS Counselor Certification Renewal Requirement (Lauryn’s Law)109 K
425-41A
Professional Development Plan (PDP)138 K
425-35
Progress Check Point90 K
425-36
School Counselor Professional Development Plan (PDP)507 K
425-41
Supporting Services Professional Development Plan (PDP)89 K
425-53
Professional Growth System
Administrator Summary Report in Lieu of a Formal Observation76 K
430-82
Evaluation Form: Supporting Services Professional Growth System 112 K
430-90
Final Evaluation Report: Athletics Specialist—High School894 K
430-98
Final Evaluation Report: Instructional Specialist509 K
425-44
Final Evaluation Report: Speech-Language Pathologist520 K
425-43
Final Evaluation Report: Assistant Principals, Assistant School Administrators, and Coordinators of School-Based Programs451 K
430-80
Final Evaluation Report: Business and Operations Administrators119 K
430-95
Final Evaluation Report: Central Services Administrators175 K
430-74
Final Evaluation Report: Counselor523 K
430-45
Final Evaluation Report: High School Resource Teacher519 K
425-48
Final Evaluation Report: Library Media Specialist514 K
430-79
Final Evaluation Report: Middle School Content Specialist194 K
425-56
Final Evaluation Report: Middle School Team Leader513 K
425-57
Final Evaluation Report: Montgomery County Infants and Toddlers (MCITP) Early Interventionists509 K
425-49
Final Evaluation Report: Occupational/Physical Therapist517 K
425-46
Final Evaluation Report: Principals428 K
430-69
Final Evaluation Report: Pupil Personnel Worker (PPW)555 K
425-42
Final Evaluation Report: Reading Specialist514 K
425-51
Final Evaluation Report: Resource Counselor514 K
425-47
Final Evaluation Report: School Psychologist511 K
425-45
Final Evaluation Report: Social Worker508 K
425-55
Final Evaluation Report: Staff Development Teacher (SDT) (.5 and above)515 K
425-40
Final Evaluation Report: Teacher519 K
425-39
Post-Observation Conference Report73 K
425-38
Reference for Entry-Level Assistant Principal Pool850 K
445-25
Reference for Entry-Level Assistant School Administrator Pool117 K
445-26
Teacher Summary Report in Lieu of a Formal Observation76 K
430-99
Project Evaluation
Request for Project Evaluation or Outcome Reporting42 K
370-1
Records
ACCUPLACER Score Request Form40 K
320-14
Affidavit: Children in Informal Kinship Care 61 K
334-17
Annual Notice for Directory Information and Student Privacy 100 K
281-13
Central Records Storage/Shredding Request Form114 K
365-10
Eligible Student Declaration Form31 K
281-12
Maryland Department of Health Immunization Certificate 161 K
DHMH 896
Maryland DHMH Blood Lead Testing Certificate 876 K
DHMH 4620
Maryland Student Exit Record81 K
SR-7
Official Transcript Online Pathway to Graduation Program60 K
325-26
Outdoor Environmental Education Programs (OEEP)62 K
345-6A
Prekindergarten Record of ESOL Closure, Kindergarten Only413 K
335-41A
Request for MCPS Course Credit in High School Mathematics438 K
345-44
Shared Housing Disclosure 68 K
335-74
Student Emergency Information 84 K
565-1
Student Records Review and Update Verification Certification Statement102 K
226-7
Summer School Diploma Card54 K
226-1
Summer School Report Card, Grades K-527 K
325-14
Residency Verification
Documentation of Residency Through Home Visit434 K
560-34
Shared Housing Disclosure 68 K
335-74
Risk Management
Property Damage/Loss Claim Form80 K
525-7
Request for Certificate of Insurance86 K
203-7
Safety and Security
Behavior Threat Assessment Team Confidentiality and Non-Disclosure Agreement Regarding Student Records 446 K
236-11
Milestone Video System Access Request Form452 K
222-21
Request to View MCPS Security Camera Video100 K
236-12
Student Arrest on School Property476 K
236-4
Student
ACCUPLACER Score Request Form40 K
320-14
Affidavit: Children in Informal Kinship Care 61 K
334-17
Appeal of Attendance Recording 421 K
560-26A
Application for the Recovery and Academic Program (RAP) 452 K
335-75
Athletic Roster: Middle Schools428 K
345-45
Athletic Roster: High Schools56 K
345-45A
Attendance Intervention Plan448 K
560-26B
Authorization for School Psychologists Section 504 Attentional Disorders Assessment 49 K
270-2a
Behavior Threat Assessment Team Confidentiality and Non-Disclosure Agreement Regarding Student Records 446 K
236-11
Bullying, Harassment, or Intimidation Incident School Investigation Form138 K
230-36
Bullying, Harassment, or Intimidation Reporting Form 179 K
230-35
Career and Technology Education (CTE) Programs Summer Experience Verification455 K
560-60
Children in Informal Kinship Care Relationships455 K
560-40A
Children in Out-of-County Living Arrangements458 K
560-40
Distribution of Section 504 Plan39 K
270-2D
Documentation of Interventions95 K
272-10
Dual Credit Refusal Form 463 K
280-93
Educational Management Team (EMT) Summary53 K
272-4
Eligible Student Declaration Form31 K
281-12
Enrollment of Child in Maryland State-Supervised Care and Transfer of Educational Records67 K
560-35
G Suite for Education: Additional Services 439 K
271-2
Gang-Related Incident Investigation Form99 K
230-38
Gang-Related Incident Reporting Form 102 K
230-37
High School Internship Program Agreement 49 K
280-77
Intake Form: Supporting Student Gender Identity 78 K
560-80
Move-in Preschool Child Find Questionnaire 449 K
335-49A
Notice of High School Course Mark Exclusion77 K
560-55
Parent/Child Reunification (PCR) - USE MCPS Form 565-1467 K
236-1
Physical Education Short-term Illness or Injury Restriction Report 834 K
345-22
Preschool Child Find Questionnaire 483 K
335-49
Protection of Pupil Rights Amendment (PPRA) 395 K
PPRA
Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information 463 K
335-75A
Request for a De-identified Naviance Student Account 419 K
427-1
Request for Approval of Part-Time Daily Attendance459 K
280-98
Request for Approval to Complete a Course for Credit (CR)/No Credit (NC) in High School Credit Courses84 K
270-32B
Request for Private Therapeutic Services in School 456 K
273-2
Request for Student Labels or Listings174 K
226-10
Request to Review High School Transcript83 K
355-27C
School Bus Disciplinary Report467 K
555-3
School Hosted Student Service Learning (SSL) Opportunity - During the School Day68 K
560-59
School Truancy Referral61 K
560-11
Secondary Grade Modification452 K
355-27A
Secondary School Support Programs 51 K
325-10
Section 504 Causation Meeting Form 84 K
270-2E
Section 504 Evaluation 85 K
270-2b
Section 504 Plan 181 K
270-2
Section 504 Progress and Accommodation Review Worksheet137 K
270-2c
Shared Housing Disclosure 68 K
335-74
Student Accident Report462 K
525-2
Student Emergency Information 84 K
565-1
Student Records Review and Update Verification Certification Statement102 K
226-7
Student Referral61 K
555-1
Student Sign In/Sign Out Sheet101 K
560-1
Student Transfer Outside of MCPS or Death of Student463 K
565-5
Suicide Risk Reporting Form 154 K
335-54
Summer RISE 2020 Parent/Guardian Consent Agreement 453 K
496-1
Summer RISE 2020 Student Agreement 455 K
496-3
Summer School Report Card, Grades K-527 K
325-14
Worksheet for Suspension or Health-Related Exclusion60 K
560-6
Student Internships
High School Apprenticeship or Internship Program Counselor Recommendation Form462 K
280-91A
High School Apprenticeship or Internship Program Teacher Recommendation Form468 K
280-91B
High School Apprenticeship Program Application, Parent/Guardian Consent Form90 K
280-99A
High School Internship Program Agreement 49 K
280-77
Intern Performance Evaluation 438 K
360-30
Internship Sponsor Questionnaire827 K
280-77A
Student Technology
G Suite for Education: Additional Services 439 K
271-2
Student Withdrawal
Authorization To Request/Release Student Records45 K
550-2
Educational Interview for Withdrawal Prevention 152 K
565-4a
Elementary Student Withdrawal/Clearance162 K
560-20
Secondary Student Withdrawal/Clearance Form168 K
560-21
Student Permanent Withdrawal 189 K
565-4
Teacher
Application to Supervise a Counseling Practicum Student or Intern435 K
440-12A
Authorization Form Emergency Class Coverage Program—Teachers97 K
430-10M
Deletion of Student Service Learning (SSL) Hours Attached to Courses69 K
560-54
Elementary Physical Education Teacher Data Sheet168 K
345-31
General Use Slip 24 K
275-2
Model Rocket Activity Authorization87 K
201-11
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 21.F) Verification Form41 K
430-52
Professional Reference (For Summer School Teacher)461 K
325-21
Request for Advanced Salary Placement471 K
475-1
Request for Assignments80 K
301-2
Summary of Parent Conference62 K
270-1
Summer School Report Card, Grades K-527 K
325-14
Teacher Volunteer Planning Center69 K
311-52
Verification of Equivalent Activities for Advanced Professional Certificate (APC) Renewal Purposes452 K
440-34
Volunteer Sign-In Log46 K
311-56
Weekly Record of Time of Staff Arrival and Departure241 K
430-11
Yearly Evaluation Report87 K
430-66
Training
In-Service Attendance Report126 K
215-39
Registration for Building Service Staff Inservice Training45 K
440-18
Registration for Support Service In-service Training43 K
440-4
Request for Released Time to Attend Class for Supporting Services Staff88 K
440-21
Translations
Request For Written Translations77 K
311-1
Transportation
Bus Accident Reporting Checklist457 K
215-51
Defects School Bus Inspection300 K
215-12
Foster Student Transportation Action Request (FSTAR) 1,884 K
336-42A
MCPS Vehicle Accident Report2,495 K
215-49
Notice of Violation80 K
215-14
Preventative Maintenance/Service1,169 K
215-23
PROCOM Repair Order418 K
215-23A
Request for Transportation Services 447 K
335-82
School Bus Disciplinary Report467 K
555-3
Student Transportation Action Request Form (STAR)1,884 K
336-42
Union
12-month MCEA Members Designation of Annual Leave to Contribute to 403(b) Plan130 K
430-91
Emergency SEIU, Local 500, Child Care Reimbursement Form57 K
441-1
MCAAP/MCBOA Members Designation of Annual Leave to 403(b)/457(b) Plan Contribution or Cash Payout104 K
430-91B
MCAAP/MCBOA/MCPS Grievance Form443 K
430-43
MCEA Grievance Form448 K
430-41
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 21.F) Verification Form41 K
430-52
Request for MCBOA Masters Salary Supplement551 K
430-39
Request for Use of ESR Overtime72 K
280-21
Return to Work Evaluation: MCEA Employees51 K
440-40M
Return to Work Evaluation: SEIU Employees170 K
440-40S
SEIU Local 500 Sick Leave Bank Opt Out75 K
280-38
SEIU LOCAL 500/MCPS Grievance118 K
430-40
SEIU/MCPS Emergency Assistance Program556 K
430-25
Student Debt Relief Fund for SEIU Local 500 Bargaining Unit Members 108 K
442-1
Union Business Leave (UBL)76 K
430-5