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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

HEALTH SERVICES
AD-H-516 Allergy/Anaphylaxis Action Plan Download pdf
AD-H-485 Asthma - Self Possession of an Asthma Inhaler by a Student 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 Medical Form for Administration of Medication and Self Medication Administration Download pdf
AD-H-358 Medical Order:  Gastrostomy/Jejunostomy Tube Feedings Download pdf
AD-H-503 Medical Statement / Medical Action Plan Download pdf
TRANSFERS 
The transfer window is closed.

AD-102 Application for Student Transfer (2014-15 sch yr)

AD-102Magnet Application for MAGNET Transfer (2014-15 sch yr)

AD-122 Student Transfer Appeal Download pdf
TRANSPORTATION
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
ENROLLMENT
CI-276 New Student Enrollment Download pdf
CI-276 Spanish Inscripción para de estudiantes nueuos
New Student Enrollment (Spanish)
Download pdf
CI-277 Student Medical Profile Download pdf
STUDENT RELATED

-
Special Education, rights, safeguards, medical release
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
PUBLIC AFFAIRS

-
Media releases, comments, request for production, volunteer consent/agreement
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
PA-104 Background Investigation Consent (for volunteers) Download pdf
PA-105 Volunteer Confidentiality Agreement Download pdf
PA-106 Volunteer Download pdf
EMPLOYEES
            Note: KCS Employees may access the complete database of additional FORMS ONLINE
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
BO-180A
BO-180B
BO-180C
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
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