Accounting |
Authorization for Consultant/Independent Contractor (Vendor) Services | 66 K
| 280-49 |
Authorization for Employee Use of Overtime | 82 K
| 280-19 |
Checklist for Verification of Electronic Payment Information Change Requests | 88 K
| 280-52 |
Competitive Price Quote Form | 60 K
| 234-24 |
CONTRACT REVIEW FORM | 88 K
| 203-6 |
Control Sheet -Check Issuance | 105 K
| 280-27 |
Customer Receipt Confirmation | 37 K
| 275-8 |
Executive Staff Expenditure Reimbursement Request | 46 K
| 203-4 |
Justification | 200 K
| 235-3 |
MCPS Deposit Log | 101 K
| 280-92 |
Monthly Statement of Mileage for Use of Private Vehicle | 77 K
| 220-2 |
Non-Teaching Long-Term Substitute Request | 144 K
| 430-22 |
Personal Property Claim Form | 83 K
| 525-6 |
Purchasing Card Cardmember Transaction Log | 432 K
| 234-21 |
Purchasing Card File Maintenance Worksheet | 79 K
| 234-20 |
Purchasing Card: Approving Official Acknowledgement | 67 K
| 234-22 |
Receipt and Bond Form for Equipment Loan | 419 K
| 234-23 |
Receipt for Donated Items | 57 K
| 275-7 |
Record of Funds Transmitted to Montgomery County Public Schools | 101 K
| 280-45 |
Request/Accounting for MCAAP/MCBOA Travel Funds | 55 K
| 281-1A |
Request/Accounting for Nonlocal Travel Funds | 145 K
| 281-1 |
Request/Authorization for Movement of Funds and/or Positions | 92 K
| 210-1 |
Response Form for Required Criminal Background Checks | 54 K
| 235-40 |
Small High School Support Compensation Assignment Form | 77 K
| 203-8 |
Telephone Toll Record | 104 K
| 202-3 |
ADAAA Accommodations |
Binocular Disorder Questionnaire | 78 K
| 272-7A |
Emergency Evacuation Accommodations | 50 K
| 336-2 |
EMPLOYEE REQUEST FOR ADA ACCOMMODATION | 445 K
| 270-6 |
Benefits |
Accelerated Tuition Reimbursement Process Verification | 94 K
| 445-46 |
Acknowledgement of Medicare Enrollment Requirements for All Disability Retirees | 32 K
| 455-14 |
Application for Lump Sum (De minimis) Retirement Distribution | 72 K
| 455-26 |
Attending Physician's Statement | 112 K
| 455-25 |
Certification for Transfer of Service Credit | 98 K
| 450-4 |
Change in Personal Information for MCPS Employees | 62 K
| 445-1A |
Designation of Beneficiary/Beneficiaries | 426 K
| 455-5 |
Employee Benefit Plan Enrollment | 168 K
| 455-20 |
Flexible Spending Account Election | 88 K
| 450-3 |
MCPS Retirement §403(b) Leave Payout Contribution Agreement | 79 K
| 455-28 |
MCPS Retirement, Section 457(b) Leave Payout Contribution Agreement | 80 K
| 455-29 |
Membership Information Montgomery County Public Schools Employee Pension System | 434 K
| 455-3 |
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 22.L) Verification Form | 107 K
| 430-52 |
Optional Dependent Term Life Insurance | 103 K
| 450-2 |
Optional Employee Term Life Insurance | 100 K
| 450-1 |
PACS TIMESHEET Missed Duty-Free Lunch (MCEA Only) | 70 K
| 430-14 |
Preliminary Application for Disabiity Benefit | 89 K
| 455-23 |
Request for Estimate of Retirement Benefits | 63 K
| 455-2A |
Request for Leave under the Maryland Healthy Working Families Act | 64 K
| 430-1B |
Request for Refund of MCPS Prepaid Benefits | 68 K
| 455-4 |
Retiree Benefit Plan Enrollment - FOR NEW RETIREES ONLY | 200 K
| 455-22R |
Retiree Benefit Plan Enrollment (2023) | 145 K
| 455-22 |
RETIREE BENEFIT PLAN ENROLLMENT 2022 | 137 K
| 455-22 (2022) |
Statement of Disability and Medical Release | 82 K
| 455-24 |
Student Debt Relief Fund for SEIU Local 500 Bargaining Unit Members | 108 K
| 442-1 |
Transfer of Cumulative Sick Leave | 81 K
| 430-62 |
Tuition Reimbursement Appeal | 80 K
| 445-45 |
Board of Education |
Financial Disclosure Statement for Calendar Year ______ (For Board Members) | 411 K
| 281-52 |
Bullying |
Bullying, Harassment, or Intimidation Incident School Investigation Form | 142 K
| 230-36 |
Bullying, Harassment, or Intimidation Reporting Form | 179 K
| 230-35 |
Discrimination, Harassment, and Workplace Bully Complaint | 103 K
| 230-39 |
Complaint |
Administrative Complaint | 503 K
| 430-42 |
Data Request |
Request for an Internal Data Collection Activity | 117 K
| 226-21 |
Request for Information or Support | 65 K
| 365-54 |
Educational Services |
Addendum To MCPS Forms | 53 K
| 336-01 |
Appeal of Attendance Recording | 421 K
| 560-26A |
Application for Admission of Exchange Students in MCPS | 444 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 Agreement | 49 K
| 336-17 |
Attendance Intervention Plan | 448 K
| 560-26B |
Authorization for Assessment | 78 K
| 336-31 |
Authorization for Release/Exchange of Confidential Information | 101 K
| 336-32 |
Authorization for Section 504 Evaluation | 48 K
| 270-2a |
Behavioral Intervention Plan (BIP) | 170 K
| 336-65 |
Bilingual Assessment Team Referral | 68 K
| 336-26a |
Bilingual Assessment Team Referral | 65 K
| 336-26c |
Bilingual Assessment Team Referral for Special Education Assessment(s) | 59 K
| 336-26b |
Binocular Disorder Questionnaire | 78 K
| 272-7A |
Bridge Plan for Academic Validation | 434 K
| 320-15 |
Career and Technology Education (CTE) Programs Summer Experience Verification | 455 K
| 560-60 |
Classroom Observation | 226 K
| 336-21 |
Consent for Group Counseling | 457 K
| 339-2 |
Consent for Individual Counseling | 457 K
| 339-1 |
Distribution of Section 504 Plan | 39 K
| 270-2D |
Documentation of Parent/Guardian Agreement to Delay Initial Evaluation | 35 K
| 336-46A |
Dual Credit Refusal Form | 89 K
| 280-93 |
Dual Enrollment Degree Program Withdrawal/Dismissal | 82 K
| 280-94A |
Educational History | 156 K
| 336-20 |
Educational Management Team (EMT) Summary | 53 K
| 272-4 |
Educational Management Team Program Plan for Students Being Retained | 426 K
| 272-42 |
Elementary Teacher Report | 146 K
| 272-7 |
Eligibility Screening Parent Interview/Questionnaire | 175 K
| 336-22 |
Emergency Evacuation Accommodations | 50 K
| 336-2 |
Emergent Multilingual Learners (EMLs)Accommodations Plan for Instruction and State Assessments | 52 K
| 320-53 |
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 Services | 433 K
| 311-34A |
Grade Report for Secondary School Students (Grades 6–12) Receiving Interim Instructional Services | 417 K
| 311-34 |
High School Apprenticeship or Internship Program Counselor Recommendation Form | 462 K
| 280-91A |
High School Apprenticeship or Internship Program Teacher Recommendation Form | 468 K
| 280-91B |
History of Early Interventions | 475 K
| 335-83 |
Homeless Student Transportation Action Request (HSTAR) | 1,884 K
| 335-77B |
Instructional Music Application | 34 K
| 334-7 |
McKinney-Vento Eligibility and Best Interest Determination | 55 K
| 335-77 |
MCPS Referral for OT/PT Review/Assessment | 58 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 School | 54 K
| 335-77A |
Parent Report | 35 K
| 336-39 |
Parent/Guardian Notification | 469 K
| 335-84 |
Physical Disabilities Program Motor Characteristics Checklist | 81 K
| 336-24 |
Prekindergarten Observation | 83 K
| 336-21A |
Prekindergarten Record of ESOL Closure, Kindergarten Only | 413 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 Instrument | 197 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 Services | 51 K
| 337-12 |
Referral for ESOL Counseling | 66 K
| 335-60 |
Request for a De-identified Naviance Student Account | 419 K
| 427-1 |
Request for MCPS Course Credit in High School Mathematics | 438 K
| 345-44 |
Request for Private Therapeutic Services in School | 456 K
| 273-2 |
Request For Written Translations | 77 K
| 311-1 |
Review of Home Instruction Program | 455 K
| 270-35 |
School Truancy Referral | 61 K
| 560-11 |
Secondary School Support Programs | 51 K
| 325-10 |
Secondary Teacher Report | 176 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 Worksheet | 137 K
| 270-2c |
Special Education Staffing Notes | 91 K
| 336-52 |
Speech-Language Screening Summary | 85 K
| 336-25 |
Student Record Transmittal | 65 K
| 336-37 |
Student Referral to the CREA Program | 476 K
| 280-82 |
Summer School Diploma Card | 54 K
| 226-1 |
Teacher Referral | 178 K
| 272-9 |
Teacher Report for Quarterly Progress | 443 K
| 272-5 |
Teacher Report for Quarterly Progress | 443 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 Request | 88 K
| 540-2 |
G Suite for Education: Additional Services | 439 K
| 271-2 |
Request for ActiveSync | 8 K
| 271-8 |
Request for an MCPS Account | 504 K
| 271-4A |
Web Services Request | 97 K
| 271-5 |
Webmaster Account Request | 53 K
| 271-7 |
Enrollment |
Annual Notice for Directory Information and Student Privacy | 72 K
| 281-13 |
Annual Notice for Directory Information and Student Privacy for Innovative School Year Calendar Schools | 101 K
| 281-13ISC |
Application for Early Entrance Kindergarten Program | 206 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 Records | 45 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 | 0 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 |
Maryland Department of Health Immunization Certificate | 161 K
| DHMH 896 |
Maryland DHMH Blood Lead Testing Certificate | 876 K
| DHMH 4620 |
Maryland Home Language Survey | 43 K
| 335-41 |
Maryland State Department of Education Prekindergarten Experience | 438 K
| 345-17 |
New Student Information | 294 K
| 560-24 |
Outdoor Environmental Education Program, Parent/Guardian Permission | 54 K
| 345-7 |
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 Enrollment | 167 K
| 226-19 |
Ethics |
Employee Request for Religious Accommodation | 78 K
| 270-7 |
Financial Disclosure Statement for Calendar Year ______ (For Staff) | 91 K
| 281-51 |
Extended Leadership Program |
The Extended Leadership Program Nominations/Request Form | 40 K
| 430-96 |
Extracurricular Activities |
Change to Annual Plan for Extracurricular Activities | 91 K
| 430-58 |
Extracurricular Activity (ECA) Stipend Agreement and Assignment | 57 K
| 430-59 |
High Schools Extracurricular Activities Summer Athletic Practice | 148 K
| 430-61 |
Middle School Extracurricular Activities Annual Plan | 82 K
| 430-60 |
Facilities/Equipment Management |
Computer Equipment Delivery Request | 66 K
| 234-5 |
Delivery Request | 47 K
| 234-9 |
Elementary Physical Education Indoor/Outdoor Equipment Status Report | 351 K
| 345-23A |
Facility Emergency Plan | 152 K
| 236-5 |
Facility Project Request Form | 141 K
| 230-27 |
Furniture/Equipment Inventory Property Report | 142 K
| 234-17 |
Furniture/Equipment Inventory Property Report: Addition/Correction | 58 K
| 234-18 |
PROCOM Repair Order | 418 K
| 215-23A |
Record of Maintenance Visits | 428 K
| 230-10 |
Relocatable Classroom Request | 55 K
| 281-5 |
Repair/Delivery Request | 41 K
| 234-3 |
Statement of Piano Tunings and Repairs | 88 K
| 235-34 |
Sustainability Action Plan | 165 K
| 201-10 |
Voluntary Recycling Reporting Form | 95 K
| 201-9 |
Field Trips/Student Travel |
Approval for Extended Day, Out-of-Area, and Overnight Field Trips | 460 K
| 210-4 |
Approval for June Field Trips | 455 K
| 210-6 |
Emergency Plan for Field Trips | 453 K
| 210-5 |
Field Trip Accounting | 106 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 Report | 75 K
| 555-3 |
Food Services |
Child Care Food Program Cycle Menus and Change Request | 77 K
| 240-53 |
Child Care Food Program Menu | 51 K
| 240-55 |
Child Care Food Program—Infant Menu | 55 K
| 240-56 |
Monthly Invoice-Child and Adult Care Food Program | 47 K
| 240-54 |
Notice of Change in Enrollment Child and Adult Care Food Program | 169 K
| 240-50 |
Permanent Agreement Between Sponsoring Organization | 70 K
| 240-51 |
Pre-Approval Visit Certification, Child Care Food Program | 47 K
| 240-57 |
Summary Report of Child Care Food Program Home Review | 50 K
| 240-52 |
Summary Report of Monthly Claim Discrepancies – Child Care Food Program | 93 K
| 240-58 |
Forms |
Accelerated Tuition Reimbursement Process Verification | 94 K
| 445-46 |
Pre-Approval Form for Montgomery County Public Schools (MCPS) Administrative Leadership Team Outside Employment | 105 K
| 460-50 |
Request for Interpretation Services | 324 K
| 311-10 |
Request for Non-crisis OSFSE Services | 431 K
| 551-1 |
Request to Telework | 79 K
| 425-58 |
Return to Work Evaluation for Temporary Employees | 186 K
| 440-40T |
Staff Self-Reporting of Arrests, Criminal Charges, and Convictions | 73 K
| 230-41 |
Tuition Reimbursement Appeal | 80 K
| 445-45 |
Grant |
Authorization for School Grant Application | 96 K
| 280-60 |
Information on School-Based Small Grant Award | 8 K
| 280-71A |
Health/Safety |
Authorization to Provide Gastrostomy Tube Feeding | 87 K
| 525-15 |
Behavior Threat Assessment Team Confidentiality and Non-Disclosure Agreement Regarding Student Records | 446 K
| 236-11 |
Bloodborne Pathogens Post-Exposure Report | 69 K
| 230-33 |
Building Sevices Indoor Air Quality Checklist | 166 K
| 230-24 |
Certification of Physician or Health Care Provider | 86 K
| 440-35 |
Community Member Accident Report | 57 K
| 525-4 |
Crisis Center Referral Information | 89 K
| 560-10 |
Emergency Care Plan | 448 K
| 345-14 |
Emergency Care Plan SUMMER ONLY | 446 K
| 345-14S |
Emergency Preparedness Drills | 517 K
| 236-3 |
Extended School Year (ESY) Emergency Plan | 447 K
| 336-47 |
Facility Emergency Plan | 152 K
| 236-5 |
Family Child Care Enrollment Application | 58 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 --Confidential | 74 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 Complaint | 48 K
| 230-23 |
Mandatory Hepatitis B Vaccine Declination Statement | 66 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 565-1 | 467 K
| 236-1 |
Physical Education Short-term Illness or Injury Restriction Report | 834 K
| 345-22 |
Report of Suspected Abuse and Neglect | 98 K
| 335-44 |
Request for Health Information from Authorized Health Care Provider | 449 K
| 567-2 |
Return to Work Evaluation: MCEA Employees | 63 K
| 440-40M |
Return to Work Evaluation: SEIU Employees | 1,279 K
| 440-40S |
School Emergency Plan | 412 K
| 236-2 |
School Fire Evacuation Drill Log | 453 K
| 230-1 |
Search and Seizure Report | 498 K
| 236-6 |
Student Accident Report | 79 K
| 525-2 |
Student Arrest on School Property | 476 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 | 130 K
| 335-54 |
Home and Hospital Teaching |
Application for Home and Hospital Teaching, with Qualified Physical Health Condition ONLY | 98 K
| 311-15B |
Application for Interim Instructional Services, Administrative Placement | 490 K
| 311-15A |
Grade Report for Elementary School Students (Grades K–5) Receiving Interim Instructional Services | 433 K
| 311-34A |
Grade Report for Secondary School Students (Grades 6–12) Receiving Interim Instructional Services | 417 K
| 311-34 |
Payroll Timesheet, Total Hours Summary Timesheet | 103 K
| 311-19 |
Review of Home Instruction Program | 455 K
| 270-35 |
Teacher's Biweekly Report of Interim Instructional Services | 48 K
| 311-13 |
Time Report for MCPS Employees at NIH | 37 K
| 430-78 |
Independent Activity Fund (IAF) |
Attachment for MCPS Form 280-49A (IAF Funds) | 16 K
| 281-49A |
Authorization for Consultant/Independent Contractor (Vendor) Services | 83 K
| 280-49a |
Centralized Investment Fund Deposit/Withdrawal | 53 K
| 280-44 |
Exception Request to Use Materials/Textbook Allocations for Furniture/Equipment Purchases | 84 K
| 410-1 |
Fee Waiver Record | 463 K
| 260-1 |
Field Trip Accounting | 106 K
| 280-41 |
Independent Activity Fund (IAF) Remittance Slip | 80 K
| 280-34 |
Independent Activity Funds Request for a Purchase | 34 K
| 280-54 |
Independent Activity Funds Request for Payment to MCPS Employees for Services (Work) Performed | 442 K
| 280-46 |
Independent Activity Funds Sponsor's Record | 363 K
| 281-21 |
Independent Activity Funds Statement of Assets and Liabilities | 457 K
| 281-24 |
Independent Activity Funds—Transfer | 73 K
| 281-46 |
iPayment Worksheet— School Reimbursement for MCPS Substitute Teacher Coverage | 152 K
| 203-2A |
MCPS Deposit Log | 101 K
| 280-92 |
Purchasing Card Cardmember Transaction Log | 432 K
| 234-21 |
Purchasing Card File Maintenance Worksheet | 79 K
| 234-20 |
Purchasing Card: Approving Official Acknowledgement | 67 K
| 234-22 |
Receipt and Bond for Band/Orchestra Instruments | 55 K
| 334-13 |
Receipt and Bond Form for Equipment Loan | 419 K
| 234-23 |
Receipt for Donated Items | 57 K
| 275-7 |
Request for Reimbursement of Invoices Paid by School | 45 K
| 280-48 |
RESTRICTED INDEPENDENT ACTIVITY FUND (IAF) PURCHASES (OCFO) | 79 K
| 281-53 |
RESTRICTED INDEPENDENT ACTIVITY FUND (IAF) PURCHASES (OOF) | 83 K
| 281-55 |
Sale of Merchandise Analysis | 481 K
| 281-22 |
Schedule of Accounts | 452 K
| 281-23 |
Student Financial Obligation | 110 K
| 560-4 |
Tickets and Cash Report of Admissions Manager | 58 K
| 280-50 |
Yearbook Analysis | 51 K
| 281-25 |
Interpretation Services |
Pay Differential for Translation/Interpretation Services | 78 K
| 430-53 |
Request for Interpretation Services | 324 K
| 311-10 |
Leave Request |
Leave Request (NOT Requiring ERSC Authorization) | 67 K
| 430-1A |
Leave Request (Requiring ERSC Authorization) | 211 K
| 430-1 |
Professional Leave (PRO) | 56 K
| 430-94 |
Library/Media/Technology |
Evaluation and Selection of Instructional Materials Copyright Permission | 94 K
| 203-1 |
MCPS Review of 30-Day Shelf Core Instructional Material | 68 K
| 281-15 |
Media Purchase Order Professional Library | 39 K
| 235-26C |
Periodical Purchase Order (Professional Library) | 40 K
| 235-26B |
Record of Evaluation of Instructional Materials | 123 K
| 365-25 |
Request for Professional Materials Reimbursement to MCPS Employees | 31 K
| 365-41 |
Request for Waiver for the Instructional Use of Film | 52 K
| 365-21 |
Payroll |
Authorization for Employee Use of Overtime | 82 K
| 280-19 |
Employee's Additional Withholding of Income Tax Agreement | 249 K
| 280-3 |
Employee's Withholding Allowance Certificate | 22 K
| W4MW507 |
MCPS Employees’ Retirement/Pension System Maryland State Withholding Request | 76 K
| 281-50 |
PACS Correction | 139 K
| 280-7 |
PACS Time Sheet for Summer Supplemental Employment (SSE) | 120 K
| 430-13 |
PACS Timesheet | 156 K
| 430-70 |
PACS Timesheet Extracurricular Class 1 or Class 2 Activities | 86 K
| 430-21 |
PACS Timesheet for Extracurricular Class 3–5 Activities, Dollars Only | 32 K
| 430-18 |
PACS Timesheet Short-Term Substitute Teachers and Staff Development Substitute Teachers | 109 K
| 430-17 |
PACS Timesheet Temporary Part Time | 104 K
| 430-12 |
Payroll Timesheet, Total Hours Summary Timesheet | 103 K
| 311-19 |
Request for Advanced Salary Placement | 471 K
| 475-1 |
Teacher's Biweekly Report of Interim Instructional Services | 48 K
| 311-13 |
Time Report for MCPS Employees at NIH | 37 K
| 430-78 |
Personnel |
Accelerated Tuition Reimbursement Process Verification | 94 K
| 445-46 |
Addendum to Application for Retirement/Notice of Separation | 454 K
| 455-2B |
Administrative & Supervisory Position Advertisement Form | 449 K
| 445-60 |
Administrative & Supervisory Position Interview Questions/Writing Prompt | 435 K
| 445-63 |
Administrative & Supervisory Position Proposed Interview Panel | 481 K
| 445-62 |
Administrative & Supervisory Proposed Candidates to Interview | 437 K
| 445-61 |
Administrative & Supervisory Proposed Candidates, Interview Panel | 66 K
| 445-61A |
Administrative & Supervisory Recommendation to Hire | 463 K
| 445-64 |
Annual Update of School Administrative Staff Contact Information | 47 K
| 211-1 |
Application For Retirement | 44 K
| 455-2 |
Application for: IRT/Resource Teacher/Counselor, Media Generalist, Counselor, Reading Specialist | 167 K
| 430-47 |
Authorization Form Emergency Class Coverage Program—Support Staff | 102 K
| 430-10S |
Authorization Form Emergency Class Coverage Program—Teachers | 97 K
| 430-10M |
Authorization Form Volunteer Meeting Coverage Program—School Psychologists | 70 K
| 430-10SP |
Behind-the-Wheel Evaluation and Evacuation Proficiency | 109 K
| 215-41 |
Change in Personal Information for MCPS Employees | 62 K
| 445-1A |
Change in Personal Information for MCPS Retirees and Former Employees | 81 K
| 445-1B |
Clearance Form for Central Office (CESC) Staff | 34 K
| 220-3 |
Coach Evaluation Form | 152 K
| 565-13 |
Drugs/Alcohol Reasonable Suspicion Documentation Form for Physical Evidence | 140 K
| 338-2 |
Employee Change Request | 79 K
| 426-1 |
Employee Emergency Contact/Information | 32 K
| 565-10 |
Evaluation Form: Supporting Services Professional Growth System | 95 K
| 430-90 |
Final Evaluation Report: Assistant Principals, Assistant School Administrators, and Coordinators of School-based Programs | 71 K
| 430-80 |
Final Evaluation Report: Business and Operations Administrators (MCBOA) | 45 K
| 430-95 |
Final Evaluation Report: Central Services Administrators (MCAAP) | 46 K
| 430-74 |
Final Evaluation Report: Instructional Specialist | 127 K
| 425-44 |
Final Evaluation Report: Speech-Language Pathologist | 136 K
| 425-43 |
Final Evaluation Report: Counselor | 191 K
| 430-45 |
Final Evaluation Report: High School Resource Teacher | 135 K
| 425-48 |
Final Evaluation Report: Library Media Specialist | 138 K
| 430-79 |
Final Evaluation Report: Middle School Content Specialist | 137 K
| 425-56 |
Final Evaluation Report: Middle School Team Leader | 136 K
| 425-57 |
Final Evaluation Report: Montgomery County Infants and Toddlers (MCITP) Early Interventionists | 191 K
| 425-49 |
Final Evaluation Report: Occupational/Physical Therapist | 134 K
| 425-46 |
Final Evaluation Report: Principals | 58 K
| 430-69 |
Final Evaluation Report: Pupil Personnel Worker (PPW) | 126 K
| 425-42 |
Final Evaluation Report: Reading Specialist | 137 K
| 425-51 |
Final Evaluation Report: Resource Counselor | 514 K
| 425-47 |
Final Evaluation Report: School Psychologist | 128 K
| 425-45 |
Final Evaluation Report: Social Worker | 128 K
| 425-55 |
Final Evaluation Report: Staff Development Teacher (SDT) (.5 and above) | 128 K
| 425-40 |
Final Evaluation Report: Teacher | 202 K
| 425-39 |
High School Extracurricular Activity Summer Athletic Practice—Employee Eligibility Verification | 86 K
| 430-97 |
Job Banding Career Advancement | 97 K
| 336-84 |
Long-Term Teacher Substitute Assignment | 83 K
| 445-17 |
Non-Teaching Long-Term Substitute Request | 144 K
| 430-22 |
Notification of Assignment/Hours Paraeducators | 51 K
| 447-6-PARA |
Notification of Change in Hours/Title | 48 K
| 447-6 |
Paraeducator Staffing Grid for SY 2017-2018 | 1,153 K
| 425-9A |
Position Change | 93 K
| 447-13 |
Reasonable Suspicion Behavior/Incident Documentation Form | 128 K
| 338-1 |
Recommendation for Social Worker Position | 221 K
| 430-92 |
Reference for Applicant for: IRT/Resource Teacher (Secondary), Resource Counselor, Media Specialist, Counselor, Reading Specialist | 113 K
| 430-48 |
Request for Approval of Higher Level Assignment (HLA) | 107 K
| 430-24 |
Request for Outstanding Service Award | 102 K
| 460-9 |
Request for Temporary Employment | 1,007 K
| 460-2 |
Request to Review Personnel File | 132 K
| 425-8 |
Return to Work Evaluation: MCEA Employees | 63 K
| 440-40M |
Return to Work Evaluation: SEIU Employees | 1,279 K
| 440-40S |
Statement of Military Service | 53 K
| 455-18 |
Student Teacher/Intern Assignment Verification | 91 K
| 440-12 |
Substitute Teacher Removal Request | 48 K
| 445-18 |
Summary of Employee Conference | 54 K
| 425-54 |
Supporting Services Involuntary Transfer Request | 90 K
| 425-9 |
Teacher Assignment | 41 K
| 440-6 |
Tuition Reimbursement Appeal | 80 K
| 445-45 |
Verification of Employment | 50 K
| 460-29 |
Prekindergarten/Head Start |
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 | 294 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 2025–2026 List of Documents | 58 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 |
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) Request | 458 K
| 440-8 |
End of PDP Cycle Review Form | 91 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) | 84 K
| 425-41A |
Professional Development Plan (PDP) | 138 K
| 425-35 |
Progress Check Point | 90 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 Post-Observation Conference Report | 55 K
| 425-60 |
Administrator Summary Report in Lieu of a Formal Observation | 76 K
| 430-82 |
Evaluation Form: Supporting Services Professional Growth System | 95 K
| 430-90 |
Final Evaluation Report: Assistant Principals, Assistant School Administrators, and Coordinators of School-based Programs | 71 K
| 430-80 |
Final Evaluation Report: Athletics Specialist—High School | 132 K
| 430-98 |
Final Evaluation Report: Business and Operations Administrators (MCBOA) | 45 K
| 430-95 |
Final Evaluation Report: Central Services Administrators (MCAAP) | 46 K
| 430-74 |
Final Evaluation Report: Instructional Specialist | 127 K
| 425-44 |
Final Evaluation Report: Speech-Language Pathologist | 136 K
| 425-43 |
Final Evaluation Report: Counselor | 191 K
| 430-45 |
Final Evaluation Report: High School Resource Teacher | 135 K
| 425-48 |
Final Evaluation Report: Library Media Specialist | 138 K
| 430-79 |
Final Evaluation Report: Middle School Content Specialist | 137 K
| 425-56 |
Final Evaluation Report: Middle School Team Leader | 136 K
| 425-57 |
Final Evaluation Report: Montgomery County Infants and Toddlers (MCITP) Early Interventionists | 191 K
| 425-49 |
Final Evaluation Report: Occupational/Physical Therapist | 134 K
| 425-46 |
Final Evaluation Report: Principals | 58 K
| 430-69 |
Final Evaluation Report: Pupil Personnel Worker (PPW) | 126 K
| 425-42 |
Final Evaluation Report: Reading Specialist | 137 K
| 425-51 |
Final Evaluation Report: Resource Counselor | 514 K
| 425-47 |
Final Evaluation Report: School Psychologist | 128 K
| 425-45 |
Final Evaluation Report: Social Worker | 128 K
| 425-55 |
Final Evaluation Report: Staff Development Teacher (SDT) (.5 and above) | 128 K
| 425-40 |
Final Evaluation Report: Teacher | 202 K
| 425-39 |
Post-Observation Conference Report | 73 K
| 425-38 |
Reference for Entry-Level Assistant Principal Pool | 850 K
| 445-25 |
Reference for Entry-Level Assistant School Administrator Pool | 117 K
| 445-26 |
Teacher Summary Report in Lieu of a Formal Observation | 76 K
| 430-99 |
Project Evaluation |
Request for Project Evaluation or Outcome Reporting | 42 K
| 370-1 |
Records |
ACCUPLACER Score Request Form | 40 K
| 320-14 |
Affidavit: Children in Informal Kinship Care | 61 K
| 334-17 |
Annual Notice for Directory Information and Student Privacy | 72 K
| 281-13 |
Central Records Storage/Shredding Request Form | 114 K
| 365-10 |
Eligible Student Declaration Form | 31 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 Record | 81 K
| SR-7 |
Official Transcript Online Pathway to Graduation Program | 60 K
| 325-26 |
Outdoor Environmental Education Programs (OEEP) | 62 K
| 345-6A |
Prekindergarten Record of ESOL Closure, Kindergarten Only | 413 K
| 335-41A |
Request for MCPS Course Credit in High School Mathematics | 438 K
| 345-44 |
Shared Housing Disclosure | 68 K
| 335-74 |
Student Emergency Information | 84 K
| 565-1 |
Student Records Review and Update Verification Certification Statement | 158 K
| 226-7 |
Summer School Diploma Card | 54 K
| 226-1 |
Summer School Report Card, Grades K-5 | 27 K
| 325-14 |
Residency Verification |
Documentation of Residency Through Home Visit | 434 K
| 560-34 |
Shared Housing Disclosure | 68 K
| 335-74 |
Risk Management |
Property Damage/Loss Claim Form | 82 K
| 525-7 |
Request for Certificate of Insurance | 79 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 Form | 452 K
| 222-21 |
Request to View MCPS Security Camera Video | 105 K
| 236-12 |
Student Arrest on School Property | 476 K
| 236-4 |
Student |
ACCUPLACER Score Request Form | 40 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 Schools | 428 K
| 345-45 |
Athletic Roster: High Schools | 56 K
| 345-45A |
Attendance Intervention Plan | 448 K
| 560-26B |
Authorization for Section 504 Evaluation | 48 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 Form | 142 K
| 230-36 |
Bullying, Harassment, or Intimidation Reporting Form | 179 K
| 230-35 |
Career and Technology Education (CTE) Programs Summer Experience Verification | 455 K
| 560-60 |
Children in Informal Kinship Care Relationships | 455 K
| 560-40A |
Children in Out-of-County Living Arrangements | 458 K
| 560-40 |
Distribution of Section 504 Plan | 39 K
| 270-2D |
Documentation of Interventions | 95 K
| 272-10 |
Dual Credit Refusal Form | 89 K
| 280-93 |
Educational Management Team (EMT) Summary | 53 K
| 272-4 |
Eligible Student Declaration Form | 31 K
| 281-12 |
Enrollment of Child in Maryland State-Supervised Care and Transfer of Educational Records | 67 K
| 560-35 |
G Suite for Education: Additional Services | 439 K
| 271-2 |
Gang-Related Incident Investigation Form | 99 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 | 85 K
| 560-80 |
Move-in Preschool Child Find Questionnaire | 449 K
| 335-49A |
Notice of High School Course Mark Exclusion | 77 K
| 560-55 |
Parent/Child Reunification (PCR) - USE MCPS Form 565-1 | 467 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 Attendance | 459 K
| 280-98 |
Request for Approval to Complete a Course for Credit (CR)/No Credit (NC) in High School Credit Courses | 84 K
| 270-32B |
Request for Private Therapeutic Services in School | 456 K
| 273-2 |
Request for Student Labels or Listings | 174 K
| 226-10 |
Request to Review High School Transcript | 83 K
| 355-27C |
School Bus Disciplinary Report | 75 K
| 555-3 |
School Hosted Student Service Learning (SSL) Opportunity—During the School Day or Virtual/Remote | 81 K
| 560-59 |
School Truancy Referral | 61 K
| 560-11 |
Secondary Grade Modification | 452 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 Worksheet | 137 K
| 270-2c |
Shared Housing Disclosure | 68 K
| 335-74 |
Student Accident Report | 79 K
| 525-2 |
Student Emergency Information | 84 K
| 565-1 |
Student Records Review and Update Verification Certification Statement | 158 K
| 226-7 |
Student Referral | 61 K
| 555-1 |
Student Sign In/Sign Out Sheet | 101 K
| 560-1 |
Student Transfer Outside of MCPS or Death of Student | 463 K
| 565-5 |
Suicide Risk Reporting Form | 130 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-5 | 27 K
| 325-14 |
Worksheet for Suspension or Health-Related Exclusion | 60 K
| 560-6 |
Student Internships |
High School Apprenticeship or Internship Program Counselor Recommendation Form | 462 K
| 280-91A |
High School Apprenticeship or Internship Program Teacher Recommendation Form | 468 K
| 280-91B |
High School Apprenticeship Program Application, Parent/Guardian Consent Form | 90 K
| 280-99A |
High School Internship Program Agreement | 49 K
| 280-77 |
Intern Performance Evaluation | 438 K
| 360-30 |
Internship Sponsor Questionnaire | 827 K
| 280-77A |
Student Technology |
G Suite for Education: Additional Services | 439 K
| 271-2 |
Student Withdrawal |
Authorization To Request/Release Student Records | 45 K
| 550-2 |
Educational Interview for Withdrawal Prevention | 152 K
| 565-4a |
Elementary Student Withdrawal/Clearance | 162 K
| 560-20 |
Secondary Student Withdrawal/Clearance Form | 168 K
| 560-21 |
Student Permanent Withdrawal | 189 K
| 565-4 |
Teacher |
Application to Supervise a Counseling Practicum Student or Intern | 435 K
| 440-12A |
Authorization Form Emergency Class Coverage Program—Teachers | 97 K
| 430-10M |
Deletion of Student Service Learning (SSL) Hours Attached to Courses | 69 K
| 560-54 |
Elementary Physical Education Teacher Data Sheet | 168 K
| 345-31 |
General Use Slip | 24 K
| 275-2 |
Model Rocket Activity Authorization | 87 K
| 201-11 |
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 22.L) Verification Form | 107 K
| 430-52 |
Professional Reference (For Summer School Teacher) | 461 K
| 325-21 |
Request for Advanced Salary Placement | 471 K
| 475-1 |
Request for Assignments | 80 K
| 301-2 |
Summary of Parent Conference | 62 K
| 270-1 |
Summer School Report Card, Grades K-5 | 27 K
| 325-14 |
Teacher Volunteer Planning Center | 69 K
| 311-52 |
Verification of Equivalent Activities for Advanced Professional Certificate (APC) Renewal Purposes | 452 K
| 440-34 |
Volunteer Sign-In Log | 46 K
| 311-56 |
Weekly Record of Time of Staff Arrival and Departure | 241 K
| 430-11 |
Yearly Evaluation Report | 87 K
| 430-66 |
Training |
In-Service Attendance Report | 126 K
| 215-39 |
Registration for Building Service Staff Inservice Training | 45 K
| 440-18 |
Registration for Support Service In-service Training | 43 K
| 440-4 |
Request for Released Time to Attend Class for Supporting Services Staff | 88 K
| 440-21 |
Translations |
Request For Written Translations | 77 K
| 311-1 |
Transportation |
Bus Accident Reporting Checklist | 457 K
| 215-51 |
Defects School Bus Inspection | 300 K
| 215-12 |
Foster Student Transportation Action Request (FSTAR) | 1,884 K
| 336-42A |
MCPS Vehicle Accident Report | 2,495 K
| 215-49 |
Notice of Violation | 80 K
| 215-14 |
Preventative Maintenance/Service | 1,169 K
| 215-23 |
PROCOM Repair Order | 418 K
| 215-23A |
School Bus Disciplinary Report | 75 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) Plan | 128 K
| 430-91 |
Emergency SEIU, Local 500, Child Care Reimbursement Form | 57 K
| 441-1 |
MCAAP/MCBOA/MCPS Grievance Form | 443 K
| 430-43 |
MCEA Grievance Form | 89 K
| 430-41 |
Montgomery County Education Association (MCEA) Unit Member Moving Pay (Article 22.L) Verification Form | 107 K
| 430-52 |
Request for MCBOA Masters Salary Supplement | 551 K
| 430-39 |
Request for Use of ESR Overtime | 75 K
| 280-21 |
Return to Work Evaluation: MCEA Employees | 63 K
| 440-40M |
Return to Work Evaluation: SEIU Employees | 1,279 K
| 440-40S |
SEIU Local 500 Sick Leave Bank Opt Out | 75 K
| 280-38 |
SEIU LOCAL 500/MCPS Grievance | 118 K
| 430-40 |
SEIU/MCPS Emergency Assistance Program | 556 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 |