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Finding and using district forms

These are frequently requested forms, in alphabetical order. If the one you need is not here, see the relevant department's pages, or call them. If you feel a form needs change, contact the originating department, not the webmaster nor the print shop.

Don't know the name of the form you want? To search this index press control f (command f on Mac), and enter key words that should be a part of the form name.

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Fill in the saved form on your computer, save your changes, and then
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Also: How to create interactive forms in Microsoft Word and
templates for LCPS district forms: simple 4-part and simple 1-part. Change these templates to suit your needs.

Form Name/revision date	Form #	Originating Department	Available at Print Shop
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Absence forms (for parent and student use) Credit Appeal Form - Excessive Absences Absence Justification
Absentee Report - Pad (100 per pad)	001	Attendance	Yes
Academic Improvement Plan (AIP) \| Spanish		Compliance
Acceptable Use Policy for the Internet: see Technology and Internet Resources Permissions Form - Non-Employee EJA-E1 (interactive), or EJA-E1 (Spanish) Technology and Internet Resources Acceptable Use Agreement - Employee EJA-E2, or Employee EJA-E2 (interactive)	EJA	Operations Officer
Addendum to Forms - Print, or Interactive pdf	JICF-E3	Community Relations
Administrator Evaluation Form 124x Administrator Comments & Suggestions Form 124yzz Administrator Comments & Suggestions Form 124yzz		Human Resources
Admit Slips - Pad	004	Attendance/Secondary	Yes
After School Extended Day Agreement		Human Resources
AIC Promotion Retention Contract Class Tracking Form	065	Instruction	Yes
Animals: IMG-E1 Permission to Include Animals in the Classroom, IMG-E2 Parent Permission for Students to Participate in the Care and Handling of Animals in the Classroom, IMG-E3 Permission to Take an Animal Home		Instruction
Attendance Cover Sheet for Attendance Packet LCPS Compulsory School Attendance Contact Form Example of Complete Attendance Packet Juvenile Class III (Custody/Referral) - interactive		Instruction
Audio/Visual Work Order Form			Yes
Authorization for Employee Use of Overtime	131	Human Resources	Yes
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Basic Student Skills Continuum in Technology	154D	Instruction	Yes
Bilingual/Migrant Program Forms Bilingual Handbook (updated version coming soon) 144 Home Language Survey Blue Brochure 146 Parent Withdrawal Request Form 147 Initial Program Exit Form 148 Follow-Up Exit Student Form (Elem.) 149 Follow-Up Exit Student Form (Sec.) 150 Cross Referral Form 151 Summary Of Cross Referrals 156 Language Assessment/Appraisal Team (LAT) 157 Teacher Language Observation Form 158 Student Transfer Form 159 LAT Minutes 160 Follow Up Form: Parent Withdrawal 161 Bilingual Lead Teacher Follow-up 163 Summary of Bilingual Program Withdrawals 164 Translation Services Request Form 245 Combo Template v2003 Form 245 Combo Template v2007 Form 265 IPT Master Template v2003 Form 265 IPT Master Template v2007 Schedules Schedule for Elementary Bilingual Teachers Schedule for Elementary Educational Assistants Schedule for Secondary Bilingual Teachers Schedule for Secondary Educational Assistants		Bilingual
Board Of Education Advisory Committee Application
Breakfast/Lunch Monitors Worksheet		Human Resources
Building Usage Form - See Facilities Use form, see Custodial Services, also Rules for Use of School Buildings Building Use - Principals Memo	84	Operations
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Caregiver's Authorization Information -- Engllish	JLIB-E2	Instruction Dept.
Caregiver's Authnorization Information -- Spanish	JLIB-E2	Instruction Dept.
Cash Purchase Voucher (6/03)	041		Yes
Certified application packet request: , OR Complete Certified Application Packet		Human Resources
Certified Support Staff Evaluation Counselor Performance Summative Evaluation Counselor PDP Library-Medial Specialist Evaluation Form 124S Psychologist Performance Summative Evaluation Form 124I School Nurse Evaluation Level I and II Form 124F-a School Nurse Evaluation Level III Form 124F-bSocial Worker Evaluation Form 124J	See Human Resources Evaluations	Human Resources
Child Abuse Reporting JLF-E1 \| JLF-E1 Child Abuse Reporting (interactive)	JLF-E1	Community Relations
Child Find Referral Form		SPED
Classified Application Forms Campus Security application Clerical application Educational Assistant application Nutrition Services application Physical Plant/Custodial application	See Human Resources Evaluations	Human Resources
Classified Staff Evaluation Clerical Personnel Evaluation Form 126 Educational Assistant Evaluation Form 128 Library Instructional Assistant Evaluation Form128E Associate Librarian Evaluation Form 128I Health Assistant Evaluation Form 128B Home Visitor Evaluation Form 128C (Headstart) Home-School Liason Form 128G Home-based Parent Involvement Asst. Form 128D (Headstart) Campus Security Evaluation Form 128H Computer Technician I Evaluation Form 140A Computer Technician II Evaluation Form 140B Computer Network Specialist III Evaluation Form 140C Computer Programmer Evaluation Form 124T Custodian Evaluation Form 130 Custodial Supervisor Evaluation Form 130A Physical Plant Personnel Evaluation Form 134 Food Service Cashier Food Service Worker Food Service Manager Food Service Supervisor Professional Development Plan 1 (contact Lydia Banegas, with questions) Professional Development Plan 2 (contact Lydia Banegas with questions)		Human Resources
Classified Staff Extra Hours		Human Resources
Club Fund Raisers - Questionnaire		Transportation
Comp-Time Certified Form		Human Resources
Complaint Form, Public	KAE1		Yes
Compliance Documents for SAT/504 504 PED Section 504 Handbook Section 504 referral \| Spanish Parent information \| Spanish Section 504 Parent Rights Notice \| Spanish Invitation to 504 Meeting \| Spanish Consent to Evaluate \| Spanish Meeting to review Evaluation Results \| Spanish Notification Results without parent \| Spanish Parent input questions \| Spanish Section 504 Eligibility Form Section 504 Accommodation Plan \| Spanish Section 504 Plan Review \| Spanish Section 504 Manifest Determination \| Spanish Teacher receipt of Accomodation plan Chairperson log Grievance form \| Spanish Section 504 Cumulative Folder Insert SAT Tier 1 Forms (Classroom) Academic Improvement Plan (AIP) \| Spanish SAT Referral Packet Vision and Hearing Tier 2 Forms (SAT) Notice of and Invitation to SAT Meeting \| Spanish SAT Intervention Plan \| Spanish SAT Meeting Summary Intervention Plan Progress Report Behavioral Intervention plan \| Spanish Student Observation SAT Log Student Case History \| Spanish Tier II Parent Consent for Screening \| Spanish Dual Discrepancy - Math Dual Discrepancy - Reading SAT Referral Checklist AES Forms AES Flowchart Preliminary Referral for Gifted Parent Consent for Screening \| Spanish Diversity Checklist NM Inventory for Caregivers \| Spanish Traits, Aptitudes Referral Form Bright vs Gifted Additional Forms Permission Refusal for Retention \| Spanish Universal Signature Form AIP Tracking Form		Federal Programs
Computer Resources Student User Policy- see Acceptable Use Policy for the Internet
Conferencing/Observations Report for Certified Staff (Word): Printable or interactive (can be filled out on your computer)
Construction Project Application
Copyright: EGAD-E1 Copyright Restriction Notice EGAD-E2 Request for Permission to Copy EGAD-E3 Request for Off-Air Videotaping EGAD-E4 Copyright Compliance Agreement	EGAD-E1, EGAD-E2, EGAD-E3, EGAD-E4
Copy Requisition Form (High Schools Only)		Materials Management
Course Approval Form		Human Resources
Crisis Intervention, Crisis Intervention - interactive	JKC-E1	Special Education
Cumulative Record Inspection Log	008A	Instruction
Cum. Folder Intra-System Request In-District (10/00)	007	Instruction	Yes
Cumulative Record Data, Request for	19	Instruction
Curricular Issues, Request for Reconsideration of	KEF-E1	Policies	Yes
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Departmental Budget		Finance
Dispensation of Medication (7/91)	014C		Yes
District/ School Advisory Council - Declaration of Interest \| Declaration of Interest - interactive \| Declaration in Spanish, Declaration in Spanish interactive	128
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Elementary Enrollment Form \| Spanish, interactive	088	Instruction
Elementary Pupil Distribution Report	036		Yes
EPSS Form
Equipment Check-Out		Finance
Equipment Receipt (1/94)	045	Finance/Accounting	Yes
Evaluation forms - see Human Resources		Human Resources
Extra Hours Agreement (EHA) : See the Finance Department page		Human Resources
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Facilities Usage Facilities Usage Form KF-E2 Application for Use of the Performing Arts Center Internal (LCPS Only) School Facility Use Form KF-E3 Facilities Use Waiver	KF-E1, KF-E2, KF-E3	Custodial
Field Trip Forms Field Trip Consent Form (for parents) IJOA-E1 Field Trip Consent Form (for foster parents) IJOA-E2 Leave Request, LCPS Form #40 Application for Use of School Owned Vehicle Form #76 Medical Release Form #119 Out of State Student Travel Request - interactive IJOA-E3 \| Instructions and Schedule \| See also Policy IJOA and Regulation IJOA-R	IJOA-E1, IJOA-E2, IJOA-E3	Instruction	Yes Yes
Field Trip Transportation Bus Forms Outside Agency Form: To be used when a P.O. is not going to pay for the transportation cost. Change Order Form: To be used when a change needs to be made to the original transportation request. Field Trip Cancellation Form		Transportation
Film Use Report	069		Yes
Finance Forms: See the Finance Department page
Fire Drill Reports	021		Yes
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Gangs: Violent, Gang, and/or Gang Like Activity Contract 2009-2010 Group Calendar	JICF-E1
Grade Point Average and Weighted Grade Point Average	IKC-E1
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Hall Pass – Pad	003	Attendance/Secondary	Yes
Harassment, Intimidation, Bullying, or Hazing Report Harassment, Intimidation, Bullying, or Hazing Report, interactive	JICK-E1
Harrassment - Interview Notes and Report \| Interactive Form	JICK-E2
Harrassment - Investigation Checklist	JICK-E3
Home Language Survey	144BL	Bilingual	Yes
Homebound Tutoring Application IHBF-E1 \| IHBF-E2 Physician Referral Form		Instruction	Yes
Homeless Forms and Info
Human Resources forms, manuals, evaluation tools		Human Resources
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In-District Travel Authorization (6/04)	025	Finance/Acctg.	Yes
Instructional Materials Requisition Form, 50% Non-Adopted, see also Educational Services Center (ESC) Instructional Materials Ordering Procedures	37	ESC
Insurance Forms (on Finance page)		Finance
Internet Use Policy Form - see Acceptable Use Policy for the Internet
IT (Information Technology) Work Order Form
Interim Report to Parents \| Interactive Interim Report to Parents in Spanish - Informe Provisional a Los Padres \| Spanish Interactive	15	Instruction
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Juvenile Class III Violations
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Keys: Request for Building Key	058	Physical Plant
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Laminating Request Form at Materials Management	005	Materials Mgt.
Language Proficiency Result Form	152BL	Bilingual Program	Yes
LAT Meeting Minutes	159BL	Bilingual	Yes
Leave Request, LCPS Form #40	40	Instruction
Library Material, Request for Reconsideration of	85		Yes
Loss of Property Report		Finance
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Medical Leave Application, Extended	105	Human Res.	Yes
Medical Release Form #119	119
Medical Release Form - Performing Arts	120	Instruction	Yes
Medical Records Card (6/03)	014		Yes
Medical Records Card Spanish (6/03)	014S		Yes
Middle School Transcripts (7/92)	009B		Yes
Monthly Toll Telephone Report (2/96)	052	Finance	Yes
Multiple Receipting Form (PDF Version)		Finance
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Notice of Transfer/Withdrawal	90	Instruction
Notification Fees, Fines, and Charges (English) Notification Fees, Fines, and Charges (Spanish)		Instruction
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Observation Forms Optional Classroom Observation Forms Level I Classroom Observation Form Level II Classroom Observation Form Level III Classroom Observation Form Pre-Observation- Form Post-Observation Form
Offset Printing Requisition (8/00)	038		Yes
Out of State Travel: see Field Trips
Outstanding Student Recognition Form, for the Las Cruces Sun News		Communications
Outstanding Teacher Recognition Form, for the Las Cruces Sun News		Communications
A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Para-Professional Qualification Report		Human Resources
Parent Notification of Not Highly Qualified Substitute- Fill in and print PDF \| Spanish Parent Notification of Not Highly Qualified Teacher- Fill in and print PDF \| Spanish
Parent Permission-Refusal for Retention \| Spanish	064	Instruction
Pass from Building - Pad	002	Attendance/Secondary	Yes
PE, 3-5	073		Yes
PE, K-2	074		Yes
Performing Arts Center: Application for Use of PAC (contains PAC Rules, Building Use Rules and Event Tip Sheet)
Petty Cash Reconciliation Form (Excel Spreadsheet format)		Finance
Photo Release Forms Generic, in English and Spanish Regular Education, for the Web Non-staff photo/video		Communications
Policies and Procedures:search the index for the form you need.
Postage Charge Sheet	110	Finance	Yes
Proof of Loss
Professional Development Plan - instructions, forms, etc. (on Human Resources/Evaluation Tools page). Professional Development Dossier forms are now available online at Teach New Mexico.		Human Resources
Professional Development Plans "PDP_forms" Conferencing/Observations Report for Certified Staff (Word): Printable or interactive (can be filled out on your computer) Growth Plan for Improvement, interactive (Word) NM Public School Dept. Evaluation Process (PowerPoint) Pre / Post Conference Summative / Progressive Evaluations (Word) Professional Development Plan To Improve Teaching And Learning Level I (Word) Professional Development Plan To Improve Teaching And Learning Level II (Word) Professional Development Plan To Improve Teaching And Learning Level III (Word)		Human Resources
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Rationale Form		Human Resources
Records Release Forms - Student	020
Referral to Juvenile Probation	093		Yes
Refund Request Form (Microsoft Word format)		Finance
Report Cards/ Standards-Based Progress Reports (Contact Instruction for details)		Instruction	Yes
Report of Thefts, Break-ins or Vandalism		Finance
Request for Cumulative Data Out of District (4/86)	019		Yes
Request for Leave/Travel (07/01)	040		Yes
Request for Reconsideration of Curriculum/Library Materials, Instructional Activities or Presentations Form	KEF-1
Residency: Documentation of Residency Through Home Visit \| Documentation of Residency Through Home Visit - interactive	JFB-E2
Resignation Form	103	Human Resources	Yes
Restricted Release of Student "Directory Info", Restricted Release of Student "Directory Info" in Spanish	JRA-E1
Restriction: Notification of Restriction Form \| JKD-E3 Notification of Restriction Form - interactive \| JKD-E3 Notification of Restriction Form - in Spanish	JKD-E3	Title IV
Retiree Return to Work Program Form		Human Resources
Right of Representation Form		Human Resources
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SAT - see Compliance
SB 9 Request Form		Finance
School Advisory Council - See DAC/SAC Declaration of Interest	128
School Vehicle Use Application	076	Physical Plant	Yes
Science Kit Order Forms		Instruction
Secondary Transcripts (7/96)	009A		Yes
Serious Incident: JICF-E2 Form - Report Of A Serious School Incident \| Interactive \| JICF-E3 Form - Addendum
Service Provider Agreement for Retirement Programs Form		Finance
Sick Bank Leave, Application For Use of
Sign Language Interpretation Services, Request for \| Interactive		SpEd
Social Security Release (6/03)	SSN	I.T.
SPED Order Form		SPED
Staff Change/In-Building Transfer Form		Human Resources
Standard Message Pad (6/86)	053		Yes
Student Accident Report (6/97)	054	Student Health	Yes
Student Health Data	086	Student Health	Yes
Student Incident Report		Finance
Student Investigation Report	129	Student Health	Yes
Student Records Request Form	20	Student Records
Student Residency Form -- English	JLIB-E2	Instruction Dept.
Student Residency Form -- Spanish	JLIB-E2	Instruction Dept.
Student Responsibility Agreement \| Spanish	JKD-E4
Student Teacher Placement Packet		Instruction
Student Trip Form	076A	Physical Plant	Yes
Substance Abuse Policy Violation Contract 2009-2010 Group Calendar	JICH-E1	Alternative Programs
Summer School Registration (6/04)	097	Enrollment	Yes
Supervisor's Accident Report (interactive Word form)		Safety and Security
Suspension: JKD-E1 Short-Term Suspension \| JKD-E1 interactive \| JKD-E1 Spanish \| JKD-E1 Spanish interactive JKD-E2 Notice of Long-Term Hearing and Suspension to Parents/Guardians , or JKD-E2 interactive
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A • B • C • D • E • F • G • H • I • J • K • L • M • N • O • P • Q • R • S • T • U • V • W • X • Y • Z
Take Flight Portfolio		Instruction Dept.
Teacher-Nurse-Parent-Referral (8/94)	016		Yes
Teacher Evaluation Coaches Growth Plan For Improvement Intensive Evaluation Form Level I PDP Level II PDP Level III PDP PDP - Summative Evaluation Pre and Post Form Progressive Documentation of Teacher Performance Summative Evaluation Notification Form Librarian Teacher Level I LibrarianTeacher PDP Level II LibrarianTeacher PDP Level III LibrarianTeacher PDP New Mexico Librarian teacher Performance Summative Evaluation Pre_Post Conference Summative_Progress Librarian TeachaerEvaluations Progressive Documentation of Librarian Teacher Performance Reflections on Annual LibrarianTeacher PDP		Human Resources
Teacher/Principal Qualification Report		Human Resources
Technology and Internet Resources Permissions Form - Non-Employee EJA-E1 Interactive \| Spanish Technology and Internet Resources Acceptable Use Agreement - Employee EJA-E2	EJA	Operations Officer
Temporary Employee Worksheet and Classified Staff Extra Hours Worksheet	Human Resources101	Human Resources	Yes
Temporary Employment Worksheet		Human Resources
Textbook Disposal Request		Instruction
Textbook Requisition Form, 50% Non-Adopted, see also Educational Services Center (ESC) Instructional Materials Ordering Procedures	37	ESC
Theft & Break-ins, Report of (11/98)	046		Yes
Time Sheet Forms (see the Finance Department page.)
Title I Forms Transportation Request Personnel Activity Report (PAR) Personnel Information Form Ten Required Components of a Schoolwide Title I School Title I Field Trip Request		Federal Programs
Transfer of Funds Form (Excel Spreadsheet format)		Finance
Transfer Request - Certified Staff Transfer Request - Classified Staff		Human Resources
Transfer Request Forms, (Request for Change of School Assignment) Transfer Request Forms, (Request for Change of School Assignment) in Spanish	JFB-E1	Instruction
Transfer Request, Out-of-District (Non-LCPS Students) Transfer Request, Out-of-District (Non-LCPS Students) in Spanish	JFAB-E1	Instruction
Translation Services Request	EGF-E1	Bilingual
Travel Reimbursement Request (6/04)	043	Finance/Accounting	Yes
Travel Reimbursement In-District (5/05)	044a	Finance/Accounting	Yes
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Vehicle Accident Report		Finance
Vendor Information Form (PDF Version) Vendor Information Form (Microsoft Word format)		Finance
Videos, Permission to Show	117		Yes
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Windshield Only Report		Finance
Wireless Device, Request for
Work Orders A/V Work Order TSS Work Order Form
Workers' Compensation Workers' Compensation First Report of Accident - E1 Supervisor's Accident Report (interactive Word form) Employers’ First Report Of Injury Or Illness (interactive Word form) Workers’ Comp Flow Chart Workers' Compensation Quick Facts Workers’ Compensation Procedure
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Last modified May 2, 2012.

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Las Cruces Public Schools | 505 S. Main, Ste. 249 | Las Cruces, NM 88001 | (575) 527-5800

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