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Benefits (BEN)

BEN-A001Release of Private Health Information to Board of Education Attorney02/03/2004
BEN-A002Retiree Payment of Monthly Premiums10/29/2007
BEN-A003Retiree ACH Withdrawal of Monthly Premiums07/07/2014
BEN-F001Authorization Agreement for ACH Debits 06/17/2015
BEN-F005Request to Cancel Ins. Blue Cross Blue Shield 12/08/2017
BEN-F006Request to Delete Dependents Med & Dent. Pol. 12/08/2017
BEN-F009403(b) Termination Request 09/13/2018
BEN-F011Retirement 12/13/2018
BEN-F012Change in 403(B) Contribution 09/13/2018
BEN-F029Flexible Benefits Plan Section 125 Election From 07/16/2013
BEN-F032Retirement Insurance Benefit07/03/2018
BEN-F033CMCSS Retiree Life Insurance Policy 09/20/2012
BEN-F035Request to Cancel Dependent Care Spending Account 03/20/2015
BEN-F036Request to Cancel Flexible Spending Account 04/21/2015
BEN-F042Supplemental Voluntary Life Insurance Cancellation Request 07/26/2012
BEN-F044Payroll Deduction Authorization re On-Site Healthcare 09/19/2017
BEN-F045DCAP Change June Payroll 04/30/2015
BEN-F046DCAP Change September Payroll 04/30/2015
BEN-F049Retirement Information Checklist 12/13/2018
BEN-F050Sick Leave Bank Enrollment Form 07/16/2013
BEN-F052Sick Leave Bank Request For Days 10/23/2014
BEN-F053Sick Leave Bank Medical Certification Form 04/11/2017
BEN-F060Med FSA Termination Letter 04/30/2015
BEN-F070Fit Trim Payroll Deduction10/23/2014
BEN-F071Notice to Retirees - Monthly Premium Payments12/11/2014
BEN-F073Request to Cancel Colonial Supplemental11/03/2016
BEN-G001Notice of Privacy Practices 10/30/2015
BEN-P001Benefits Enrollment 05/04/2018
BEN-P002Benefits Termination 10/05/2016
BEN-P003Privacy Notice 10/26/2015
BEN-P004Employee Retirement 08/16/2018
BEN-P005Retiree Benefit Changes 08/16/2018
BEN-P008CMCE Insurance Trust Meeting 01/17/2018
BEN-P016Recording Deposit Transmittals for Checks From Employees, Retirees and Insurance Cos. 04/19/2017
BEN-P017Insurance Statement Reconciliation and Payment 05/04/2018
BEN-P018403(b) Enrollment and Payment 02/01/2017
BEN-P021Payments to Beneflex for MedFSA & DCAP Administrative Fees 02/01/2017
BEN-P022Payments for MedFSA/DCAP Account Claims 02/17/2016
BEN-P023Adverse Blue Cross Blue Shield Benefit Appeal Procedure 02/08/2017
BEN-P024Terminating Benefits of CMCSS Employees 05/30/2016
BEN-P025Retiree Payment of Monthly Premiums Procedure 03/20/2015
BEN-P026Sick Leave Bank Enrollment Procedure 01/22/2018
BEN-P027Request For Days From the Sick Leave Bank Procedure 06/08/2016
BEN-P028Probationary Credit for TCRS06/06/2018
BEN-W001Documenting a Cash/Check/or Money Order Payment from a Retiree 08/15/2017
BEN-W002Requesting a Check for Payment to Beneflex for MFS Account 02/10/2009
BEN-W003Name Change for Blue Cross Blue Shield of TN 05/04/2018
BEN-W004Completing Retirement Paperwork 05/04/2018

Certified Staff (CER)

CER-F007Salary Advancement Request 07/02/2013
CER-F010In-Processing Acknowledgment Statement 04/06/2018
CER-F014Worksheet for Teaching and Military Experience08/29/2018
CER-F015New Teacher Letter 05/05/2015
CER-F016Acceptance of Sick Leave 03/03/2017
CER-F016AWithdraw of Sick Leave 03/03/2017
CER-F019ELL Applicant Language Screening Form 06/26/2014
CER-F020Contract for New Employee Sign-On Bonus06/26/2014
CER-F021Teacher Observation Report for HQ Status 10/23/2012
CER-F025Salary Change Based on Education Level for Certified Teachers and Administrators12/07/2015
CER-F025ASalary Change Based on Education Level for Administrators12/07/2015
CER-F026Temporary Teacher Position Form08/21/2015
CER-G001ELL English Fluency Rubric 07/24/2014
CER-P001Certified Staff Application 06/06/2018
CER-P002Student Discount Request Procedure02/16/2018
CER-P004Hiring ELL Teachers Working with English Learners 07/24/2014
CER-P005School Year Preparation Days 05/26/2017
CER-P007Salary Change Request Based on Education Level for Certified Teachers and Administrators12/14/2015
CER-P008Career Ladder Program08/06/2013
CER-P009Salary Change Request Based on Education Level for Administrators01/06/2016
CER-W003In-Processing New Teachers 03/20/2018

Classified Staff (CLS)

CLS-F004Classified Employment Reference Request 11/26/2013
CLS-F017Summer Salary Distribution Option 09/11/2013
CLS-F019Verification of Prior Job Experience 04/06/2016
CLS-F019AClassified New Hire Prior Experience/Education Request 10/06/2016
CLS-F022Classified Staff Grievance Form - please see HUM-F06101/01/1900
CLS-F023Checklist for Coaches11/27/2017
CLS-F027To Process Substitute Bus Aides 04/22/2015
CLS-F028To Process Substitute Bus Drivers 07/01/2018
CLS-F034School Nurse Performance Evaluation and Clinic Audit Form 10/26/2015
CLS-F038Request for Sub Status06/11/2015
CLS-F039Employee Uniform Receipt12/16/2013
CLS-F044OPAC Clerical Letter06/26/2018
CLS-F045OPAC Bookkeeping Letter06/26/2018
CLS-F046OPAC Windows 706/26/2018
CLS-F050To Process PRN Staff at the On-Site Employee Health and Wellness10/13/2016
CLS-F053Process Adult Education Sub Teacher01/14/2015
CLS-F055Process Contractor Transitioning to Classified Staff10/08/2015
CLS-F056To Process Contract/Temp Staff04/07/2015
CLS-F057Temporary Classified Position Form11/01/2016
CLS-F058Classified Employee Review Period Paid Time Off Request12/05/2018
CLS-F059Withdrawal of Sick Leave for Classified Staff09/26/2017
CLS-G002Classified Application Process - Frequently Asked Questions08/15/2017
CLS-P001Classified Staff Application 09/15/2017
CLS-P003ParaProfessional Testing 08/17/2018
CLS-P008OPAC Testing Procedure for Classified Positions 08/17/2018
CLS-W001Resignation/Retirement of Classified Employee Work Instruction 10/24/2018
CLS-W002Job Class Code for Classified Staff Work Instruction 10/24/2018
CLS-W003Recommendation for Employment for Transfer of Classified Staff 10/24/2018
CLS-W004Recommendation for Employment New Hire of Classified Staff 10/24/2018

Coordinated Student Health (CSH)

CSH-A001Local School Wellness Policy08/07/2017
CSH-F001Health Screening Form08/03/2017
CSH-F002PAPE Quarterly Report Form (fillable)08/09/2017
CSH-F003Fitness Center - Employee Wellness Program Activity Application03/31/2015
CSH-F0052016-2017 Health Screening Guidelines05/18/2016
CSH-F006Coordinated School Health Screening Information05/29/2018
CSH-F007CMCSS Wellness Policy Assessment Tool07/26/2017
CSH-G001Local School Wellness Guide07/26/2017

Health (HEA)

HEA-A001Communicable Diseases04/16/2018
HEA-A002Emergency First Aid Kit03/14/2016
HEA-A005Medication Storage07/27/2015
HEA-A006Medications Disposal07/23/2018
HEA-A007Emergency Medication Administration07/23/2018
HEA-A009Use of Automated External Defibrillators02/21/2011
HEA-A010Admission Requirements05/14/2018
HEA-A011Medication Administration11/26/2018
HEA-A012Emergency Anti-Seizure Medication Administration01/23/2017
HEA-A013Individualized Healthcare Plan (IHP) Guidelines07/23/2018
HEA-A014Buildings Under Heightened Risk for Infection09/28/2015
HEA-F006Communicable Disease Notification 06/18/2013
HEA-F007Notice to Parents-Head Lice 03/29/2018
HEA-F013Medication Reminder 03/28/2012
HEA-F015Immunization and Physical Examination 03/04/2016
HEA-F017Nurses Notes 03/30/2017
HEA-F024Health Services Student Medication Record 04/10/2018
HEA-F036Asthma Individual Health Care Plan10/26/2018
HEA-F036_PacketAsthma Individual Health Care Plan Packet10/26/2018
HEA-F037Clinic Referral 02/15/2016
HEA-F037ANurse Report to Teacher06/18/2013
HEA-F038Severe Allergy Individual Health Care Plan04/24/2018
HEA-F038_PacketSevere Allergy Individual Health Care Plan 10/26/2018
HEA-F040Parent/Guardian Notification (Medication, Minor Injury, Clinic Visit and Supplies) 03/29/2018
HEA-F042Diabetes Individual Healthcare Plan 05/11/2018
HEA-F042_PacketDiabetes Individual Health Care Plan Packet
HEA-F044Diabetes Record 05/11/2018
HEA-F045Physicians Orders for Feeding 06/19/2013
HEA-F046Mass Hearing and Vision Referrals 08/08/2016
HEA-F047Vision Referral10/26/2018
HEA-F048Parent/Guardian Input Feeding Tube Management 06/19/2013
HEA-F049Parent/Guardian Input Tracheostomy Management 06/19/2013
HEA-F050Hearing Referral Form 07/07/2016
HEA-F051Physicians Orders for Tracheostomy Care 06/19/2013
HEA-F052Authorization for Use or Disclosure of Health Information to and from School Districts 04/06/2011
HEA-F062Authorization for Medication to be Taken During School Hours 10/26/2018
HEA-F063Seizure Record06/19/2013
HEA-F065Consent for Flu Vaccine09/25/2017
HEA-F066Tube Feeding Flow Sheet 01/23/2018
HEA-F070Physicians Order Form for Oxygen Administration 06/19/2013
HEA-F072Physicians Order Form for Machine Suctioning 06/19/2013
HEA-F073Suctioning Schedule 04/16/2012
HEA-F074Physicians Order Form for Catheterization 06/19/2013
HEA-F076Physicians Orders for Colostomy/Ileostomy Care 06/19/2013
HEA-F077Student Instruction Form Changing Colostomy/ Ileostomy Bag 04/06/2011
HEA-F078Seizure Individual Health Care Plan 05/10/2013
HEA-F078_PacketSeizure Individual Health Care Plan Packet10/26/2018
HEA-F080Medication Incident Report01/23/2018
HEA-F081Medication Count 05/11/2018
HEA-F084Report of Administration of Diastat 02/10/2011
HEA-F085Invalid Emergency Phone Numbers 05/01/2012
HEA-F086Confidentiality Statement 09/17/2015
HEA-F089Medication Expiration Notice 03/21/2012
HEA-F090AED Incident Report 05/01/2012
HEA-F092Request for Exemptions from Immunizations 10/26/2018
HEA-F093Notification of Parent-Administered Medication Outside of School Hours 05/10/2013
HEA-F094Medication Administration Skills Checklist 07/26/2018
HEA-F094AMedication Administration Skills Checklist – Diabetes and Glucagon03/30/2017
HEA-F094BMedication Administration Skills Checklist – Seizures and Diastat03/30/2017
HEA-F095Notice to Parents - Bed Bugs 10/13/2016
HEA-F096Bed Bug Inspection Report10/13/2016
HEA-F097Emergency Medication on School Buses 07/30/2018
HEA-F098Daily Medication/Procedure Listing07/24/2014
HEA-F099PRN Medication Listing 07/24/2014
HEA-F100Medication Refrigeration Temperature Log07/07/2016
HEA-F101Emergency Go-Kit Supply List02/12/2016
HEA-F102School Nurse Monthly Totals06/09/2016
HEA-F103Substitute Nurse Folder Checklist07/24/2013
HEA-F104Substitute Nurse Employment Checklist01/08/2016
HEA-F105Substitute Nurse Information Sheet07/24/2013
HEA-F106School Nurse Diabetic Assessment07/29/2013
HEA-F107Student Health Assessment08/10/2018
HEA-F109Competency for School Nurses Acknowledgement Form07/07/2016
HEA-F110Substitute School Nurse Agreement07/13/2018
HEA-F111School Nurse Competency Checklist06/02/2014
HEA-F113Substitute Nurse Probationary Status and Review Period07/13/2018
HEA-F114Blood Pressure Referral07/07/2016
HEA-F115Individual Health Plan09/19/2017
HEA-F116Adrenal Insufficiency Skills Checklist01/02/2018
HEA-F117Naloxone Administration Record03/16/2018
HEA-F118Health Services Parent Letter04/18/2018
HEA-F119Working Parent Letter - Diabetes11/06/2018
HEA-G001Bed Bug Management 10/13/2016
HEA-G002Bed Bug Information 02/07/2012
HEA-G010School Nurse Monthly Responsibilities06/30/2016
HEA-G011Substitute Nurse Responsibilities02/15/2016
HEA-G012Anaphylaxis Protocol09/10/2013
HEA-G015Guidelines for Referral to Health Clinic07/17/2018
HEA-G016Head Lice Management Guide03/29/2018
HEA-M001Health Services Policy and Procedure Manual 12/20/2016
HEA-P001Communicable Diseases 11/07/2018
HEA-P002Medication Administration 06/07/2018
HEA-P003Emergency Anti-Seizure Medication Administration Procedure 09/13/2012
HEA-P004AED Response 09/14/2012
HEA-P005Insulin Administration Procedure 09/14/2012
HEA-P006Influenza Vaccine Administration Procedure 09/14/2012
HEA-P007Field Trip Medication06/02/2014
HEA-P009Adrenal Insufficiency08/10/2018
HEA-P010Narcan Procedure03/16/2018

Human Resources (HUM)

HUM-A001Employment Classifications05/15/2017
HUM-A002Classified Employee Probationary Period09/07/2004
HUM-A003Personnel File09/26/2016
HUM-A004Employee and Non-contracted Employee Background Investigations11/26/2018
HUM-A005Health Examinations02/25/2013
HUM-A006Legal Leave(s) of Absence08/28/2017
HUM-A007Advance Pay05/31/2016
HUM-A008Hiring Administrators and Supervisors10/18/2004
HUM-A009Reporting Suspected Child Abuse08/20/2018
HUM-A010Accommodating DCS Investigations05/30/2017
HUM-A011Work Related Injuries/Illnesses11/27/2017
HUM-A012School System Safety11/27/2017
HUM-A013Staff Gifts and Solicitations12/15/2014
HUM-A015Teaching Assignment09/17/2018
HUM-A016Family and Medical Leave Act (FMLA)12/03/2018
HUM-A017Leave for Advance Educational Study07/31/2017
HUM-A018Professional Staff Orientation05/31/2016
HUM-A021Leave Due to Inclement Weather and Other Emergencies06/04/2018
HUM-A022Retirement of Employees03/04/2013
HUM-A023Professional Staff Probation and Tenure01/13/2014
HUM-A024Military Service Leave07/23/2018
HUM-A025Resignation of Instructional Personnel05/28/2009
HUM-A027Professional Staff Contracts and Compensation Plans04/18/2016
HUM-A028Use of Tobacco Products and/or Electronic Cigarettes on School Premises05/31/2016
HUM-A029Sick Leave07/01/2017
HUM-A030Release of School Personnel or Students Due to Death of Employee or Student11/07/2017
HUM-A031Maternity Leave07/23/2018
HUM-A033Other Leaves of Absence10/15/2018
HUM-A034School District Communication System Usage11/26/2018
HUM-A036Evaluation of Professional Staff04/03/2014
HUM-A037Personal Leave07/01/2016
HUM-A038Supervision of Students02/08/2010
HUM-A040Extra Duty07/01/2017
HUM-A042Personal On Site Visits by Relatives and Friends08/29/2005
HUM-A043Testing, Training and Tuition Reimbursement09/24/2018
HUM-A044Evaluation of Classified Staff08/28/2017
HUM-A046Employee Compensation Plan07/02/2018
HUM-A047Sexual Harassment01/15/2018
HUM-A049Classified Staff At-Will Employment07/18/2011
HUM-A051Employee Grievance10/31/2018
HUM-A052Progressive Discipline07/01/2017
HUM-A053Adverse Blue Cross and Blue Shield Benefit Appeal11/29/2010
HUM-A054Funding of Contracted Staff by Outside Agencies03/04/2013
HUM-A055Registered Sex Offenders01/15/2018
HUM-A057Compensation for "Off the Clock Work"02/21/2011
HUM-A059Employee Perquisites07/01/2015
HUM-A060Classified Employee Review Period07/31/2017
HUM-A061Bereavement Leave Policy07/24/2013
HUM-A062School Year Preparation Day Stipend07/01/2015
HUM-A063Employee Dress Code07/01/2018
HUM-A064Salary Changes Based on Education Level for Certified Teachers10/31/2018
HUM-A066Discipline Conference Policy05/28/2015
HUM-A067Annual Employee Training11/26/2018
HUM-A068Review and Release of Video Surveillance09/22/2014
HUM-A069Conflict of Interest11/09/2015
HUM-A070Classified Employee Compensation for Events and Travel Time Outside of Scheduled Work Hours12/15/2014
HUM-A071Certified Employee Relocation Incentive07/31/2017
HUM-A072Transporting Students with Personal Vehicle12/11/2017
HUM-A073Substitute Request to Transfer to Classified Position05/18/2015
HUM-A074Substitute Inactivation09/04/2018
HUM-A075Substitute Probationary Substitute Status and Review Period10/01/2018
HUM-A076Substitute Employment Policy11/12/2018
HUM-A077Salary Changes Based on Education Level for Administrators11/26/2018
HUM-A078Leave for Vendor Endorsement04/24/2017
HUM-A079Professional Leave to Serve05/09/2016
HUM-A080Reporting Arrests05/09/2016
HUM-A081Workplace Violence05/09/2016
HUM-A082Break Time to Express Breast Milk07/18/2016
HUM-A083Determining Administrator Salaries07/02/2018
HUM-A085Overtime/Compensatory Time06/04/2018
HUM-A086Employee Work Product Material04/23/2018
HUM-A087Extra-Curricular Supplements07/02/2018
HUM-A088Legislative Leave for Elected Officials11/26/2018
HUM-F003Recommendation for Employment 10/14/2013
HUM-F004Request for Transfer - Certificated Personnel 10/18/2012
HUM-F005Request for Transfer - Classified Staff Personnel 02/19/2018
HUM-F006Contact Report 08/15/2013
HUM-F014Development Plan 12/07/2016
HUM-F015Leave of Absence/Family Medical Leave Act 11/13/2018
HUM-F016Request for Leave of Absence/FMLA Form11/13/2018
HUM-F017Direct Deposit of Paychecks Statement09/25/2003
HUM-F028Discrimination Complaint Form04/25/2017
HUM-F030Resignation 03/19/2018
HUM-F031Extension for Leave of Absence/FMLA Form07/28/2015
HUM-F033Disposition of Unused Personal Leave 06/21/2017
HUM-F034Fingerprint Form 02/09/2018
HUM-F036Sexual Harassment Report 07/08/2014
HUM-F037Report of Investigation of Sexual Harassment Complaint by Student 07/07/2014
HUM-F038Report of Investigation of Sexual Harassment Complaint by Employee 07/07/2014
HUM-F043aResults of Physical Examination for Pre-School Teachers & Ed. Assistants 08/13/2018
HUM-F047Personal Data Form 12/18/2014
HUM-F048Department of Childrens Services (DCS) Intake Report Online Referral 11/08/2018
HUM-F050Department of Childrens Services (DCS) Referral 11/08/2018
HUM-F051Preschool Education Assistant 07/24/2013
HUM-F053Corrective Plan 12/07/2016
HUM-F054Corrective Plan Update 12/07/2016
HUM-F055Pre-Employment DCS Verification Sheet07/08/2014
HUM-F057Contract for Testing, Training and Tuition Reimbursement 02/21/2018
HUM-F058Application for Employment: Supplemental Coaching 02/10/2011
HUM-F059Reporting "Off the Clock" Work Acknowledgement Form 11/19/2018
HUM-F060Employee Health Certification 01/12/2010
HUM-F061Employee Grievance Form 02/10/2017
HUM-F064Teacher/Principal Evaluation Grievance Form 06/06/2012
HUM-F066Cash/Check Received Form 08/14/2018
HUM-F067ADA Accommodation Medical Certification 07/12/2016
HUM-F071Administrators Summer 5 days Added04/09/2018
HUM-F072New Employee Mandatory AET – Classified Staff05/18/2015
HUM-F073Change of Address Form09/04/2013
HUM-F074Name Change Form09/05/2013
HUM-F075Results of Physical Examination09/12/2013
HUM-F076Report of Middle or High School Student-to-Student Sexual Misconduct 06/08/2016
HUM-F077Verification of Expunged Records11/04/2013
HUM-F079Authorization for Release of Employment Records05/09/2014
HUM-F080Request to View Video Surveillance Containing Educational Record08/18/2014
HUM-F081FERPA Consent/Authorization For Release of Video Educational Record*08/18/2014
HUM-F082Video Surveillance Release Log09/22/2014
HUM-F086Personal Leave Request Form for Staff Development Day05/10/2018
HUM-F088Extra-Curricular Activities Experience Verification11/10/2017
HUM-F088_ARecommendation for Coaching Position03/19/2018
HUM-F088_BResignation of Coaching Position03/19/2018
HUM-F089Noncriminal Justice Applicant12/11/2017
HUM-F089_ANoncriminal Justice Employee Privacy Rights09/07/2018
HUM-F090Agency/Supervisor Requesting a Background Check01/09/2017
HUM-F091Request for Background Check Student-Observation-Intern08/19/2016
HUM-F092Request for Copy of Personal Background Check11/01/2018
HUM-F094HIPAA/ Medical Information Confidentiality Agreement01/17/2017
HUM-F095Student Discrimination Complaint Form04/25/2017
HUM-F098Student Intern Memo11/10/2017
HUM-F100Notary Journal Sheet02/28/2018
HUM-F101Background Check Binder Receipt03/13/2018
HUM-F102District Wide Stipend for Late Hires Form04/10/2018
HUM-F103Service Animal Request Form06/01/2018
HUM-F105Current Employee Fingerprint Form07/24/2018
HUM-F107Other Leaves of Absence without Pay10/15/2018
HUM-F108Health Care Provider Form10/10/2018
HUM-F109Health Care Provider Form (Family Member)11/01/2018
HUM-F110Legislative Leave Request11/26/2018
HUM-G001Training Guidelines for Reporting Suspected Child Abuse11/08/2018
HUM-G002Training Guidelines for Recognizing Sexual Harassment 06/27/2016
HUM-G004Maternity Leave Guide 07/09/2018
HUM-G006Training Guidelines for Accommodating DCS Investigations05/23/2017
HUM-G011MUNIS Self-Service Guide08/18/2017
HUM-G012_CertifiedCertified Sick Leave Bank Guidelines (Exhibit B)02/15/2017
HUM-G012_ClassifiedClassified Sick Leave Bank Guidelines (Exhibit B)02/15/2017
HUM-G013Relocation Incentive Information08/18/2016
HUM-G014Service of Process10/05/2018
HUM-M001Employee Handbook 10/04/2018
HUM-P001Creation of Employee Record 10/24/2018
HUM-P002Classified Hiring 10/24/2018
HUM-P003New Hire In-Processing 08/10/2018
HUM-P004Name Change 10/30/2015
HUM-P005Job Vacancy Posting 09/28/2018
HUM-P006Leave of Absence Request 10/30/2017
HUM-P008Supplements 11/27/2017
HUM-P009Out Processing a Permanent Employee 08/09/2018
HUM-P010Discrimination Complaints06/06/2018
HUM-P013Hiring Administrators and Supervisors 02/21/2018
HUM-P014Reporting Suspected Child Abuse 11/08/2018
HUM-P015Accommodating DCS Investigations 05/23/2017
HUM-P016Background Verification 07/24/2018
HUM-P017Employment Verification By Mail 06/08/2016
HUM-P018Employment Verification By Telephone 09/12/2018
HUM-P019Reporting Allegations of Sexual Harassment 04/25/2017
HUM-P021Certified Voluntary Transfer Procedure 04/03/2018
HUM-P022Employee Grievance Procedure 01/30/2017
HUM-P023Local Evaluation Grievance of Teacher or Principal 07/24/2013
HUM-P024Certified Hiring 08/21/2018
HUM-P026Annual Employee Training Procedure for Principals04/30/2018
HUM-P027Annual Employee Training Procedure for Late Hires04/30/2018
HUM-P028Student to Student Sexual Misconduct Middle and High School Students04/16/2015
HUM-P029Reporting Procedure for Students Subjected to Alleged Sexual Harassment04/25/2017
HUM-P031Employee Perquisites05/30/2017
HUM-P032Reporting Arrests10/22/2018
HUM-P033Workplace Violence01/17/2018
HUM-P034Teaching Assignments09/26/2018
HUM-P036Salary Determination for Extra-Curricular Activities04/18/2017
HUM-P037Certified Employee Relocation Incentive Procedure08/17/2017
HUM-P038Student Observations/Teaching08/15/2018
HUM-P039Requesting a Background Check for Specialized Groups07/24/2018
HUM-P040Site-Based Employee Files08/09/2018
HUM-P041Employee Reporting And References As Related To Sexual Misconduct06/21/2018
HUM-P042Employee Requests for Accommodation Procedure06/01/2018
HUM-P043Service Animal Procedure06/01/2018
HUM-P044ADA Compliance Grievance Procedure06/01/2018
HUM-W001Tennessee New Hire Reporting 03/28/2007
HUM-W002Verification of Employment 06/13/2018
HUM-W003Leave of Absence Work Instructions 04/18/2017
HUM-W004Unemployment Separation Form Work Instruction 11/01/2018
HUM-W005Request for Placement of a Student Teacher, Intern, or Observation Candidate Work Instruction 07/29/2013
HUM-W008Staff Name Change 11/27/2017
WH-380-EWH-380-E (Employee) external link01/01/1900
WH-380-FWH-380-F (Family members) external link01/01/1900
WH-384WH-384 (Qualifying Exigency) external link01/01/1900

On the Job Injury (OJI)

OJI-A001OJI Injury Reporting Policy04/04/2016
OJI-F002OJI Program Acknowledgement Form 10/10/2017
OJI-F003Employee Injury Statement 10/10/2017
OJI-F006OJI Claim Data (OJI Office Use Only)01/06/2016
OJI-F007Risk Management/Safety Department Claim Notes 01/17/2017
OJI-F008On the Job Injury - Information for Injured Employees10/12/2017
OJI-F009Injury Prevention Training05/08/2017
OJI-G001Custodial Light Duty Assignments01/17/2017
OJI-G002Food Service Light Duty Assignments11/02/2016
OJI-G003Teacher Light Duty Assignments01/17/2017
OJI-G004OJI Poster06/13/2018
OJI-P001On The Job Injury 05/14/2018
OJI-PRO1OJI Program 10/10/2017

Onsite Medical (OSM)

OSM-A001Provider/Patient Communication01/08/2014
OSM-A002PHI-HIPAA Policy02/01/2018
OSM-F001Patient Refusal for Medical Care03/25/2015
OSM-F005Unable to Reach Patient with Test Results Letter04/20/2015
OSM-F006Normal Test Result Letter03/06/2014
OSM-F007In-House Lab Results08/15/2017
OSM-F008PRN Employment Letter01/02/2018
OSM-F008aOnsite PRN Provider Agreement10/26/2018
OSM-F009Medical Records Release03/10/2015
OSM-F010Tuberculosis Screening Test08/01/2013
OSM-F011Gossip, Morale, and Destructive Behavior Employee Acknowledgement08/01/2013
OSM-F012Consent for Treatment of Minor Authorization08/17/2015
OSM-F015Fax Cover Sheet01/22/2018
OSM-F016Employee Orientation Competency Checklist12/08/2016
OSM-F019Blood Pressure Log03/25/2015
OSM-F020Patient Referral01/26/2018
OSM-F021Patient Registration 01/22/2018
OSM-F024Patient Sign In Sheet05/13/2015
OSM-F027Blood Sugar Log04/17/2015
OSM-F028DOT Medication Questionnaire08/28/2014
OSM-F029Onsite Employee Evaluation08/06/2013
OSM-F030Onsite Food Diary08/08/2013
OSM-F031Referral Appointment Letter01/13/2015
OSM-F035Procedure Consent Form10/17/2017
OSM-F037Weight Management Program Patient Contract03/06/2014
OSM-F038Consent and Release for Biometric Screening04/17/2015
OSM-F039Biometric Screening Results Letter04/17/2015
OSM-F041Employee Wellness Representative Stipend Timesheet08/21/2014
OSM-F042DOT Packet Coversheet07/26/2017
OSM-F046Patient Information Update09/19/2014
OSM-F047Advance Care Plan10/08/2014
OSM-F048DOT - Diabetes Regulation Request for Additional Documentation11/14/2014
OSM-F054Onsite Release Form (Interview)02/11/2015
OSM-F055Wellness Champion Questionnaire02/11/2015
OSM-F059HIPAA Business Associate Agreement07/20/2015
OSM-F060HIPAA/ Medical Information Confidentiality Agreement07/20/2015
OSM-F062Medical Equipment Loan Agreement07/28/2015
OSM-F063Monthly AED and Oxygen Inspection12/20/2016
OSM-F064Key Control Form (Onsite Clinic)07/26/2017
OSM-F066Medication Incident Form07/26/2017
OSM-F067Allergy Injections Agreement09/22/2016
OSM-F069Onsite Back Lab Duties07/26/2017
OSM-F071Onsite Front Lab Duties11/02/2016
OSM-F074Onsite Satellite Clinic Daily Duties11/02/2016
OSM-F075Onsite Vaccine Fridge Temperature Log11/02/2016
OSM-F077Onsite Glucometer Control Log11/02/2016
OSM-F080Onsite Injections Agreement04/19/2018
OSM-F081Onsite Referral Checklist07/12/2017
OSM-F082Biometric Screening Supply List07/26/2017
OSM-F083Biometric Screening Sign Up Sheet07/26/2017
OSM-F085Medical Receptionist Staff Induction Program08/15/2017
OSM-F087Medical Receptionist Training08/15/2017
OSM-F089Declination Statement for the Flu Vaccine 17-1809/19/2017
OSM-F090Expired Medication/Supplies11/02/2017
OSM-F091Narcotics Count Sheet01/22/2018
OSM-F092 Allergen Immunotherapy Administration Form01/24/2018
OSM-F094Medical Receptionist Statement of Affirmation02/12/2018
OSM-F095Medication Drop-Off Patient Form03/16/2018
OSM-F096TB Authorization Form02/22/2018
OSM-F097Main Clinic Nursing Checklist03/29/2018
OSM-F099Onsite New Employee Checklist10/26/2018
OSM-G001Managing Patient Wait Times10/11/2018
OSM-G002Cleaning and Stocking Exam Rooms10/11/2018
OSM-G004Medication Administration of the Pediatric Patient08/01/2013
OSM-G005Medication Storage08/01/2013
OSM-G006Age Specific Phlebotomy Criteria04/17/2015
OSM-G007Proper Communication and Patient Interaction04/17/2015
OSM-G009Guidelines for Patient Calls and Messages10/08/2015
OSM-G010Standard Precautions Guidelines05/27/2014
OSM-G011Biometric Screening Guidelines11/20/2014
OSM-G013Oxygen Administration and Operating Safety Instructions02/08/2016
OSM-G014Personal Health Information Access Guide07/27/2017
OSM-M001Onsite Services and Records Manual11/06/2017
OSM-NOPPNotice of Privacy Practices08/01/2013
OSM-P001Onsite Scanning Procedures10/17/2017
OSM-P002Procedural Guidelines for PHI Access12/04/2018
OSM-P003Procedural Guidelines for Maintenance, Use, or Transferring/Transmitting of PHI12/04/2017
OSM-W001Medication Administration07/01/2015
OSM-W005Front/Desk Receptionist Work Instructions07/24/2018
OSM-W007Proper Blood Collection02/17/2014
OSM-W008Ceftriaxone Injection Administration07/02/2015
OSM-W010Onsite Appointment Call Back List08/15/2017
OSM-W011Onsite Cancellations and Late Protocol08/15/2017
OSM-W013Onsite Dress Code and Personal Appearance02/09/2018
OSM-W014Medical Records Processing Protocol02/09/2018
OSM-W015Onsite Telephone Advice Guidelines02/12/2018
OSM-W017Onsite Guidance on Identity Verification07/13/2018
OSM-W018How to Use a Paek Flow Meter06/27/2018

Risk Management (RSK)

RSK-A001Employee Safety Policy02/21/2011
RSK-A002Employee Safety Training04/09/2015
RSK-A003Personal Protective Equipment Policy05/14/2012
RSK-A005Accident Investigation Policy05/14/2012
RSK-A006Modified Duty04/13/2015
RSK-A007Medical Payments Policy07/30/2018
RSK-F003Confined Space Entry Permit 04/15/2011
RSK-F004Electrical Inspection Checklist 04/15/2011
RSK-F006Excavation Checklist 04/15/2011
RSK-F007Recommended Roof Work Safety Checklist 04/15/2011
RSK-F008Hot Work Permit 12/06/2010
RSK-F011Mandatory New Employee Safety Training01/22/2014
RSK-F012Follow-Up to Safety Assessment10/27/2017
RSK-F013Wellness Program Participation Release of Liability08/08/2016
RSK-F015Safety Assessment Checklist10/27/2017
RSK-M004Coaches Handbook07/26/2018
RSK-P001Property Loss Claim 01/26/2017
RSK-PRO1Bloodborne Pathogens Exposure Control 07/28/2010
RSK-PRO10Hearing Conservation 05/12/2011
RSK-PRO11Machine Guarding 07/28/2010
RSK-PRO12Compressed Gas Safety 07/28/2010
RSK-PRO13Fall Prevention/Fall Protection 07/28/2010
RSK-PRO14Lockout/Tagout/Verification 07/28/2010
RSK-PRO15Fire Prevention 07/28/2010
RSK-PRO16Heat Stress Protection 07/28/2010
RSK-PRO17Employee Rights and Responsibilities 07/28/2010
RSK-PRO18Supervisor Responsibilities 07/28/2010
RSK-PRO19Health and Safety Complaint 07/28/2010
RSK-PRO2Confined Space 01/31/2017
RSK-PRO20Departmental Safety 07/28/2010
RSK-PRO21Hot Work Safety 12/06/2010
RSK-PRO3Electrical Safety and Related Work Practices 07/28/2010
RSK-PRO4Ladder Safety 04/15/2011
RSK-PRO5Trenching and Excavation 07/28/2010
RSK-PRO6Personal Protective Equipment 07/28/2010
RSK-PRO7Contractor Safety 01/31/2017
RSK-PRO8Hand Safety Tools 07/28/2010
RSK-PRO9Hazard Communication 01/31/2017

Safety (SAF)

SAF-A001Drug and Alcohol Testing01/23/2017
SAF-A002Safe School Choice04/20/2015
SAF-A003Weapon Free Schools03/30/2015
SAF-A004Drug and Alcohol Use by CMCSS Employees10/22/2018
SAF-A005CMCSS Volunteer Policy02/02/2015
SAF-A006School Lunchroom Visitation08/18/2014
SAF-A007Asbestos Management10/21/2013
SAF-A008School Emergency/Crisis After Action Report10/21/2013
SAF-A009School Searches of Student Cell Phones and/or Electronic Devices05/04/2015
SAF-A010Signing In and Out of CMCSS School Buildings04/18/2016
SAF-A011Radon Monitoring09/05/2017
SAF-A012CPR Policy04/02/2018
SAF-F001Student Accident Report Form 11/06/2018
SAF-F004Hepatitis B Vaccine Declination Form 07/25/2012
SAF-F005Bomb Threat Checklist 01/18/2016
SAF-F006Blood Borne Pathogen Exposure 04/06/2011
SAF-F007Emergency Areas 05/12/2011
SAF-F008Emergency Shut-Off Locations for Utilities/HVAC 06/06/2012
SAF-F009Field Trip Emergency Management Procedures Checklist 06/16/2009
SAF-F010Field Trip Emergency Numbers 05/12/2011
SAF-F011First Aid/CPR/AED Trained Personnel 05/12/2011
SAF-F012Hazardous Chemical Storage Locations 12/11/2014
SAF-F014Memorandum of Understanding 05/12/2011
SAF-F015Post-Incident Critique 05/12/2011
SAF-F016Reunification Release Form 05/12/2011
SAF-F017School After Hours Contact Information 05/12/2011
SAF-F018School Demographics 05/12/2011
SAF-F019School Emergency Management Team Contact Information 07/10/2014
SAF-F020Special Needs Procedures Summary Sheet 05/12/2011
SAF-F021Hepatitis B Vaccine Consent 05/22/2012
SAF-F023CMCSS Volunteer Interest Form04/09/2018
SAF-F024Lead Custodian Inspection Questionnaire01/06/2017
SAF-F026School Safety Committee & Tabletop Session Scoring System08/09/2017
SAF-F028CMCSS Volunteer Code of Ethics02/02/2015
SAF-F029CMCSS Volunteer Agreement04/09/2018
SAF-G001School Emergency Management Team Information 09/22/2017
SAF-G004CMCSS Student Safety Guide09/08/2015
SAF-G006Safety Drill and Inspection Guide06/22/2018
SAF-P001Student Accident Reporting 11/06/2018
SAF-P003Environmental & Health Complaints 04/06/2011
SAF-P004Blood Borne Pathogens 04/06/2011
SAF-P005Hepatitis B Administration Procedure 05/23/2012
SAF-P006District Emergency Communications Procedure 02/12/2016
SAF-P007Standard Operating Procedures for Safety Measures 05/05/2016
SAF-P008School Emergency Communication04/22/2013
SAF-P009Use of School or District Volunteers07/26/2018
SAF-P010Radon Testing Procedure08/22/2017
SAF-P011District Visitor Management System Procedure10/03/2018

Substitutes (SUB)

SUB-F005Substitute Daily Report07/23/2014
SUB-F006CMCSS Substitute Folder Requirements05/15/2015
SUB-F007Shadowing Program Waiver10/30/2015
SUB-F008Substitute Teacher/Educational Assistant Check Off Sheet11/24/2014
SUB-F010Request for Break in Service Extension Form02/01/2017
SUB-F012Sub Program Request for Transfer Classified Staff Personnel02/19/2018
SUB-F013Long Term Placement Expectations10/06/2017
SUB-G001CMCSS Substitute Program - Guidelines for Accepting Assignments & Family Members08/15/2017
SUB-M001Substitute Handbook08/13/2018

External Documents

Certified Staff (CER)

Public Higher Education Fee Discount Form - HE000708/08/2017

Health (HEA)

Concussion Signs and Symptoms Checklist05/01/2010
Management of Food Allergies: School Treatment03/01/2011
2018 Recommended Immunizations for Children from 7 through 18 years old01/17/2018
2018 Recommended Immunizations for Children from 7 through 18 years old (Spanish)03/05/2018
2018 Recommended Immunizations for Children from Birth Through 6 years old12/01/2017
2018 Recommended Immunizations for Children from Birth Through 6 years old (Spanish)12/01/2017

Human Resources (HUM)

Certification of Health Care Provider for Employee’s Serious Health Condition (FMLA)01/01/2009
Certification of Health Care Provider for Family Member’s Serious Health Condition (FMLA)01/01/2009
Separation Notice09/01/2013

Onsite Medical (OSM)

Preparticipation Medical Evaluation Form & Emergency Treatment/Parents Consent Form07/01/2010