Forms • Page - LESLIE COUNTY SCHOOLS

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Buildings and Grounds

Key Request Form

Facilities Use Agreement

Finance

Mileage Rates
Quarter	2024	2023	2022	2021	2020	2019
Oct 1 - Dec 31		$0.46	$0.46	$0.44	$0.39	$0.41
Jul 1 - Sep 30		$0.46	$0.53	$0.44	$0.39	$0.42
Apr 1 - Jun 30	$0.45	$0.45	$0.49	$0.43	$0.40	$0.41
Jan 1 - Mar 31	$0.43	$0.44	$0.44	$0.39	$0.41	$0.40

State Mileage Rate	Travel (In County)	Travel (Out of County )
W-9	Standard Invoice	State Travel Rates

Health Insurance

2017 Health Ins Guide and App	2017 Add-Drop Form (Qual Event)	Grievance Form
2017 Health Ins Application	2017 Health Ins Benefits Grid	Credit Request

Home Hospital

Home Hospital Report (staff use)

Instruction / Curriculum

Collaboration Log	Daily Lesson Plan

Payroll

Direct Deposit Authorization	Hiring Form (Certified)	Maternity/Adoption Leave Request
Extra Service Pay	Hiring Form (Classified)	Request to Donate Sick Leave
FY18 Coach Time Sheet	Instr Experience Verification	W4 2024
Address/Personal Information Change Form

Technology

Data Use Agreement

Web Access Request

Transportation

Trip Request Form

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Approved Alumni

Name	Graduation Year	E-mail	Phone Number

First Name	Last Name	E-mail	Phone Number

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	#	Album Name	Owner	Location	Description	Images

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