EBRLogo_Accent, No Skyline - Navy

Forms

2021 – 2022 Budget Efficiency Form

2021 – 2022 New Budget Request Form

Fair Share – Application

Fair Share – Application DBEs

Finance – Airline Ticket Request

Finance – Employee Travel Sales Use Tax Exemption Certificate

Finance – New Travel Profile

Finance – Request for Pre-Payment of Travel Expense

Finance – Request for Travel Advance

Finance – Travel Expense Settlement Form

Finance – Travel Expense Settlement Form (Out-of-Parish)

Payroll – 1095-C Correction Request Form

Payroll – Affidavit Payment Surv Spouse-Child

Payroll – Authorization for Direct Deposit

Payroll – BlueCross/BlueShield Coverage Cancellation

Payroll – Daily Sign-In

Payroll – Daily Sign-In/Out

Payroll – Deferred Pay Enrollment-Withdrawal Request

Payroll – In-Parish Travel Expense Request

Payroll – Justification for Overtime

Payroll – L-4

Payroll – L-4E

Payroll – Notice of Election, Drop Enrollment

Payroll – Payroll Deduction Authorization

Payroll – Retiree Address Change Form

Payroll – Teachers Sign-In

Payroll – W-4 2021

Purchasing – Net Pricer (xls)

Purchasing – Requisition for Equipment & Supplies

Purchasing – Station Materials Request

Purchasing – W-9

Purchasing & Facilities – Use of School Cafeteria or Kitchen

Risk Management – Fire Drill

Risk Management – General Products Liability

Risk Management – Personal Property Claim

Risk Management – Principal Investigation Report

Risk Management – Student Incident

Risk Management – Workers Comp Packet

School Accounts – Blank W-9

School Accounts/Auditing – Administrative Guidelines for Teachers

School Accounts/Auditing – Administrative Guidelines Form (xls)

School Accounts/Auditing – Audit Request (xls)

School Accounts/Auditing – Check Request Forms

School Accounts/Auditing – Deposit Transmittal Form – Elementary (xls)

School Accounts/Auditing – Deposit Transmittal Form – High School (xls)

School Accounts/Auditing – Fundraiser Report (xls)

School Accounts/Auditing – Fundraiser Request Form (xls)

School Accounts/Auditing – Major Withdrawal Form (xls)

School Accounts/Auditing – Officials Check Request Form (xls)

School Accounts/Auditing – OSP Activity Setup Form

School Accounts/Auditing – Sign-In Sheet for Officials (xls)

School Accounts/Auditing – Ticket Sale Reconciliation (xls)

Asthma Forms

State of LA Medication Order Form
State of LA Authorization for Release of Medical Information
School Asthma Management Program Enrollment Forms 2018-2019
HCS Asthma Action Medical Plan for School – English
HCS Asthma Action Medical Plan for School – Spanish
EBR Parent Consent for Medication at School

Diabetes Forms

Diabetes Medical Management Plan for School
EBR Parent Consent for Medication at School
EBRPSS Specials Diets Prescription Order Form
State of LA Medication Order Form
State of LA Health Info Form for Parents

Anaphylaxis/Allergies Forms

EBRPSS Lactose Free Milk Request
EBR Parent Consent for Meds at School
EBRPSS Special Diets Prescription Order Form
HCS Anaphylaxis Emergency Allergy Medical Plan for School
State of LA Authorization for Release of Medical Information
State of LA Annual Health Information Form for Parents
State of LA School Med Order Form for Prescribers

Dietary Restrictions/Considerations Forms

Lactose Free Milk Request 2019-2020
Procedures for Special Diets Religious Reasons 2019-2020
Special diet Religious Request Form 2019-2020
EBRPSS Specials Diets Prescription Order Form

Tracheostomy Forms

State of Louisiana Medication Order
EBR Parish Schools Parent Consent for Medication at School
State of Louisiana Authorization for Release of Medical Info
Tracheostomy “Go Bag” School Supply List
Authorization for Tracheostomy Care in the School Setting

Special Health Care Needs Forms

EBR Parent  Consent for Meds at School
Med History Update Form Doctor Signature Required
State of LA Authorization for Release of Medical Information
State of LA Health Info form for Parents
State of LA Medication Order Form
Physician Parent Authorization for Special Needs
Authorization for Tube Feeding in the School Setting
Authorization for Urinary Catheterization in the School Setting

Medication Administration Forms

EBR Parent Consent for Meds at School
State of LA Authorization for Release of Medical Information
State of LA Health Information Form for Parents
State of LA Medication Order Form

Student Athlete Forms

State of Louisiana Authorization for Release of Medical Information
State of Louisiana LHSAA Student Athlete Health Exam Evaluation

Seizures Forms

EBR Parent Consent for Meds at School
Physician Order for Diastat Administration at School
Seizure Action Plan Provider signature Requirements
State of LA Authorization for Release of Medical Information
State of LA Health Information Form for Parents
State of LA Medication Order Form
Physician Parent Authorization for Special Needs

Immunizations Forms

EBRPSS Immunization Policy
Statement of Exemption Immunization Requirement – English
Statement of Exemption Immunization Requirement – Spanish
Statement of Exemption Immunization Requirement – Vietnamese
Statement of Exemption Immunization Requirement – Arabic
Statement of Exemption Immunization Requirement – Mandarin