Bloom-Carroll

Local School District

OUR STUDENTS • THEIR FUTURES • OUR FOCUS

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Documents & Handbooks

Forms

Enrollment

Staff Directory

Bulldog Portal

Forms

Enrollment

Final Forms

Records Release

Volunteer Form

Food Service

Free and Reduced Lunch Application

Medical Forms

2026-2027 Student Accident Insurance

Asthma Action Plan Form

Diabetes Management Action Plan Form

Food Allergy Action Plan Form

Medication Authorization Form

Student Accident Insurance Form

Seizure Action Plan Form

High School Forms

Vacation Form (Electronic)

Vacation Form (Printable PDF)

ACT Opt Out Form

Flexible Credit Application

Guest Form

Letter of Recommendation Information Sheet

OSHAA Physical Form

Post Secondary Visitation Form

Work Permit Application

BCHS Graduation Workbook

Graduation Progress Checklist

Physical Education Waiver Form

CURRENT STUDENT Transcript Request

FORMER STUDENT TRANSCRIPT Request

Middle School Forms

Vacation Form

Elementary School Forms

Vacation Form

Counselor Referral Form

Fiscal Services Forms

Athletic/Activity Cash Transmittal Form

Budget Purpose Statement Form

Cash Transmittal Form

Sales Project Potential Form

Payroll and Employee Benefit Contact Information

For payroll related questions, please contact Cheryl Haile, ext 46711 ([email protected])

For benefit related questions, please contact Courtney Stebelton, ext 46704 ([email protected])

For information on employee insurance, please visit www.Supermednetwork

For questions about your medical or dental insurance, please call CareFactor at 877-304-0761

Pay Request Forms

Tutor Time Sheet

Sub Employee App

Employee Payroll Forms

2026-2027 Employee Pay Schedule

W4 Federal Withholding Form

Oh State Withholding Form

Employee Benefit Notices and Forms

2026-2027 Insurance Rates

FMLA Procedures

Introduction to Benefits

Insurance Enrollment Form

How to Find a Provider

1.800MD

Health Benefit Plan

Summary of Benefits and Coverage Medical 2026

Dental Benefit Plan Summary

Vision Benefits (VSP)

Additional Life Insurance Form

CareFactor Mobile App

Healthcare Bluebook

HIPPA Privacy Notice

Women's Health and Cancer Rights Act

Health Insurance Marketplace Coverage Options

MyEAP App

Employee Assistance Plan (EAP)

NSA Disclosure Form

Medicare Creditable Coverage Disclosure

Employee Professional Development Forms

Form 1-Employee Profile and IPDP

Form 2-Workshop Approval

Form 3A-College Coursework Approval

Form 3B-Tuition Reimbusement Request

Form 4A-PDU Pre-Approval

Form 4B-PDU Log

Form 5-IPDP Review

Reciprocity Form

Non LPDC Employee Approval