Forms
Bloom-Carroll
Local School District
OUR STUDENTS • THEIR FUTURES • OUR FOCUS
SHOP
NEWS
SOCIAL
EVENTS
Sign Up For Our Newsletter 
Home
About
District
Board of Education
Departments
Employment
Enrollment
COVID-19 Dashboard
Schools
High School
Middle School
Intermediate School
Primary School
Academics
Remote Learning
Calamity Day Assignments
Curriculum and Instruction
Federal Programs
Gifted Services
Special Education
Activities
Athletics
Performing Arts
Facilities Request
Ticket Sales
Documents & Handbooks
Forms
Enrollment
StaffDirectory
Bulldog Portal
Forms
ADA Menu
Forms
Enrollment
Final Forms
Release of Records
Transportation and Food Service Forms
Reimbursement in Lieu of Transportation Form
Free and Reduced Lunch Application
Medical Forms
Asthma Action Plan Form
Diabetes Management Action Plan Form
Food Allergy Action Plan Form
Medication Authorization Form
Seizure Action Plan Form
High School Forms
Chromebook Responsible Use Procedures
Chromebook Loss/Damage Insurance Form
2019-20 OSHAA Physical Form
Flexible Credit Application
College Visitation Form
Application for Physical Education Replacement
Letter of Recommendation Request
Medication Authorization
Parking Application
Work Permit Application
Vacation Form
CURRENT STUDENT Transcript Request Form
FORMER STUDENT Transcript Request Form
Middle School Forms
Vacation Form
PTO Volunteer Request Form
Intermediate School Forms
Counselor Referral Form
Vacation Form
Primary School Forms
Counselor Referral Form
Vacation Form
Employee Pay Request Forms
Professional Development Approval Form
Classroom Coverage Request for Payment
Extra Time Request for Payment
Mileage Reimbursement Request for Payment
Substitute Employee Request for Payment
Supplemental Contract Request for Payment
Tutor-Time Sheet Request for Payment
Fiscal Services Forms
Activity Cash Transmittal Form
Building Cash Transmital Form
Credit Card Purchase Recap Form
Purchase Requisition Form
Budget Purpose Statement Form
Sales Project Potential Form
Payroll Forms
2020-2021 Employee Pay Schedule
New Employee Payroll Packet
Change of Address Form
Direct Deposit Form
Federal Withholding Form W-4
IT-4: State Withholding Form
Unpaid Leave Request Form
Employee Benefit Notices and Forms
COVID Vaccination Compliance
CareFactor Mobile App
Summary of Benefits: Bloom-Carroll PPO
Insurance Enrollment or Change Form
Medicare Notice
HIPPA Privacy Notice
Mastectomy Notice
Employee Assistance Plan (EAP)
MyEAP App
Minimum Value Plan, SBC
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
View text-based website