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Employee Forms



Problem Solving Process Forms


Instructional Planning (pdf document)
File Size: 194.42 kb

Intervention Fidelity Check (pdf document)
File Size: 100.3 kb

Problem Solving Process Summary (pdf document)
File Size: 114.63 kb

Request for Assistance (pdf document)
File Size: 136.65 kb

Student Background Review (pdf document)
File Size: 161.83 kb



General Forms


Transcript Release Form (pdf document)
File Size: 123.05 kb

Use this form to authorize release of student transcript information. Advance payment of $2.00 per transcript is required.

Meeting Summary Form A (doc document)
File Size: 28 kb

*Note: This form is designed to be filled out online and then printed.

Meeting Summary Form B (doc document)
File Size: 22.5 kb

*Note: This form is designed to be printed and then filled out by hand.

Authorization to Write a Grant (pdf document)
File Size: 75.54 kb

This authorization form must be completed and the appropriate initials secured prior to the pursuit of a grant.

Royalty Payment Form (pdf document)
File Size: 70.67 kb

Attach a copy of the notification letter concerning your successful proposal to this form. Send this form to Vicki Eastgate at Hughes within 10 days of receiving notification of a successful proposal. A copy of your successful grant notification letter and grant budget must also be sent to the accounting department. If this grant involves paid staff training please use the timesheets to document for payment.

Permission to Request Information (pdf document)
File Size: 78.36 kb

Permission request form to have access to information.

Release of Information (pdf document)
File Size: 65.79 kb

Mutual exchange of information form between the Bismarck Public Schools and another person or agency.

Record of Access and Inspection  (pdf document)
File Size: 52.7 kb

File access and inspection requirements: BPS "school officials with legitimate educational interests" in accessing this student's education records do not need to complete this section of the form. All other individuals not meeting such criteria must document access/inspection below. Parents and eligible students are encouraged to document access/inspection as a matter of school record.

Request for Instructional Aide Services (doc document)
File Size: 63 kb

Bismarck Public Schools request for instructional assistant services. Send request forms to the Elementary Assistant Superintendent, Hughes Educational Center.

Travel Authorization Expense Voucher (pdf document)
File Size: 86.45 kb

A Travel Authorization Request form must be completed by anyone expecting to receive reimbursement for travel expenses in sufficient time to obtain approval prior to incurring any travel expenses. If approved the Travel Authorization Request form is returned to the originator for completion of the Travel Expense Voucher (lower portion of form). Upon return from trip, fill out Travel Expense Voucher (bottom portion); submit along with required receipts to the Business Office for reimbursement.

In-District Mileage Voucher (xls document)
File Size: 59.5 kb

This form can now be filled out online and saved on a computer. Enter information online, print, sign, obtain supervisor signature, and submit to the Accounting Department. Applies to exact miles/trip.

Payment Voucher Form (pdf document)
File Size: 196.14 kb

Vendor payment voucher form.

Teacher Grievance Form (doc document)
File Size: 27.5 kb

Teachers should use this form if they would like to file a grievance as defined in the Negoatiated Agreement.



Payroll Forms


W-4 Form - Employee's Withholding Certificate (link)

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Because your tax situation may change, you may want to refigure your withholding each year.

2011-2012 Pay Day Schedule (lsx document)
File Size: 43.24 kb

Support Staff Timesheets 11-12 (lsx document)
File Size: 184.35 kb

This form can now be filled out online and saved on a computer. Enter information online, print, sign, obtain supervisor signature, and submit to the BPS Accounting Department, Hughes Educational Center. Document contains time sheets for the entire year.

Teacher - Professional Support Staff Time Sheets 11-12 (lsx document)
File Size: 101.28 kb

This form can now be filled out online and saved on a computer. Enter information online, print, sign, obtain supervisor signature, and submit to the BPS Accounting Department, Hughes Educational Center. Document contains time sheets for the entire year.

Change of Address Form (lsx document)
File Size: 24.99 kb

Please complete the following information to make any change to your contact information. The Change of Address/Phone Number form should be completed online and sent as an email attachment to the BPS Accounting Department at michelle_schwarz@bismarckschools.org or sara_miller@bismarckschools.org. The form can also be completed, printed and sent to the BPS Accounting Department, Hughes Educational Center.


Direct Deposit Authorization Form (lsx document)
File Size: 26.86 kb

Bismarck Public Schools offers direct deposit of employee paychecks. As an added feature the check may be deposited into more than one account (checking, savings or any combination). To enroll, complete and sign the authorization form; staple a blank deposit slip for EACH account to the upper right corner of this form and return it to the BPS Accounting Department, Hughes Educational Center.

Payroll Change Form (lsx document)
File Size: 25.66 kb

Please complete the following information to make any payroll change according to the payroll cutoff dates. The Payroll Change form should be completed online, printed, signed and sent to the BPS Accounting Department, Hughes Educational Center. All payroll changes must be submitted in writing.


Summer School Teacher Absence/Substitute Form (lsx document)
File Size: 36.19 kb

This form should only be used to submit SUMMER SCHOOL absences. This form can now be filled out online and saved on a computer. Enter information online, print, sign, obtain supervisor signature, and submit to the BPS Accounting Department, Hughes Educational Center.

Support Staff Absence/Substitute Form (xls document)
File Size: 53 kb

This form can now be filled out online and saved on a computer. Enter information online, print, sign, obtain supervisor signature, and submit to the BPS Accounting Department, Hughes Educational Center. One copy to be attached to absent employee's time sheet and one copy to be attached to substitute's time sheet.

YMCA Membership Agreement (lsx document)
File Size: 28.17 kb

This form must be completed each year in the month of September to authorize payroll to automatically deduct the YMCA membership fees from your paycheck. The YMCA offers a discount for all BPS employees. For more information, contact Jennifer Keller at the YMCA - 255-1525.


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