
HEALTH & SAFETY FORMS
ASBESTOS RELATED MATTERS
Sample Letter to Parents
A sample letter notifying parents of the condition of asbestos
(To be completed each school year)
SCHOOL SAFETY FORMS
Annual Report of School Disaster Plan
Due to the Office of Education by the first teacher/student contact day
Playground Safety Checklist
Due to the Office of Education by the end of each academic quarter
Quarterly Safety Inspection Report
Due to the Office of Education by the end of each academic quarter
School Emergency Preparedness Plan - Sample
Quick Reference Emergency Procedures - Sample
This is a link to a quick reference emergency procedures template that schools can customize for use on their campus. It is a Word document that is easy to work with.
School Safety Committee Report
Due to the Office of Education by November 1
Staff Safety Training Roster
Due to the Office of Education by the end of each academic quarter
What Have You Done to Make Your School Safer?
Due to the Office of Educaiton June 2010
STUDENT HEALTH FORMS
Administration of Medication for CDC's
This form includes physicians's orders and parental permission
Administration of Medication for Schools
This form includes physician's orders and parental permission
Consent to Treatment
To be completed for each student at the beginning of the school year
Consent to Treatment - For Field Trips and Special Events
Policy for Administering Emergency Treatment to Children with Severe Allergies
This form is available by contacting Anita Bennie at SECC Office of Educaiton
Self-Medication Administration Consent Form
To be used for parent/guardian permission before student self-medication administration
Student Injury Report
Click HERE for Guidelines
Student Medical Record
To be used for K-12 students
Training: Administering Medication
PowerPoint presentation for school personnel
VOLUNTEER FORMS
Background Check Authorization
Transportation Information for Volunteer Cars