ASB

• Request for Student Body Check
• Elementary ASB Verification/Receipt Form

Cash Handling

• Review Dinuba USD Cash Handling Procedures

Grants

• Educational Grants Guide

Materials and Supplies

• Furniture Request
• Reimbursement for Materials and Supplies

Payroll

• Absence Correction Request
• Class Size Overage Sheet
• DE-4 (CA Tax Withholding)
• Deferred Pay Option (Summer Pay)
• Direct Deposit Form
• W-4 Form (Federal Withholding)

Staff Travel

• Conference Evaluation Form
  • Employees attending a conference or workshop out-of-district must submit this with their reimbursement request.
• DMV Driver Authorization
  • Have the driver fill out only the upper portion of the printed form with signature and date and send to Johanna Hernandez at the Transportation Department.  A copy of their valid driver's license must also be provided.
• Itinerary Form
• Lost Receipt Affidavit
• Mileage Chart
• Mileage Expense Form
• Personal Expense Claim Form
• Travel & Conference Request Form
• Travel & Conference Procedures with AP by the Sea Guidelines

Student Accident Claims

• BMI Benefits - English
  • BMI must have the claim form on file before they try and use the school insurance.
  • BMI insurance is the secondary insurance.  Parent/guardian must provide their primary insurance first.
  • BMI insurance covers any out-of-pocket costs not covered by primary insurance.
  • BMI policy covers ambulance services related to a student injury only.
• BMI Benefits - Spanish
• BMI Statement of No Other Insurance
  • Parent must complete this form along with the claim form.

Student Travel

• Breakfast / Lunch / Dinner Order Form
• Chaperone - Volunteer Packet (English)
• Chaperone - Volunteer Packet (Spanish)
• Travel & Conference Request Form
• Travel Task Force Guidelines
• Permission Slip