Forms
Download Forms
All forms are available in Acrobat PDF and/or MSWord document format for you to print them and fill them out. Not all forms are included on the web site. Some forms are more complex and require some assistance from either Risk Management or Barrett, Liner and Company. If you do not see the form you are looking for listed below, please contact Risk Management and we will assist you.
Reimbursement/Benefits Forms
| BCBS Major Medical Comprehensive Claim form | English PDF |
| Cancer Claim Form | English PDF |
| Cancer Wellness Benefit | English PDF |
| Dental Claim Form | English PDF |
| Disability Medical Benefit claim form | English PDF |
| Family Medical Leave Act application | English PDF |
| Flexible Spending Account (FSA) General Reimbursement Claim Form | English PDF |
| FSA Direct Deposit Authorization Form | English PDF |
| Florida Retirement System Investment Plan beneficiary change form | English PDF |
| Florida Retirement System pension plan beneficiary change form | English PDF |
| HSA Payroll Deduction Authorization Form | English PDF |
| Life Insurance EOI for additional employee or dependent life coverage | English PDF |
| Sick Leave Bank application (RMD 05) | English PDF |
Student Activity Forms
| Off Campus Activity--Application for Field Trip or Off Campus Activity (RMD 101) | English DOC | English PDF | ||
| Parent Consent--Off Campus School Activity Parent Consent/ Liability Waiver/ Medical Release (RMD 102) | English DOC | English PDF | Spanish DOC | Spanish PDF |
| Parent/Guardian Consent Form For Special School Activity-On Campus (RMD 1) | English DOC | English PDF | Spanish DOC | Spanish PDF |
| Request to Transport--Marion County School Board Request to Transport Student(s) in Private Vehicles (RMD 103) | English DOC | English PDF | Spanish DOC | Spanish PDF |
| Student Transportation Guidelines (RMD 100) | English DOC | English PDF |
Accident Report Forms (Employees Access Only)
| Accident-Incident Report (RMD 28) | English PDF | |||
| Accident Report-Visitors (RMD 72) | English PDF | |||
| First Report of Injury or Illness | English PDF | |||
| Student Accident Report (RMD 07) | English PDF | |||