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  330-505-2800 


TRUMBULL COUNTY EDUCATIONAL SERVICE CENTER 


LEADING FOR EDUCATIONAL EXCELLENCE


FORMS

All forms should be completed in a timely manner. TCESC forms are designed to be as self-explanatory as possible.  

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Treasurer's Office FormsLeave FormsReportsOther FormsCertified Staff| Classified Staff| Calendars

Treasurer’s Office Forms

  • Absence Request Application This form, which is commonly referred to as a Green Sheet, is to be used to request an absence for sick leave, vacation, personal leave, bereavement leave or jury duty.  An employee is responsible for completing a sick leave form within seven (7) days upon returning to work following an illness (personal leave and vacation should be requested in advance).  The form must be submitted to the program supervisor.  In the case of scheduled appointments, sick leave forms must be completed in advance and approved by the supervisor.  The Treasurer has been directed by the State Auditor and by negotiated agreement to deduct pay for failure to submit the absent request application form within seven (7) days of return to work. Absence Request Application (PDF)  (Interactive Word) (updated 9/28/06)

          Employee Kiosk.  TCESC employees should use the Employee Kiosk to enter their absences.

  • TCESC Employee Time Sheet Hourly or daily employees complete a pay period report every two weeks.  The completed pay period report is submitted to and approved by the program supervisor.  The report must be on file with the treasurer's office no later than noon Friday the week preceding payday.  Employee Time Sheets may be faxed. Reports that are late will result in a delay in issuing the paycheck! Printable Employee Time Sheet (PDF) (Interactive Word)
  • TCESC Substitute Time Sheet Substitute employees complete a pay period report every two weeks.  The completed pay period report is submitted to and approved by the program supervisor.  The report must be on file with the treasurer's office no later than noon Friday the week preceding payday.  Substitute Time Sheets may be faxed. Reports that are late will result in a delay in issuing the paycheck. Substitute Time Sheet (PDF)  (Interactive Word)
  • TCESC Substitute Stipend Request Classroom Assistants are to use this form to request a stipend for assuming lesson plan responsibility when there is not a teacher or substitute teacher in the classroom. Substitute Stipend Request (PDF) (Interactive Word). (updated 8/11/08)

  • Monthly Mileage Report Routine mileage is that which occurs as a part of daily service to school districts. This form should be used for professional meeting mileage when mileage is the only cost associated with attending a professional meeting. Mileage rates are negotiated and appear in the Trumbull County Classified Staff Association Agreement and in the Trumbull County Professional Staff Association Agreement.
  • Special Projects Budget This form is to be used when creating a budget for a special project or event. The form is to be submitted to the department director. Upon approval, a copy of the budget form will be returned to the project coordinator, who may then begin purchase orders. Click here for a printable Special Projects Budget (PDF) (Interactive Word)
  • Pay In Form This form is to be used when an individual is depositing money to an account as a result of a fundraiser, registration, fees, donations, sales, etc. Pay In Form (PDF) (Interactive Word)
  • Supervisor's Staff Development Report Supervisors are to use this form to report their staff development days.  Staff Development Report. (PDF) (Interactive Word) (updated 5/26/05)
  • TCESC PO Request This form must be submitted to immediate supervisor for signature before a PO can be generated by your secretary.  PO Request Form (Word) (Interactive Word) updated 8/06
  • TCESC Refund Form This form should be used for deposit refunds. Please submit two copies of this form to the treasurer's office when requesting a deposit refund. Printable Refund Form (Word) (Interactive Word)
  • Transfer of Funds Form This form is used to transfer funds from one short code to another. Click here for the Transfer of Funds form.  
  • 403b salary reduction agreement
  • 403b Approved Provider List March 25, 2009

Leave Forms

  • Request for Short Term Professional Leave This form is to be used when an employee is attending a conference, seminar or some type of professional development opportunity. Leave definitions and reimbursement information are on the reverse side of the form. The form contains explicit directions that must be followed before the leave is approved and expenses are reimbursed. Short Term Professional Leave Form (PDF) (Interactive Word) updated 4-08
  • Request for Parental Leave & Extended Sick Leave This form is used to inform TCESC of an employee’s intended plans for parental leave and/or any extended sick leave. Employees should consult their collective bargaining agreement regarding timelines and other necessary requirements before submitting this form. Parental Leave & Extended Sick Leave Form (PDF) (Interactive Word). (updated 7/17/03)
  • Request for Extended Leave of Absence Without Pay This form is used to request extended leaves that without pay. Employees should consult their association agreement for additional details. Extended Leave of Absence Without Pay Form (PDF) (Interactive Word)
  • Physician’s Medical Statement & Release to Work Statement Employees requesting extended sick leave, FMLA or leaves without pay for medical reasons must follow the instructions on this sheet for submitting a physician's statement to the human resources department. Physician's Medical Statement & Release to Work Statement Form. updated 3-1-11
  • Assault/Battery Leave Application Employees requesting assault/battery leave must complete this form and have the leave approved by the superintendent. This form must be accompanied by an Accident/Battery Report and a Physician's Medical Statement.  Assault/Battery Leave Application (PDF) (Interactive Word)

Reports
  • Report of Stolen/Damaged Equipment or Supplies This report must be completed when any equipment and/or supplies owned by TCESC are damaged, stolen or suspected of being stolen. The theft of any item valued at more than $250 requires a police report. The report must be submitted to the Treasurer's Office within 24 hours of the reported theft or damage. Report of Stolen/Damaged Equipment or Supplies (PDF) (Word)
  • Employee Accident/Battery Reports An employee injured or battered in the course of employment is required to complete an Employee Accident/Battery Report. If the employee is unable to complete the report, the immediate supervisor shall complete the report. This form must be completed and submitted to the TCESC Human Resources Department within 24 hours of the accident. Employees should reference their association agreements for specific details regarding leaves as a result of battery or assault. Employee Accident/Battery Report (PDF) (Interactive Word). updated 8/04  
  • Student Accident Report A classroom teacher should complete this form if a student is injured or involved in an accident. A copy of the form should be forwarded to the supervisor and the director.  Student Accident Report (PDF) (Interactive Word) created 10/04, rev. 4/9/05

  • Incident or Threat Report This report is to be used in the case of a threat or an incident that does not result in an injury. (Injuries should be reported on the Accident/Battery Report). Witnesses should complete the Witness Statement on the reverse of the form. The report must be completed within 24 hours of the incident/threat.  The report is confidential and will not be released without permission from TCESC. Incident or Threat Report (PDF)  (Interactive Word) updated 2/10/05

Other Forms

  • TCESC Employee Personal Changes TCESC employees should use this form to advise the organization of personal changes that are pertinent to our record keeping. This includes address changes, name changes and phone number changes. All requests for changes in direct deposit and insurance should be made by placing a phone call to the assistant to the treasurer at 330-675-2800 ext. 121. Personal Changes Form (PDF) (Interactive Word). updated 8/3/06
  • Supply Order Form This form is to be used to request supplies from TCESC central supply. The form should be completed and attached to copied pages from the Central Supply Purchasing Catalog. Prior planning is essential because there is a minimum 24-hour turn around. Supply Order Form (PDF) updated 7/08
  • Request for Transfer in Assignment Form (THR5) An employee requesting a change in assignment within his/her job classification must complete and submit the Request for Transfer in Assignment Form (THR5) to Human Resources.  Transfer in Assignment Form (PDF) (Interactive Word). (updated 8/11/08)
  • Grievance Form The Grievance form should be used by a grievant, group of grievants, or association, when there is an alleged violation, misinterpretation or misapplication of the collective bargaining agreement. Grievance Form (PDF) (Interactive Word)
  • Staff Network and Internet Acceptable Use and Safety Agreement This form should be signed by all employees to apply for an account on the network, email,  and internet use.  Staff Network and AUP Form (PDF).

  • Copyright Policy Form The copyright policy Form should be signed by anyone who creates work that will be posted on the TCESC webpage. This form should be signed and turned into the technology department. This includes email accounts. Copyright Policy Form. (PDF)

  • Employee Emergency Information Form This form is designed to help TCESC contact your family, physicians and others in the event of an emergency. If you have changes in this emergency information throughout the year, please complete a new form and forward it to TCESC’s human resources office immediately. Employee Crisis form. 

  • Request for Extended Service Form This form is to be used for a school district to request additional time within a school year.  Extended Service Form. (PDF) (Interactive Word)

  • Courier Work Order Forms This form is to be used for all non-routine requests for courier service. Routine duties of the courier are delivery of film bags and inter-school mail. All other requests need prior approval. Please submit your request well ahead of the needed courier service. Forward all requests to Robert Marino, Assistant Superintendent, for approval. Courier Work Order Form

  • Technology Repair Form (Blue Sheet) This form should be filled out and turned in to Joann McGuiness to report a technology issue. Technology Repair Form

  • Sales Tax Exemption for Computer Equipment  In Ohio, there is legislation providing an exemption from sales tax for teachers when they purchase computer equipment under certain circumstances. Please note hat this exemption only covers computer equipment (hardware). It does not cover separately sold software or computer supplies such as paper, ink, toner, etc. Click here for the form.

 

Certified Staff Forms

  • Request for Movement on the Salary Schedule
    This application details the process that is to be used when requesting horizontal movement on the salary schedule. This form should be submitted, with original transcripts, by September 15 of the school year in which the individual is making the request
    Request for Movement form (PDF) (Interactive Word)

  • College Tuition Reimbursement
    Certified/licensed staff members may receive reimbursement only for pre-approved credit courses in an approved master’s program or for graduate work in the employee’s area of certification/licensure. All course work shall be completed satisfactorily at accredited colleges and/or universities. This form should be submitted for pre-approval of tuition reimbursement before the coursework is taken.
    This form will be returned to the staff member when pre-approval has been granted. The staff member must resubmit this form for final approval and payment. 
    Tuition Reimbursement Form (PDF) (Interactive Word). updated 4/09
  • Application for Certified Continuing Contract This application details the process that is followed in applying for a continuing contract. This form should be submitted by October 1 of the school year in which an individual is making application for a continuing contract. Application for Certified Continuing Contract. (PDF) updated 12/10
  • Request for IEP Stipend for Teachers This form is to be used for certified personnel who are applying for the IEP stipend or release days. Please note that the form requires preapproval by the program supervisor. Any questions regarding the stipend or release days should be directed to your program supervisor. Request for IEP Stipend for Teachers (PDF) (Interactive Word) updated 9/07

  • Speech Language Pathologist Request for IEP Stipend This form is to be used for speech language pathologists who are applying for the IEP stipend and/or release days. Please note that the form requires preapproval by the program supervisor. Any questions regarding the stipend and/or release days should be directed to your program supervisor. Request for IEP Stipend for Speech Pathologist (PDF) (Interactive Word) updated 2/08

  • Request for Alternate Assessment Stipend This form is to be used for certified personnel who are applying for the alternate assessment stipend. Please note that the form requires preapproval by the program supervisor. Any questions regarding the alternate assessment stipend should be directed to your program supervisor. Request for Alternative Assessment (PDF) (Interactive Word). updated 9/07

 

Classified Staff Forms

  • Sick Leave Bank Application  This form is to be used for classified personnel who wish to apply to the sick leave bank. (PDF) (Interactive Word)

2010-2011 Employee Work Calendars

2011-2012 Employee Work Calendars

 

 

 

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TRUMBULL COUNTY EDUCATIONAL SERVICE CENTER
6000 Youngstown Warren Rd.  Niles, OH  44446-4603
Phone: 330.505.2800  Fax: 330.505.2814