Forms and Documents Staff

Frequently Used AcronymsA List of Acronyms that are used frequently within the District.
In-House Job ApplicationCurrent Konocti Unified School District Employees may use this convenient online application to apply for current vacancies listed on for which a transfer/reassignment request was NOT submitted prior to April 1st. Please submit a separate application for each position you are interested in. Applications must be received by 12:00 (noon) on the close date listed.
Change RequestComplete this form and submit to the District Office if you have any changes. It is important that your current contact information and name are accurate in our records.
Facilities Use Form (District Office Use)Form for requesting the use of the District Office building for an event. Please submit the completed form to the district office for further processing.
Facility Use Board Policy

Facility Use Application
Form for requesting the use of a School district facilities for an event. Please submit the form to the district office once proper approval has been obtained from the site. The Governing Board recognizes that district facilities and grounds are a community resource and authorizes their use by community groups for purposes provided for in the Civic Center Act when such use does not interfere with school activities.All school-related activities shall be given priority in the use of facilities and grounds under the Civic Center Act. Thereafter, the use shall be on a first-come, first-served basis.
Field TripInitiate a field trip request.
Employee Assistance ProgramEmployee Assistance Program – Anthem Blue Cross
Hiring RequestThis form is specifically for Administrators.
Position Advertising RequestRequest to advertise an open position within a department or school. Please submit to the district office.
Position Control Request FormThis form is specifically for Administrators.
Uniform Complaint Procedures and Policy English | SpanishThe following procedures shall be used to address all complaints which allege that the district has violated federal or state laws or regulations governing educational programs. Please review the procedures provided on the left, and complete the form and submit it to the District Office.
Williams Uniform Complaint Form English | SpanishEducation Code 35186 creates a procedure for filing of complaints concerning deficiencies in instructional materials, teacher vacancy or misassignment, maintenance of facilities, and CAHSEE Prep. The following form contains elements required by Education Code 35186. You may return this form to your child’s school.
Letter of Resignation/Retirement FormInternal form for submitting a resignation or retirement request.
LeavesThe following is a list of Leave Forms/Information:
FMLA Rights & Responsibilities
FMLA Absence Request Form
KEA Bargaining Agreement: Article VIII – Leaves
KPA Bargaining Agreement: Article VI – Leaves
CSEA Bargaining Agreement: Article III – Leaves
Family & Medical Leave Act

Classified Long Term Disability
Employee Rights and Responsibilities
Report of LossIf an incident occurs in which damage to property or personal injury is involved, please immediately notify the District Office. Complete this report in its entirety and send to the district office within two days of the incident. District office staff will report to the district’s insurance company if appropriate.
Supervisor’s Report of Employee InjuryForm for an administrator to complete for an employee injury.
Complaint Form English | SpanishGeneral complaint form against an employee of the district. Please submit to the district office.
Transfer RequestComplete this form if you wish to transfer positions within the District. *Note: this form can only be used and submitted to the District Office by May 1st of the current school year.
Notice of Intent to Advance on Salary ScheduleThis form must be submitted by June 1st to take effect the following school year. (Please submit a separate form for each institution.)
Workers Compensation Benefit SummaryWorkers Compensation
Physician Predesignation English | SpanishWorkers Compensation
Notice to Employees
Workers Compensation
Employee ReimbursementsInformation on Employee Reimbursements
Federal Tax Withholding Form (W-4)

State Tax Withholding Form (DE4)
Tax Withholding Forms for Employees


Summer Feeding

Summer Food Program

Please see attached flyer for information on the summer food program that feeds kids for free. Summer Food Program ...

Summer Program Enrichment

Students enrolled in the summer program need to select an enrichment. If you have not done so already, please click this link to fill out ...

STAR Summer Program

The K-7 STAR Summer Program and High School Summer School Program are scheduled to start on Tuesday,  June 18, 2019. The K-7 STAR Summer Program ...

Tia Martinez – Presenting Equity in our Lake County Schools – Monday, June 10th, 2019

Konocti Unified School District is pleased to announce that Tia Martinez will be coming to Lake County to present “Equity in Education” at the Cornelison ...

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