Forms and Documents Staff

Staff 
Aeries User AgreementAeries Use Agreement
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.
Classified Long Term DisabilityInformation on Disability
Complaint Form English | SpanishGeneral complaint form against an employee of the district. Please submit to the district office.
Designation of Person to Receive Warrants/CheckComplete this form to designate a person to receive all warrants or checks, payable to you, upon your death.
Emergency Contact FormComplete this form to change your emergency contact information.
Employee Assistance ProgramEmployee Assistance Program – Anthem Blue Cross
Employee ReimbursementsInformation on Employee Reimbursements
Facility Use Board PolicyFacilities Use Board Policy
Facility Use FormForm 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.
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.
Family & Medical Leave Act Employee Rights and Responsibilities
Field Trip Request FormInitiate a field trip request.
Frequently Used AcronymsA List of Acronyms that are used frequently within the District.
Hiring RequestThis form is specifically for Administrators.
In-House Job ApplicationCurrent Konocti Unified School District Employees may use this convenient online application to apply for current vacancies listed on Edjoin.org 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.
Letter of Resignation/Retirement FormInternal form for submitting a resignation or retirement request.
Moving/Relocation ReimbursementThe Board of Trustees for Konocti Unified School District has approved a moving/relocation reimbursement for Designated Staff that become employees of the District up to $2000. The information provided includes criteria for who is eligible to submit reimbursement and what expenses are eligible for reimbursement.
Notice to Employees
Workers Compensation
Physician Predesignation English | SpanishWorkers Compensation
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.
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.
Tax Withholding Forms Federal (W-4) | State (DE4)Tax Withholding Forms for Employees
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.
Workers Compensation Benefit SummaryWorkers Compensation

News

Current Student School Dismissal Extended Until May 1st- Distance Learning and Meals Continue

Good afternoon Konocti Families This is Becky Salato, Superintendent, Today, in collaboration with all school districts in lake county and with support from the department of ...

Additional Grab n Go Pick Up Stations Announced for Families – (5 Day Meal Packages) Espanol

Espanol CHANGE TO STUDENT MEAL SERVICE The Konocti Unified School District Child Nutrition Department will provide an opportunity for families to pick ...

Distance Learning Online Resources For Students and Families

Konocti Unified School District believes in delivering quality first instruction to all students.  We have put together a collection of awesome online resources (K-12), to support ...
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LCAP Survey 2020 – Now Accepting Stakeholder Input

Please take a few minutes to complete our 4 question stakeholder survey. We seek your input for ideas that will support our students in being ...

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