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Forms & Documents
Forms & Documents
To access department documents, navigate to the desired department and click the dropdown menu to view a listing of documents. You may need Adobe Acrobat Reader, or similar PDF file reader to open the files.
Acrobat Reader is available through Adobe at their website link. (links to a third-party website)
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- Policy KBE - INTERNET PRIVACY (July 2024)
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- PGCPS - Division Social Media Procedures (March 2024)
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- Form VA-4 Worksheet
- Form W-4 Worksheet (2024)
- Form W-9 (Rev. 10-2018)
- VRS Designation/Change of Beneficiary Form
- Flex One®/Flexible Spending Account Claim Form
- PGCPS Miscellaneous Reimbursement Form
- Travel Form 2025 (Effective 1-1-25)
- Consultant Travel Reimbursement Form 2025 (Effective 1-1-25)
- Request for Travel Reimbursement 2025 (Effective 1-1-25)
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- Acetaminophen, Ibuprofen, Naproxen Parent Authorization Form
- Allergy Action Plan
- Anaphylaxis Policy
- Asthma Action Care Plan
- Diabetes Medical Management Plan
- Homebound Request Form
- JHCD - Administering Medication to Students
- JHCD-R1 - Medication
- Medication Authorization Form
- Meningitis Fact Sheet
- Prince George County Public Schools Head Injury Care Plan
- Prince George County Public Schools Health Services Care Plan
- Prince George County Public Schools Medical Immunization Exemption Form
- School Entrance Health Form (Revised 6-2024)
- Seizure Disorder Health Care Plan
- Special Dietary Needs Revised 10.2024
- VDH Tick Brochure
- VHSL Sports Physical Form
- Virginia Certificate of Religious Exemption
- Virginia School Immunization Requirements for Grades K-12
- Virginia Sports Concussion Fact Sheet
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- PGCPS 2025-2026 Employee Handbook
- Designation of Beneficiary vrs-22
- Direct Deposit Form
- FMLA-Certification of Health Care Provider for Employee's Serious Health Condition
- FMLA-Certification of Health Care Provider for Family Member’s Serious Health Condition
- FMLA-Certification of Qualifying Exigency For Military Family Leave
- FMLA-Employee Guide
- FMLA-Employee Rights Under The Family & Medical Leave Act
- FMLA-Request for Family & Medical Leave Form
- Hepatitis B Prevention Brochure
- Hepatitis B Prevention Fact Sheet
- Hepatitis B Prevention FAQ
- Hepatitis B Prevention Vaccines
- HSA Payroll Deduction Authorization Form
- Munis Self Service FAQ
- PGCPS Employee Resignation Form
- Report of Harassment Form
- Tuberculosis (TB) Testing/Screening Form
- VDOE Licensure Renewal Application (Jan. 2022)
- VDOE Licensure Renewal Manual (Jan. 2022)
- Virginia VA-4 Tax Form