Forms

AOC Forms
AOC Administrator’s Referral Form
(Long Term)
 | PDF |
AOC Admission Questionnaire  | PDF |
AOC Student Application  | PDF |
AOC Student Handbook  | PDF |
Gifted Identification Referral Form
 Putnam County Gifted Identification Referral Form  | PDF |
 Putnam County Gifted WEP template  | Word |
Office Documents
2016-2017 Putnam County Composite Calendar  | PDF |
2016-2017 Testing Dates  | PDF |
Asset Disposal Form  | PDF | Excel |
Asset Transfer Form  | PDF | Excel |
Directory of Administrators  | PDF |
Employee Handbook  | PDF |
Ethics Law  | PDF |
Holiday Calendar  | PDF |
Hotel Expense Form  | PDF |
Mental Health Counselors’ Schedule 2016-17 School Year  | PDF |
Travel Report  | PDF |
Payroll Time Sheet  | PDF | Excel |
Psychology Department Schedule 2016 – 2017  | PDF |
Putnam County ESC Policy Book  | Webpage |
Room Rental Form
for ESC Employees
 | Word |
Substitute Teacher Aid Payroll Form  | PDF | Excel |
Requisition Form  | PDF |
HSA Contibutions Form  | PDF |
Sales Tax Blanket Certificate  | PDF |
Wixey Time Sheet  | PDF |
Substitute Teacher Time Sheet  | PDF |
ESC W-9 Form  | PDF |
Hotel/Motel Excise Tax Exemption Certificate  | PDF |
Medical Mutual of Ohio Form  | PDF |


Special Education
Link to Ohio Required Forms on www.EdResourcesOhio.org  | Webpage |

Annotations for Services Plan form

Annotations for IEP PR-07 form

Form PR-01: Prior Written Notice to Parents

Form PR-02: Parent Invitation

Form PR-03: Manifestation Determination Review

Form PR-04: Referral for Evaluation

Form PR-05: Parent Consent for Evaluation

Form PR-06: Evaluation Team Report (ETR)

Form PR-07: Individualized Education Program (IEP)

Form PR-09: Services Plan (SP)

Link to Ohio Optional Forms (Including Attempts to Obtain Parent Participation)  | Webpage |
Form OP-1: Functional Behavior Assessment

Form OP-2: Behavior Intervention Plan

Form OP-3: Manifestation Determination

Form OP-4: Agreement to Waive Reevaluation

Form OP-5: Parent/Guardian Excusal

Form OP-6: Progress Report

Form OP-7: Assignment of a Surrogate Parent

Form OP-8: Summary of Performance

Form OP-9: Attempts to Obtain Parent Participation

504 Accomodation Plan  | PDF | Word |
Compliance Flowchart  | PDF |
Consent for Agency Participation  | PDF |
Checklist for Newly Enrolled Special Ed. Student  | PDF |
EMIS Data Collection Tool for Students with Suspected/Identified Disabilities See #1 – 3 below
    1 – Master Code Sheet; Revised 08/31/2016  | PDF |
    2 – EMIS Form; Revised 08/31/2016  | PDF |
    3 – Sample EMIS Forms  | PDF |
ETR PR-06
 | Word |
ETR Planning Form
 | PDF |
ETR Re-eval Data Form
 | Word |
ETR Observation Form
 | PDF |
Eye Exam Summary  | PDF |
Eye Exam Tracking Form  | PDF |
IEP Meeting Checklist  | PDF |
Intervention Specialists List 2016-17  | PDF |
Medicaid Acknowledgement Letter  | PDF |
MSB Prescription Form  | PDF |
Parent/Guardian/Student Consent for Records Release  | PDF |
Parent Notification of Scholarship Programs for Students with Disabilities  | PDF |
Related Services Schedule (includes OT, PT, visually/hearing-impaired) for 2016-17  | PDF |
School-Based Medicaid Q & A  | PDF |
Speech Therapy Schedule 2016-2017 School Year  | PDF |
Summary of Performance Resources  | PDF |
Whose IDEA is This?
A Parent’s Guide to the Individuals with
Disabilities Education Improvement Act of 2004 (IDEA)
Updated April 2, 2012.
 | PDF |
NEW! Memorandum to Amend Whose IDEA Is This – Jan. 21, 2014  | PDF |
Work/Study Monthly Report  | PDF | Excel |
Special Education Forms — Other Languages
Link to “Whose IDEA is This?” in other languages: Spanish, Arabic, Russian, etc. 
 | Website |
Special Education Resources
Accommodations Manual, Revised Feb. ’11
PDF |
Employability Assessment
PDF |
IEP Compliance Training (Jan. 2016)
| PPT |
Ohio’s New Learning Standards
ODE Link |
Postsecondary Goals – Employment
PDF |
Postsecondary Goals – Education Training
PDF |
Postsecondary Goals – Independent Living
PDF |
Profile Checklist
Profile Worksheet
Transition Services
PDF |
WIA Forms
Putnam County WIA Youth Program Monthly Progress Report  | PDF |
WIA Monthly Mileage Record  | PDF |
WIA Monthly Hourly Work Form  | PDF |