SDP Forms

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Forms can be obtained in one of the following ways designated in the "Obtain Method" column:

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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
1 C-31S "Preliminary Notice, Spanish" 61602445515 2 1 Each SR1 5/00
2 C-31 Preliminary Notice 61602445514 2 1 Each SR1 10/05
3 CEH-133 Confidential Counseling Records 61602445021 2 1 Each SR1 5/00
4 CEH-13 Directions for Use of Attendance Adjustment Report 61602445013 1 1 Each SR1 4/02
5 CEH-14A Attendance Adjustment Report-Continued 61602445001 2 1 Each SR1 5/00
6 CEH-14 Attendance Adjustment Report 61602445000 2 1 Each SR1 9/08
7 CEH-47 Referral of Pupil for Counseling 61602445018 1 1 Each SR1 10/04
8 CEH-9s Notification of Absence (Spanish) 61602445355 2 1 Each SR1 3/01
9 CEH-9 Notification of Absence 61602445012 2 1 Each SR1 11/03
10 CY-47 Child Abuse Reporting Form WEB ONLY 2 1 Web WEB 12/17
11 E-162 Language Survey Form 61602445113 1 1 Each Web/SR1 8/04
12 E-26 Special Daily Report 61602445048 1 1 Each SR1 5/06
13 E-46 "Weekly Plan, Teacher" 61602445056 2 1 Each SR1 3/02
14 E-55 Pupil Assignments 61602445065 1 1 Each SR1 1/07
15 E-83 Roll Sheet Blank 61602445002 1 1 Each Web 11/12
16 EH-123 Notice to Visitors (Spanish) 61602445099 1 1 Each Web/SR1 5/00
17 EH-125 Notice to Visitors 61602445100 1 1 Each Web/SR1 5/00
18 EH-129 Authorization to Visit Classroom 61602445104 1 1 Each SR1 2/00
19 EH-19 Pocket for Pupil's Records 61602445042 1 1 Each SR1 2/01
20 EH-201 "Sign-in Register, Cluster Support Staff" 61602445115 1 2 Each SR1 4/03
21 EH-204 School Funds Report 61602445116 2 1 Each Web/SR1 2/00
22 EH-205 Records of Admissions 61602445117 2 3 Each SR1 5/03
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
23 EH-206 Record of Dismissals 61602445118 2 3 Each SR1 5/03
24 EH-207 "Record of Absence, School Personnel" 61602445119 2 3 Each SR1 5/05
25 EH-20 Discipline Case Report / Pink Slip 61602445043 1 2 Each SR1 2/10
26 EH-21A "Discipline Case Report, Principal (Continued)" 61602445045 1 1 Online ONLINE 1/03
27 EH-21 "Discipline Case Report, Principal (Disciplinary Transfer)" 61602445044 2 1 Online ONLINE 4/02
28 EH-24 Memorandum of Admission or Dismissal 61602445046 1 1 Each SR1 5/03
29 EH-25 Notification of Pupil Transfer 61602445047 2 1 Each SR1 2/02
30 EH-28s Interim Report to Parents (Spanish) 61602445432 1 2 Pad of 25 SR1 12/00
31 EH-28 Interim Report to Parents 61602445430 1 2 Pad of 25 SR1 12/00
32 EH-31 Serious Incident Report 61602445600 Online ONLINE 10/00
33 EH-35C NCLB School Choice Application (English/Spanish) 61602445049 2 3 Each SR1 2/05
34 EH-35 Teacher's Notification of Rating by Principal 61602445050 1 1 Each SR1 10/05
35 EH-36E Pupil Transfer Request 61602445510 1 1 Each SR1 9/02
36 EH-40 Application for Admission of Child to School 61602445007 2 1 Each Web/SR1 9/04
37 EH-45 Request for use of School Facilities 61602445055 2 1 Each Web/SR1 3/09
38 EH-4 Emergency Contact Card WEB ONLY 1 1 Web WEB 8/09
39 EH-5 Alphabetic Index Blue Card 61602445025 2 1 Each SR1 10/01
40 EH-70 Class Roll 61602445075 1 1 Each SR1 9/03
41 EH-71 Parental Appeal 61602100000 1 4 Each SR1 11/00
42 EH-72 Ruling on Parental Appeal 61602110000 1 4 Each SR1 11/00
43 EH-80s Parental Permission Slip (Spanish) 61602445362 1 1 Each SR1 4/03
44 EH-80 Parental Permission Slip 61602445081 1 1 Each SR1 2/04
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
45 EH-81 "Class Visits, Bus Service Authorization" 61602445082 2 1 Each Web/SR1 2/09
46 EH-92AS Delegation of Parental Responsibility - Delegated Domestic Guardian (Spanish) 61602445439 2 1 Each Web/SR1 Revised
47 EH-92A Delegation of Parental Responsibility - Delegated Domestic Guardian 61602445437 2 1 Each Web/SR1 Revised
48 EH-92S Delegation of Parental Responsibility - Parent/Legal Guardian (Spanish) 61602445438 2 1 Each Web/SR1 Revised
49 EH-92 Delegation of Parental Responsibility - Parent/Legal Guardian 61602445436 2 1 Each Web/SR1 Revised
50 EH-93 Delegation of Parental Responsibility - Administrator's Report 61602445440 1 1 Each Web/SR1 Revised
51 EH-96 "Free Token Distribution, Teacher" 61602445088 2 1 Each SR1 3/00
52 EH-97 Free Token Requisition/Control 61602445089 2 2 Each SR1 10/00
53 FORM18 Telephone Message Slip 61602440444 1 Pkg. 500 SR1 N/A
54 Fire Drill Fire Drill Sign 61602015420 1 1 Each SR1 10/05
55 Form No. Title Comm. Code Side Part Unit Issued Obtain Method* Revision
56 H-10 Elevator Permit 61602445126 1 1 Each SR1 2/01
57 H-11 Permit to Leave or Enter Building 61602445127 1 1 Each SR1 2/00
58 H-126 Special Daily Report 61602445181 2 1 Each SR1 10/05
59 H-128 Classroom Notice to Report 61602445182 1 1 Each SR1 10/05
60 H-200 School Deposit Slip 61602445200 1 2 Pad of 50 SR1 3/00
61 H-201 Payment Voucher 61602445201 1 2 Pad of 50 SR1 6/00
62 H-202 Bank Reconciliation 61602445202 2 1 Each Web/SR1 3/00
63 H-205 Transfer Voucher 61602445203 1 1 Each SR1 9/02
64 H-206 Athletic Event Income Statement 61602445204 1 1 Each Web/SR1 2/02
65 H-207 School Activity Receipt 61602445205 1 2 Pad of 50 SR1 3/00
66 H-212 Statement of Income & Expenditures 61602445207 1 1 Each Web/SR1 5/05
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
67 H-215 Dues Cumulative Record by Home Room 61602445209 1 1 Each Web/SR1 7/05
68 H-217 School Store Financial Statements 61602445211 1 1 Each Web/SR1 12/00
69 H-218 Petty Cash Voucher 61602445212 1 1 Each SR1 3/00
70 H-219 Petty Cash Settlement Envelope 61602445213 1 1 Each SR1 2/00
71 H-25 Period Absence Slip 61602445136 1 1 Each SR1 9/03
72 H-30 School Property Receipt 61602445138 1 1 Each SR1 3/06
73 H-32 Locker Record 61602445140 2 1 Each SR1 8/02
74 H-33 Student's Locker Record 61602445141 2 1 Each SR1 3/06
75 H-41 Book Receipt 61602445148 1 1 Each SR1 7/04
76 H-44 Tool Receipt 61602445150 1 1 Each SR1 6/00
77 H-4 "Teacher's Weekly Plan, Departmental" 61602445122 2 1 Each SR1 10/05
78 H-60 Late Card 61602445152 1 1 Each SR1 1/01
79 H-61 Late Arrival Tally 61602445153 1 1 Each SR1 2/00
80 H-7A Secondary School Class Record 61602445125 2 3 Each SR1 11/01
81 H-7 Class Records 61602445124 2 3 Each SR1 1/01
82 H-92 Certificate of Grade Completed 61602445172 1 1 Each SR1 3/06
83 H502.320 Certificate of Immunization - PA Health Department 61602445442 1 1 Each SR1 2/01
84 L-71 Record Center – Special Education Records Labels 61602450971 1 1 Each SR1 4/12
85 L-72 Record Center – Pupil Pockets Labels 61602450972 1 1 Each SR1 4/12
86 L-73 Record Center Administrative Records Labels 61602450973 1 1 Each SR1 4/12
87 L-74 Record Center – Over 21 Labels 61602450974 1 1 Each SR1 4/12
88 L-75 Record Center – 8th Grade Pupil Pockets Labels 61602450975 1 1 Each SR1 4/12
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
89 L-76 Record Center Inactive on Roll Label 61602450976 1 1 Each SR1 4/12
90 L-77 Record Center – Special Education – APS Schools Labels 61602450977 1 1 Each SR1 4/12
91 L-78 Record Center – Alternative Education Schools Labels 61602450976 1 1 Each SR1 4/12
92 M-100 Nurse's Report 61602445248 2 1 Each SR1 3/06
93 M-103 "Note to Parent, Nurse" 61602445249 1 1 Pad of 50 SR1 12/03
94 M-106 Philadelphia Public School Health Fund 61602445251 1 1 Each Web/SR1 9/08
95 M-112 Monthly School Activity Report 61602445408 2 1 Each Web/SR1 12/00
96 M-117A Hearing Test Report WEB ONLY 1 1 Each Web WEB 8/08
97 M-117 Hearing Test Report to Parents & Physicians 61602445254 2 1 Each Web/SR1 9/08
98 M-144A Vision Screening Notification 61602445260 1 1 Each Web/SR1 8/03
99 M-144s Vision Screening Referral (Spanish) 61602445956 2 1 Each Web/SR1 8/03
100 M-144 Vision Screening Referral 61602445259 2 1 Each Web/SR1 8/03
101 M-152A Medical Transportation Request - Physician Certification WEB ONLY 1 1 Web WEB 10/04
102 M-152B Medical Transportation Request - School Team Authorization WEB ONLY 1 1 Web WEB 10/04
103 M-154 Scoliosis Referral WEB ONLY 1 1 Web WEB 10/04
104 M-157 Growth Screening Parent/Guardian Notification 61602445040 2 1 Each Web/SR1 2/06
105 M-158 Request For Medical Information WEB ONLY 1 1 Web WEB 4/06
106 M-159 Nursing Assessment WEB ONLY 1 1 Web WEB 8/08
107 M-34s Report of Visit to Health Services (Spanish) 61602445360 2 1 Each SR1 (Re. 12/01
108 M-34 Report of Visit to Health Room 61602445241 2 1 Each SR1 5/07
109 M-45s Notice to Parent - Pediculosis (Spanish) 61602445244 1 1 Each Web/SR1 9/90
110 M-45 "Notice to Parent, Pediculosis" 61602445243 1 1 Each Web/SR1 5/04
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
111 M-56s Screening For Scoliosis Letter (Spanish) 61602445449 1 1 Each Web/SR1 .11/01
112 M-56 Screening For Scoliosis Letter 61602445448 1 1 Each Web/SR1 9/03
113 M-63 Teacher's Health Observations 61602445398 1 1 Each Web/SR1 5/00
114 M-64 Permission for Examination and Tests By School Physician/School Nurse Practitioner 61602445399 1 1 Each Web/SR1 3/05
115 M-68 Consent for Release of Information 61602445409 1 1 Each Web/SR1 11/03
116 M-73 Vision Screening Worksheet 61602445474 2 1 Each Web/SR1 12/04
117 M-74 Audiometric Screening Worksheet 61602445473 2 1 Each Web/SR1 6/05
118 M-75 Growth Screening Worksheet 61602445472 1 1 Each Web/SR1 5/07
119 M-76 Private Physician's Worksheet 61602445471 2 1 Each Web/SR1 1/10
120 M-98 Record of Illness or Injury 61602445247 2 1 Each Web/SR1 5/07
121 MED-1 Request for Admin. of Medicine/Equipment 61602445400 2 2 Each SR1 3/11
122 MED-2 Record of Medicine / Equipment Used 61602445401 2 1 Each Web/SR1 12/04
123 MED-3 Medication / Equipment Log 61602030100 1 1 Each Web/SR1 2/01
124 MED-4 Medication / Equipment Received in School 61602030101 1 1 Each Web/SR1 2/01
125 MED-5 Diastat Administration Parent/Guardian Notification 61602445404 1 1 Each Web/SR1 5/07
126 MEH-13 Health Room Referral 61602445219 1 1 Each SR1 4/00
127 MEH-155 Report of Private Dental Examination 61602030102 1 1 Each Web/SR1 3/01
128 MEH-1 Report of Physical Examination 61602445214 1 1 Each Web/SR1 5/07
129 MEH-200 Student Accommodation Referral 61602445501 1 3 Each SR1 12/00
130 MEH-201 Protected Handicapped Student-Response to Referral 61602445502 1 3 Each SR1 5/06
131 MEH-202 Protected Handicapped Student -Permission to Evaluate 61602445503 1 3 Each SR1 5/06
132 MEH-203 Service Agreement 61602445504 1 4 Each SR1 1/03
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
133 MEH-204 Procedural Safeguards: Implementation of Chapter 15 61602445990 2 1 Each SR1 8/08
134 MEH-210 Homebound Instruction - Letter To Parents WEB ONLY 1 1 Web WEB 10/05
135 MEH-211 Homebound Instruction Planning Proposal WEB ONLY 1 1 Web WEB 9/05
136 MEH-212 Homebound Instruction - Progress Report WEB ONLY 1 1 Web WEB 2/06
137 MEH-23s Physical Education Medical Exemption (Spanish) 61602445375 2 2 Each SR1 1/01
138 MEH-23 Physical Education Medical Exemption 61602445224 1 2 Each SR1 4/06
139 MEH-2s Pupil Medical History (Spanish) 61602445361 1 1 Each Web/SR1 12/00
140 MEH-2 Pupil Medical History 61602445215 1 1 Each Web/SR1 6/06
141 MEH-3 Pupil Health Record 61602445216 2 1 Each Web/SR1 7/04
142 MEH-50 First Aid Emergency Care Chart 61602445234 1 6 Each SR1 10/05
143 MEH-51 Head Injury Letter to Parent 61602445410 2 1 Each Web/SR1 7/04
144 PEH-19 "Certification, Competitive Games" 61602445261 2 1 Each SR1 3/ 00
145 PEH-72 Individual Achievement Record 61602445354 1 1 Each SR1 10/05
146 PEH-80 Indiv. Achievement Record'Elem./Middle Schools 61602445272 1 1 Each SR1 10/05
147 PH-113 (Intramural or Extramural Program) After School Activities Period Report - Boys - Girls WEB ONLY 1 1 Each Web 5/11
148 PH-115 "Extracurricular Interscholastic Period Report, After School Activities, Sr. High/Area Voc.-Tech." WEB ONLY 1 1 Each Web 5/11
149 PH-118 "Report, After-School Activities, Athletic Dir., or Sports Chairperson" WEB ONLY 1 1 Each Web 5/11
150 PH-22 "Gymnastic Competition, Jr. High School" 61602445262 1 1 Each SR1 9/02
151 PH-25G Gym Lock & Locker Card (GREEN) 61602445268 1 1 Each SR1 5/04
152 PH-25P Gym Lock & Locker Card (PINK) 61602445267 1 1 Each SR1 .5/04
153 PH-25W Gym Lock & Locker Card (WHITE) 61602445265 1 1 Each SR1 5/04
154 PH-25Y Gym Lock & Locker Card (YELLOW) 61602445266 1 1 Each SR1 5/04
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
155 S-135D "Former Student's Application for High School Diploma" WEB ONLY 2 1 Each Online 8/11
156 S-135 "Former Student's Application for School Records" WEB ONLY 2 1 Web 1/07
157 S-156 Transfer and Destruction Notice WEB ONLY 1 1 Online Web 4/12
158 S-166A Data collection Form for Records Storage WEB ONLY 1 1 Online Web 4/12
159 S-166B Data collection Form for Special Education Records Storage WEB ONLY 1 1 Online Web 4/12
160 S-19HB Daily Time Report - Homebound/Hospital Service WEB ONLY 1 1 Web WEB 8/05
161 S-19 Daily Time Report 61602445309 1 1 Each Web/SR1 8/04
162 S-29 Routing Slip 61602445310 1 1 Pad of 100 SR1 1/01
163 S-313 "Request for Evening, Summer or Extracurricular Activity Payroll" WEB ONLY 1 1 Each Web 9/02
164 S-316 "Evening Extracurricular, Summer Segment Change Form " WEB ONLY 1 1 Each Web 5/11
165 S-324 Payroll Adjustment to Gross WEB ONLY 1 1 Each Web 5/11
166 S-483 Residency Affidavit 61602445322 2 1 Each Web/SR1 2/11
167 S-641 Professional and Temporary Professional Rating Form 61602445926 2 3 Each SR1 2/06
168 S-642 Rating Form for Secretaries 61602445924 2 2 Each SR1 6/01
169 S-643 Rating Form for School Nurse/Practitioner 61602445922 2 2 Each SR1 3/02
170 S-655 Teaching and Learning Observation Form - Pages 1 & 2 61602445337 1 3 Each SR1 11/02
171 S-800 Property Removal Pass 61602445864 1 2 Each Web/SR1 3/00
172 S-864 Confidential Medical History 61602445862 2 1 Each SR1 8/08
173 S-865 Pupil Health Status 61602445860 1 1 Each Web/SR1 4/06
174 SEC-137A Physician's Referral For Homebound Instruction WEB ONLY 1 1 Web WEB 10/04
175 SEC-137B Report of Homebound Instruction/Instruction Conducted in The Home WEB ONLY 1 1 Web WEB 10/04
176 SEC-23 Employee Change of Address WEB ONLY 1 1 Each Web 5/11
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
177 SEC-50 Monthly Car & Bus Token Report 61602445405 1 1 Each SR1 3/06
178 SEH-126 Application for Non-Resident Pupil 61602445286 2 1 Each SR1 7/81
179 SEH-194 Travel Authorization Request WEB ONLY 1 1 Each Web 11/11
180 SEH-195 Employee Expense Reimbursement WEB ONLY 1 1 Each Web 11/11
181 SEH-196 SIGNATURE - SYSTEMS AUTHORIZATION WEB ONLY 1 1 Each Web 5/11
182 SEH-197 Imprest Fund (Petty Cash) Reimbursement Request 61602445291 1 1 Each SR1 10/05
183 SEH-198 Imprest Fund Vouchert 61602445292 1 2 Each Web/SR1 1/01
184 SEH-199 Imprest Fund Reconciliation 61602445293 1 1 Each Web/SR1 6/00
185 SEH-231 Commendation 61602445299 1 1 Each SR1 12/04
186 SEH-233 "Transfer Request, Secretary, Clerk, Other" WEB ONLY 1 1 Each Web 5/11
187 SEH-234 Request for Transfer Para-Professional and NonTeaching Assistant Positions WEB ONLY 1 1 Each Web 5/11
188 SEH-235 "Transfer Request, Teacher" WEB ONLY 1 1 Each Web 5/11
189 SEH-267 "Application, Long Term Substitute Services" WEB ONLY 1 1 Each Web 5/11
190 SEH-3 Request for Personal Illness - w/Physician's Certificate Mailer 61602445418 2 1 Each SR1 5/11
191 SEH-432 Teacher on Temp. Assignment - Request to be Retained in Current Assignment WEB ONLY 1 1 Each Web 5/11
192 SEH-440 Request To Fill Position 61602445285 1 3 Each SR1 6/03
193 SEH-441 Request Form: Salary To Be Paid Higher Than Entrance Rate 61602445296 1 3 Each SR1 6/03
194 SEH-442 Request Form: Reclassification 61602445297 1 3 Each SR1 6/03
195 SEH-80 Application for Sabbatical Leave WEB ONLY 1 1 Each Web 5/11
196 SEH-86 Request for Absence WEB ONLY 1 1 Each Web 5/11
197 SEH-90 Record of Personal Absences WEB ONLY 1 1 Each Web 7/11
198 SHS-100 Request For School Physician Service Call SHS 1 1 Call SHS SHS 9/05
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# Form # Title Comm. Code Side Part Unit Issued Obtain Method Revision Date
199 SHS-101 Non-Public Attendance Register Call SHS 1 1 Call SHS SHS 10/05
200 T-31 Personal Property Inventory System Change Transaction Form 61602445428 1 1 Online Web/SR1 12/0