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Vancouver Island West
School District 84

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  • Captain Meares Elementary Secondary School
  • Gold River Secondary School
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Forms - District Office

Forms

Forms

For a complete list of Worksafe Forms please see our Health and Safety page

A

  • Absence - How to log an absence in Atrieve
  • Application Form - Excluded Staff
  • Application Form - Principals or Vice-Principals
  • Application Form - Support Staff
  • Application Form - Teacher - Certified
  • Application Form - Non-Certified Person on Call

B

  • Bus Reservation Form
  • Bus Reservation Information Cover Sheet _ Bus listing 2022

C

  • Confidentiality and Non-Disclosure Agreement- staff
  • Confirmation of Teaching Experience Form
  • Consent for Release of Confidential Information
  • Criminal Record Check - Sharing consent
  • Criminal Record Check - Volunteer
  • Criminal Record Check - Volunteer Website
  • CUPE Joint Professional Development Committee: Application Form
  • CUPE Joint Professional Development Committee: Expense Claim Form

E

  • Employment Standards Act - Request of Sick Leave
  • Evaluation Report - Teacher

F

  • Field Trip Request Form
  • Find A Hazard Form
  • Facilities Rental Agreement
  • First Aid Record - Form 55B23

H

  • Health & Safety Minutes Template

I

  • Injury Incident Investigation Report, Four-Part
  • Indoor Air Quality - Employee's Concern Form
  • Indoor Air Quality - Investigation Report Form
  • Inspection Checklist Maintenance Shops
  • Inspection Checklist - SBO
  • Inspections Program - Find a Hazard
  • Inspections Program - Site Inspection Report
  • Inspections Program - WSBC Safety Inspections Workbook
  • Insurance - Personal Vehicles Usage
  • Interview Expense Claim Form - fillable
  • Investigation Report - Refusal of Unsafe Work

K

  • Key Sign-Out & Access Code Agreement

L

  • Leave Management - How to log an Absence

M

  • Major Incident Investigation Report
  • Maintenance Forms - Link to Dept Operations
  • Medical Referral Transportation
  • Medical Referral Transportation - fillable
  • Missing receipt Form 2025
  • Moving Expense Claim Form - Teacher

O

  • Orientation Checklist
  • Orientation of New Employees - Online Training

P

  • Payroll - Summer Savings program Form
  • Pacific Blue Cross - Extended Health Standard Claim Form - CUPE
  • Pacific Blue Cross - Extended Health Standard Claim Form - TEACHERS
  • Pacific Blue Cross - Out of Province Claim Form
  • Person On Call - (POC)- Availabilty Form
  • Porting Seniority - See Seniority Verification Form
  • Prescription Claim Form

R

  • Request for Reconsideration of Learning Resources
  • Refusal of Unsafe Work Investigation
  • Remote Work Form
  • Request for the Administration of Medication at School - Adminsitration of Medication Recording Form
  • Request for Advance of Funds
  • Requisition (Fund Reimbursement) SD#84
  • Requisition (Fund Reimbursment) FILLABLE SD#84
  • Risk Management - SPP Incident Report Form

S

  • Safety Plan
  • School Protection Plan Reporting Link
  • School District 84 PIDA Disclosure Form
  • Seniority Verification Form
  • Sick Leave - Employment Standards Act - On Call Employees
  • Sick Leave Credit Verification Form
  • Student Registration Forms - Captain Meares Elementary
    (Tahsis, BC)
  • Student Registration Forms - Gold River Secondary
    (Gold River, BC)
  • Student Registration Forms - Kyuquot Elementary/Secondary
    (Kyuquot, BC)
  • Student Registration Forms - Ray Watkins Elementary
    (Gold River, BC)
  • Student Registration Forms - StrongStart (Ray Watkins)
    (Gold River, BC)
  • Student Registration Forms - Zeballos Elementary Secondary
    (Zeballos, BC)
  • Student Teacher Expense Form

T

  • Training - Acknowledgment of Training Received
  • Transportation Assistance
  • Travel Expense Claim Form
  • T4 - Back Page
  • TTOC Availability Form 2025-2026

V

  • Violent Incident Report Form
  • Volunteer Driver Authorization Application

W

  • WHMIS - New Employee Online Training
  • Workplace Bullying & Harassment Complaint Form
  • WorkSafe BC - Form 3a: - Worker Supply & Services Claim Form
  • WorkSafe BC - Form 6: - Application for Compensation and Report of Injury or Occupational Disease
  • WorkSafe BC - Form 6: - Reference Guide
  • WorkSafe BC - Form 6a: - Worker`s Report of Injury or Occupational Disease to Employer
Map of Vancouver Island West Schools
Learning For Success SD 84 Logo

Vancouver Island West School District 84
SD 84, Gold River, BC

SD 84 represents schools in Gold River, Tahsis, Zeballos & Kyuquot:
Captain Meares Elementary Secondary School –Tahsis, Gold River Secondary School,
Kyuquot Elementary Secondary School, Ray Watkins Elementary School Gold River, Zeballos Elementary Secondary School

School District 84 - Vancouver Island West - Copyright © 2025 - All Rights Reserved