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Vancouver Island West
School District 84

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  • Captain Meares Elementary 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

  • 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

  • Bullying & Harrassment - online Training
  • Bus Availability list
  • Bus Reservation Form

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

E

  • Extra & Co-curricular Activities - Regulation
  • Extra & Co-curricular Activities - Detailed Trip Plan Form
  • Extra & Co-curricular Activities - Form A: Local, Low-Risk Day Trip Proposal
  • Extra & Co-curricular Activities - Form B: Higher Care Outings Proposal
  • Consent of Volunteer
  • Extra & Co-curricular Activities - Form C: Overnight & No Higher Care Activity
  • Employee and Family Assistance Program (EFAP) - Registration
  • EFT Electronic Funds Transfer Form

F

  • Find A Hazard Form
  • Form 3a - Worker Supply & Services Claim Form
  • Form 6 - Application for Compensation and Report of Injury or Occupational Disease
  • Form 6 - Reference Guide
  • Form 6a - Worker's Report of Injury or Occupational Disease to Employer
  • Form 7 - Employer's Report of Injury or Occupational Disease Worksafe BC
  • Form 7 - Reference Guide - Worksafe BC
  • Facilities Rental Agreement
  • First Aid Record - Form 55B23

H

  • Health & Safety Minutes Template

I

  • Incident Investigation Report
  • Indoor Air Quality - Employee's Concern Form
  • Indoor Air Quality - Investigation Report Form
  • Inspection Checklist - Elementary
  • Inspection Checklist - SBO
  • Inspection Checklist - Secondary
  • Insurance - Personal Vehicles Usage
  • Interview Expense Claim Form
  • Interview Expense Claim Form - fillable
  • Investigation Report - Refusal of Unsafe Work

K

  • Key Sign-Out & Access Code Agreement

M

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

O

  • Orientation Checklist
  • Orientation of New Employees - Online Training

P

  • Payroll Deposit Authorization
  • Payroll - New Employee Login / Email Instructions
  • Payroll - Summer Savings program Form
  • Payroll - TD1 2021 Federal Form
  • Payroll - TD1 2021 Provincial 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
  • Physiotherapy Referral Form
  • Porting Seniority - See Seniority Verification Form
  • Prescription Claim Form

R

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

S

  • Safety Plan
  • School Protection Plan Incident Report Form (jpg)
  • School Protection Plan Incident Report Form (pdf)
  • School Protection Plan Reporting Link
  • School Supply Tax Credit Form
  • School Supply Tax Credit CRA Publication (Teachers)
  • Seniority Verification Form
  • 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 - Tsawalk Learning Center
    (Nanaimo, BC)
  • Student Registration Forms - Zeballos Elementary Secondary
    (Zeballos, BC)
  • Student Teacher Expense Form

T

  • TD1 Form 2021- Federal
  • TD1 Form 2021 - BC
  • Training - Acknowledgment of Training Received
  • Travel Expense Form
  • Travel Expense Form - Fillable
  • Teacher Teaching On Call -(TTOC) Availablitly Form
  • T4 - Back Page
  • TTOC Availability Report Form

U

  • Utilities Report Form

V

  • Violent Incident Report Form
  • Volunteer Driver Authorization Application

W

  • Work Log Form
  • - Standing Work Order List
  • WHMIS - New Employee Online Training
  • Workplace Bullying & Harassment Complaint Form
  • Workplace Bullying & Harassment Online Training
  • Work Requests - Operations Department
  • Work Requests - Teacherages
  • WorkSafe BC - Employer`s Report of Injury or Occupational Disease
  • 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
  • WorkSafe BC - Form 7: - Reference Guide
  • WorkSafe BC - Form 7: - Worker`s Report of Injury or Occupational Disease to Employer
Map of Vancouver Island West Schools
Learning For Success SD 84 Logo

School District 84
#2 Highway 28 (Box 100)
Gold River, British Columbia
Canada V0P 1G0

Phone: 250-283-2241
Fax: 250-283-7352

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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
Nisaika Kum’tuks

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