To Teachers Providing Instruction
DIRECTIONS: Please provide all requested information. Send this form to the Director of Pupil Services, Administration Building. The Pupil Services Office will forward a copy to the student’s home school and payroll. The Director of Special Education will receive a copy for all IEP students.
NOTE: All information requested must be provided. Forms must be submitted monthly. Incomplete or late submission may cause delay or denial of payment. Payment for services provided in the month of June must be submitted to Pupil Services by July 7th.