Eugene School District 4J

Auto & Property Insurance Forms

• Request for Replacement of District Property Form (Print and Fillable)
• Staff & Volunteers Private-Auto Insurance

Benefit Forms
Benefit forms can be found on the Benefits Page.

Building/Site Forms

• Schedule Change Request

Career-Related Learning Experience Forms

• Criminal Background Check
• Emergency Card
• Internal 4J Career Related Learning Experience Agreement
• Job Shadow Employer Agreement
• Job Shadow Program Agreement
• Job Shadow Verification
• Learning Objectives Agreement
• Mentorship Agreement
• Non-Paid Career Related Learning Experience Agreement
• Paid Career Related Learning Experience Agreement

Employee Information Forms

• Address Change
• Application for Column Advancement 
• Classified Compensatory Time Form
• Classified Probationary Check-In Form
• Classified Trade Time Form
• Coursework Approval Form Masters +-90
• Employee – INCIDENT REPORT-Report injury
• Employee Report-Aggressive Student Behavior
• Formative Assessments Time Log
• Leave of Absence Requests
• Licensed IEP/504 Time Log (2025-26)
• Address Change
• Direct Deposit Authorization
• Employee Name Change
• Personnel File Request Form
• PDU Log – Fillable Form – Log of Professional Development Activities

Employee Pay and Position Requests

Instructions

• Classified – Reclassification Instructions
• MAPS – Expansion of Duties Instructions
• MAPS Interim – Direct Appointment Instructions
• New/Edit Job Description Instructions
• Supervision & Autonomy Definitions

Forms

• Change of Assignment Request Form
• Classified – Pay Action Request Form
• Licensed – Pay Action Request Form
• MAPS – Pay Action Request Form

Insurance Change

• Classified Midyear Change (2025-26)
• Licensed Midyear Change (2025-26)
• MAPS Midyear Change (2025-26)
• PERS Beneficiary (Mail to PERS)
• Federal W-4 
• Oregon State W-4
• PEP Fund Request (2023-2024)- Fillable Form Professional Education Program

Expenses & Funding Forms

• Working Out of Range

SafeSchools Annual Training

• SafeSchools Training Website

Staffing Related Forms

• Additional Responsibility and Extra Duty Assignments/Compensation (Principals Only)
• Additional Staffing Funding
• Coaching Assignments
• Extended Season and Travel Log
• Conversions
• Instructions for Building Admins – Excluding Substitutes
• Requesting a FOPA (For Purpose of Assignment)
• Requesting Additional Hours for Classified Staff 
• Employee – INCIDENT REPORT-Report injury and/or document feeling threatened
• Risk Management Forms
• SpEd Classroom Weekly Log

Student Athletics & Clubs Forms

• Annual Interval History – Used in those years when a physical is not required
• Generic Hold Harmless & Insurance Requirements
• Sports Pre-Participation Exam – (English) OSAA required physical exam every two years
• Sports Pre-Participation Exam – (Spanish) OSAA required physical exam every two years