Forms & Links

Save the Children

Headstart/Preschool Application 20-21 Covid-19 Edition
Enrollment Forms 2022-2023
This packet of forms is required for enrollment.
Transportation Form for 2022-2023
T Code Form
This form is required for enrollment.
School Based Health Care Form
This packet of forms is required for enrollment.
Household Income Form
This form is required for enrollment.
FRYSC Parental Consent
This form is required for your child to participate in programs with the Youth Service Center or Family Resource Center.
Bring Your Own Device
All Clay County HIGH students need to complete this form each year.
Electronic User Agreement
All students new to Clay County Schools need to complete this form.
Media Release Permission Form
All students new to Clay County Schools need to complete this form.
Eye Exam Form
Dental Screening Form
Student Physical Form

Student Accident Claim Form
Student Accident Claim Form Instructions
Student Accident Insurance Benefits and Limitations
Voluntary Student Accident Insurance Enrollment Form
Parents/guardians have the following options to purchase student accident insurance: 1.) Purchase the insurance by using the Enrollment Form received at their school 2.) Purchase the insurance online by going to www.kidguardinsurance.com

First Report of Injury or Illness Form
Complete the First Report of Injury or Illness form and fax to Versie Corum at (606) 598-1465 to file a claim.
KEMI Health Care Provider Card
A copy of the KEMI Health Care Provider Card will need to be provided to the provider in which the injured employee seeks treatment.
KEMI Prescription Card
A copy of the KEMI Prescription Card will need to be provided to the pharmacy in the event the injured employee is prescribed medications.
Workers Compensation Provider Locator
Click the link above to search for providers who accept KEMI Workers' Compensation claims by Provider Name, City and State, State and/or Zip Code.
Workers Compensation Pharmacy Locator
Click the link above to search for pharmacies who accept KEMI Workers' Compensation claims by City and State, State and/or Zip Code.