Employee Forms
District Forms
- Accounts Payable Direct Deposit Form
- Report of Suspected Child Abuse Form
- Workplace Safety Reporting Form
- Leave of Absence Request (FMLA)
Health Care Medical & Prescription Plans - Effective 7/1/2024
Health Care
- Vision - VBA
- Dental - Delta Dental
- Employee Opt-Out Election Form
- Spousal Carve Out Affidavit
- Swift MD - Revive
- Mental Health Therapy - Guide+Thrive
- Able Pay Brochure
- Able Pay Guidebook
- Creditable Coverage Notice - Prescription Drug Coverage
Voluntary Worksite Benefits
Flexible Spending Account
Mail Order Prescription Forms
Life Insurance:
- Superintendent or Assistant Superintendent
- Administrative Employees and Supervisors
- Professional Staff
- Administrative Assistants and Technology
- Custodial, Maintenance, and Mechanic
- Food Service
- Paraprofessionals
- Transportation - Full Time
- Transportation - Part-Time
Accidental Death & Dismemberment:
- Superintendent or Assistant Superintendent
- Administrative Employees and Supervisors
- Professional Staff
- Administrative Assistants and Technology
- Custodial, Maintenance, and Mechanic
- Food Service
- Paraprofessionals
- Transportation - Full Time
- Transportation - Part-Time
Long Term Disability
- Superintendent or Assistant Superintendent
- Administrative Employees & Supervisors
- Professional Staff
- Administrative Assistants and Technology
- Custodial, Maintenance, and Mechanics
- Food Service
- Paraprofessionals
Voluntary Life Insurance:
- Voluntary Life Evidence of Insurability Instructions
- Voluntary Life Enrollment Form
- Voluntary Life Instructions
- Voluntary Life Rates - 10-month employees (Paraprofessionals, Food Service, Transportation)
- Voluntary Life Rates - 12-month employees (Teachers, Administration, Secretaries, Technology, Custodial/Maintenance)
403B Account Information
- 403(B) Account Changes
- 2023 Annual Retirement Benefits Guide
- 403(b) Meaningful Notice/Plan Information Brochure
Adult Volunteer Forms
Public School Employees' Retirement System (PSERS)