District Forms 

• Employee Absence Request Form
• Accounts Payable Direct Deposit Form
• Payroll Direct Deposit Form
• Report of Suspected Child Abuse Form
• Workplace Safety Reporting Form
• Leave of Absence Request (FMLA)

Health Care Medical & Prescription Plans - Effective 9/1/2023

• All Groups - $500 Deductible
• All Groups & New Hires - $750 Deductible

Health Care

• Vision  - VBA
• Dental - Delta Dental
• Employee Opt-Out Election Form
• Spousal Carve Out Affidavit
• Swift MD 
• Able Pay Brochure
• Able Pay Guidebook

Voluntary Worksite Benefits

• Voluntary Worksite Benefits

Flexible Spending Account

• FSA - WEX

Mail Order Prescription Forms

• CVS Mail Order Form

Life Insurance/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 Application (If you get an "error" message, click OK and then Click on "Open in Desktop Application)
• 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

• Adult Volunteer Accidental Medical Insurance Form

Public School Employees' Retirement System (PSERS)

• PSERS - Information for New School Employees