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Related Files
10-Month Staff Personal Day Request Form - PDF
2021 Federal Tax Form - PDF
2021 State Tax Form - PDF
2021-22 Payroll Schedule - PDF
21 / 26 Payroll Designation Form - DOCX
Accident Report: Employee - PDF
Address & Name Change Form - PDF
Classified Visitation Request - DOT
Comp Time Log for Classified Staff - DOCX
ConnectEd Text Messages - DOTX
COVID-19 Daily Health Assessment - Non Employee
COVID-19 Vaccine Leave Form
Dependent Eligibility Checklist - PDF
Direct Deposit Form - DOCX
Employee Request for Excused Leave - DOC
Enrollment for Dependent Students Ages 19-26 - PDF
Enrollment for Dependent Students Ages 26-29 - PDF
Enrollment Form: Dental - PDF
Enrollment Form: Health - PDF
Enrollment Form: Vision - PDF
Pesticide Application Notification Form - PDF
Flexible Spending Enrollment Form - PDF
Flexible Spending Enrollment Kit - PDF
Flexible Spending Reimbursement Request Form - PDF
ID Badge Information Replacement Form - DOTX
Key Request, Transfer, or Return - PDF
OMNI Flex Form - PDF
Optional Life Insurance - PDF
Please return to HR. If 30 days beyond date of hire, you will need to wait until open enrollment (Dec. 1 - Jan. 31). A certificate of Good Health will need to be provided for all members to be covered.
Pesticide Application Notification Form - PDF
Reference Release for Current/Former Employees - DOT
Time Off Request for 12 Month Staff - DOTX
Timesheet -DOTX
Tuition Reimbursement Approval Request - DOC
Vision Plan - Coverage Information - PDF
WinCapWEB Employee Self Service Guide - PDF