All Employees**Check your contract to see what benefits are available to you
Direct Deposit MANDATORY 7-1-16 All employees, new hires, coaches must have direct deposit.Send form to Payroll, Administration building call ext 1058 for more information.
2018 W4 Form Send form to Payroll, Administration building call ext 1058 for more information.
Assurant Beneficiary form Life insurance Beneficiary. When there is a change in family status, remember to change beneficiary and submit form to Superintendent office. Call ext. 1064 for more information.
Vision Enrollment Card Open Enrollment is only in April and May of each calendar year for July 1 change (unless Life Altering Event, i.e. birth of child, marriage, divorce, new hire, termination).
Enrollment Form Medical Dental Open Enrollment is only in April and May of each calendar year for July 1 change (unless Life Altering Event, i.e. birth of child, marriage, divorce, new hire, termination). Effective date must be completed on form.
To make changes to Dental or Health Insurance Complete Benefit Update Form
Benefit Card Contact Numbers:
NVA Vision 1-800-672-7723
If your eye doctor does not participate in NVA insurance submit the attached NonParClaimForm
United Concordia Dental 1-800-332-0366
Link to United Concordia to manage your Dental Benefits
BEREAVEMENT LANGUAGE as per School Code
Whenever a professional or temporary professional employe shall be absent from duty because of a death in the immediate family of said employe, there shall be no deduction in salary of said employe for an absence not in excess of three school days. The board of school directors may extend the period of absence with pay in its discretion as the exigencies of the case may warrant. Members of the immediate family shall be defined as father, mother, brother, sister, son, daughter, husband, wife, parent-in-law or near relative who resides in the same household, or any person with whom the employe has made his home.
(c) Whenever a professional or temporary professional employe is absent because of the death of a near relative, there shall be no deduction in the salary of said employe for absence on the day of the funeral. The board of school directors may extend the period of absence with pay in its discretion as the exigencies of the case may warrant. A near relative shall be defined as a first cousin, grandfather, grandmother, grandchild, aunt, uncle, niece, nephew, son-in-law, daughter-in-law, brother-in-law or sister-in-law. ((c) amended July 13, 2016, P.L.716, No.86)
Any Employee eligible for an FMLA leave must complete both forms attached and submit to the Superintendent office.
Secretaries/ Aides/ PCA’s/Cafeteria Monitors Forms
Professional Staff Forms