Forms

LIFE and AD & D INSURANCE PLAN INFORMATION 

Life and AD & D Insurance Policy - Administrator & Supervisor Life and AD & D Insurance Policy - Classified Life and AD & D Insurance Policy - Early Childhood Life and AD & D Insurance Policy - LIPSA
Term Life Insurance Policy - RTC
Term Life Insurance Policy - RTC ≥ 5 Years of Service
Term Life Insurance Policy - Specialized
Term Life Insurance Policy - Specialized ≥ 5 Years of Service
Life and AD & D Insurance Policy - Teacher Assistant
Life / AD&D & Long-Term Disability Enrollment Form Life Insurance Beneficiary Designation Form


LONG-TERM DISABILITY 

Long-Term Disability Policy - Administrator & Supervisor
Long-Term Disability Policy - Classified

Long-Term Disability Policy - Early Childhood
Long-Term Disability Policy - LIPSA
Long-Term Disability Policy - Specialized Transportation
Long-Term Disability Policy - Teacher Assistant
Long-Term Disability Insurance Claim Form


LEAVES OF ABSENCE & FMLA 

FMLA Notice to Employees
FMLA Fact Sheet

FMLA Checklist
Leave of Absence Request
Short-Term Disability Request
FMLA Certification of Health Care Provider - Employee
FMLA Certification of Health Care Provider - Family Member
Return to Work Certification


CONFERENCE ROOM RESERVATIONS 

Conference Room Request Form

FINANCE

Daily Meeting & Mileage Reimbursement Request Form ― 2021
Daily Meeting & Mileage Reimbursement Request Form ― 2020

Professional Learning Approval & Reimbursement Request Form
Purchase Reimbursement Request Form
Purchase Requisition (Check Request) Form

HUMAN RESOURCES 

Address/Telephone/Name Change 
AFSCME Sick Day Cash Out Request
Parent / Volunteer Affidavit
Personnel Action Request
Student Teacher / Intern Affidavit
Third-Party Visitor
Transfer/Status Change Request [LIPSA]
Transportation - Bus Driver Signing Bonus (Installment I)
Transportation - Bus Driver Signing Bonus (Installment II)
Transportation - Bus Assistant Signing Bonus
Transportation - Bus Driver Recruiting Bonus
Transportation - Bus Assistant Recruiting Bonus


PAYROLL 

W-4 Federal
W-4 Michigan

RETIREMENT 

Office of Retirement Services (ORS)
MiAccount
Social Security Administration
403(b) Presentation
403(b) Enrollment Brochure(effective 01/01/19)
403(b) Default Investment Fund(effective 01/01/19)
Plan Fee Disclosure Statement(effective 01/01/19)

STUDENTS & PARENTS 

Authorization for Publicity 
Field Trip Permission Slip(with Parent / Volunteer Affidavit)
Medical / Emergency Information
Student Incident Report 

WORKER'S COMPENSATION 

Authorization for Treatment
Employee Incident Report
Answers to FAQs
Process for Filing a Claim
Supervisor's Report of Incident

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