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FORMS - In Alphabetical Order

 

Adult Dependent Election and Eligibility Form

Accident Reports- Staff

Accident and Violent Incident Reports- Students

Affordable Care Act

Attendance

Attendance Guideline

Bloodborne Pathogens

Candidate Request for Clinical Supervision Experience and/or Field Experience Form

CD PHP Enrollment/Change Form

Change of Name/Address

Civil Rights Complaint Form

Civil Service Application 

Compensation for Teacher Assistant/Aide Working Alone

Confidentiality Statement Form

COVID Leave Request Form (EPSLA)

DASA Complaint Form

DEHIC (Empire BSBS Alt PPO) Enrollment/Change Form

DEHIC (Empire EPO Select 20) Enrollment/Change Form

Dental Claim Form

Dental Information

Direct Deposit Authorization Form

Emergency Contact Information [Fillable Form]

Empire BS/BS Alternate PPO Plan Handbook

Employee Handbook - (Includes Bargaining, Benefits, Policy and other Employee information)

Employee Timesheet Semi-monthly Form   (Fillable - PDF)

Evaluation Forms

Grant Setup [Zip Download]

Home Based Work Approval Form

Health Insurance Buy-Out Form

Incidental Employee Agreement Amendment 

Incidental Employee Agreement Form

Independent Contract Amendment Form

Independent Contract Request Form

Internal Transfer [Zip Download]

Interview Committee Form

Media Materials Loan Request Form

Mileage Chart for Itinerant Locations

Mileage Grid for Microcomputer Repair Staff [Zip Format: Print to 11 X 17]

Mileage Grid for Microcomputer Repair Staff [PDF Format: Print to 11 X 17]

MVP Enrollment-Change Form

News Release Form

Notable News & Events Submission Form

Paraprofessional Evaluation Form- Appendix H

Media Release Form 2019-2020 - Under 18 [PDF Format]

Media Release Form 2019-2020 - Over 18 [PDF Format]

Payroll

Personal References

Posting Request Form

Professional Application 2022

Professional Performance Review For Staff with Non-Instructional Assignments

Professional References

Public Information Service Project Request Form

Recommendation for Payment of Per Diem-Substitutes

Recommendation for Tenure

Sample Written Response Form 1

Sample Written Response Form 2

Sample Written Response Form 3

Sample Written Response Form 4

Sample Written Response Form 5

Staff Accident Report Forms

Sick Day Buy-Back Request Form (ASA) 

Sick Day Buy-Back Request Form (BFA Teachers and School Related Professionals)

Student Incident Report Forms

Sub Calling Service [Aesop]

Substitute Handbook

Summary of Benefits & Coverage for CD PHP (HMO)

Summary of Benefits & Coverage for DEHIC (Empire BCBS Alt. PPO)

Benefits Guide for DEHIC EPO Select 20 [December 16, 2016]

Summary of Benefits & Coverage for MVP (HMO)

Teacher Coverage Payment Form for Teacher Aides - PDF

Teacher Coverage Payment Form for Teaching Assistants - PDF

Teacher Missed Prep Period Payment Form- PDF

Telephone Reference Form [Personal]

Telephone Reference Form [Professional]

Tax Sheltered Annuities

Tenured Paraprofessional Self-Evaluation Form - Appendix I

Transfer of Employee Location Form

Universal BOCES Cross Contract Form

Vacation Day Buy-Back Request Form (ASA)

Vacation Day Buy-Back Request Form (SSA Employees Only)

W4 Tax Form

W9 Tax Form

IT-2104 Tax Form [Employee's Withholding Allowance Certificate]

22/26 Option Form (10 month staff only) – IRS compliance deadline is August 31st of each year.