Southern Tioga School District

District Employee Forms

Updated August 2010

 

EMPLOYMENT AGREEMENTS
2009-2012 STEA Agreement Cover

2009-2012 STEA Agreement


PROFESSIONAL STAFF OPEN ENROLLMENT FORMS

Insurance Selection Salary Reduction Agreement Form -- due May 21, 2010

Medical Insurance "Opt-Out" Form -- due May 1, 2010

FSA Enrollment Form -- due May 21, 2010

FSA Health Care Reimbursement Information

FSA Benefits Briefing on Over-the-Counter Medications and FSA Accounts

FSA Dependent Care Reimbursement Information


BLUE CARE PPO PLAN

2010/11 Blue Care PPO C Outline of Coverage

2010/11 Blue Care PPO E Outline of Coverage

2010/11 Blue Care PPO C & E Benefit Schedule

2010 PPO Insurance Changes (effective July 1, 2010)

        Prescription Drugs

        List of Maintenance Medications (attachment to Prescription Drugs)


EVALUATION FORMS

Professional Staff Evaluation Plan

Differentiated Evaluation Selection

Observation

Self-Directed Project

Professional Colloquium

Professional Portfolio

Focused Assistance Plan

Support Staff

PDE Evaluation Forms


EMPLOYEE ABSENCE FORMS

Professional/Administrator/Classified Staff

Paraprofessional/Custodian/Maintenance/Cafeteria Hourly


PAYROLL FORMS

Time Sheet-all employees (Word doc.)

Direct Deposit Form (Word doc.)

2010  W-4 (PDF)

Local Services Tax (LST) Exemption Form


CO-PAY REIMBURSEMENT FORMS

Administration and Classified Staff

CWA Employees (paraprofessionals, cafeteria, custodian and maintenance)


MISCELLANEOUS FORMS

Credit Reimbursement Form

Expense Voucher

Act 48 Records Management System

Conference Request Form (Word doc.) (PDF)

Conference Report Form

Field Trip Request Form (Word doc)

Field Trip Permission Slip (Word doc) (PDF)

Extracurricular Bus Contract (Word doc)


 
                 

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