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District Office: Donna Mendenhall, Finance Officer
FORMS FOR CERTIFIED TEACHERS
Federal W4 withholding Form .pdf file Employment Eligibility Verification Form .pdf file Direct Deposit Form .pdf file DrugFree Acknowledgment Form .pdf file TRS Member Beneficiary .pdf file TRS Retirement .pdf file Personal Data Form .pdf file MetLife Dental .pdf file Physical .pdf file Reliance Standard Life Insurance .pdf file CDFS Mandated Reporter .pdf file Social Security Statement .pdf file UnitedHealthcare Vision .pdf file BlueCross BlueShield .pdf file Name Based Criminal History Information .pdf file FORMS FOR STAFF MEMBERS
Federal W4 withholding Form .pdf file Employment Eligibility Verification Form .pdf file IMRF Beneficiary Form .pdf file IMRF Enrollment .pdf file Direct Deposit Form .pdf file DrugFree Acknowledgment Form .pdf file Personal Data Form .pdf file MetLife Dental .pdf file Physical .pdf file Reliance Standard Life Insurance .pdf file CDFS Mandated Reporter .pdf file UnitedHealthcare Vision .pdf file BlueCross BlueShield .pdf file Name Based Criminal History Information .pdf file OTHER LINKS AND INFORMATION
Phone # 800-942-0854
HEALTH - Blue Cross Blue Shield Health Care Booklet PRESCRIPTION COVERAGE - Medco Phone # 800-711-0917 LIFE INSURANCE - Reliance http://www.rsli.com VISION - United Health Care http://www.myuhcvision.com/members 403b Plan - TSA Consulting http://www.tsacg.com West 40's Guidelines for Substitute Teachers Fingerprinting and Approvals
Substitute Health and Release Forms .pdf file Draft Substitute Teacher Authorization .pdf file
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School Year
May 16 School Improvement Day 11:45 Dismissal
May 28
May 30
May 31
June 1
June 4
June 5
School Year
August 21 First day of student attendance for new school year.
November 21-23
December 24-January 4
January 7
March 25-April 1
June 5
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