Documents

Benefits & Insurance

Title	Modified Date
American Fidelity Daycare Reimbursement Form	6/2/2017	Download
American Fidelity Health FSA Reimbursement Form	6/2/2017	Download
Employee Assistance Program (EAP)	6/15/2017	Download
Important Phone Numbers for Insurance	6/15/2017	Download
Moda Medical & Vision Claim Form	6/16/2017	Download
Moda Rx Claim Form	6/16/2017	Download

Title	Modified Date
2020-21 Classified Salary Schedule	1/13/2021	Download
2020-21 Licensed Salary Schedule	7/14/2020	Download
2021 403(b) TSA and 457(b) Announcement	1/13/2021	Download
2021 W-4 Federal Tax Form	1/13/2021	Download
2021 W-4 Oregon Tax Form	1/13/2021	Download
Classified Comp Time Sheet	7/19/2018	Download
Cutoff Dates 2020/2021	7/14/2020	Download
Direct Deposit Authorization Form	1/8/2020	Download
Direct Deposit Deduction Form	6/15/2017	Download
Employer 403 (b) Information Flyer	1/8/2020	Download
Mileage Chart	6/15/2017	Download
PERS IAP Member Beneficiary Form	1/15/2021	Download
PERS Information Change Request	1/15/2021	Download
PERS Tier 1 or 2 Member Beneficiary Form	1/15/2021	Download
Tax Deferred Savings Form Classified and Licensed Employees	1/8/2020	Download
Tax Deferred Savings form for Administrators	1/13/2021	Download
TSA Providers (Tax Shelter Annuities)	1/13/2021	Download

Title	Category	Modified Date
Bus Driver Manual		2/26/2019	Download
Classified Collective Bargaining Agreement 2018-2020		5/31/2019	Download
Classified Professional Funds Request Form		3/7/2018	Download
Electronic Communication Policy		6/16/2017	Download
FMLA Guide		6/1/2017	Download
Health Care Provider Certification		1/30/2020	Download
Licensed Collective Bargaining Agreement 2019-2021		10/11/2019	Download
Notice of Expected Loss of Time		6/16/2017	Download
Professional Leave-Travel Request		6/16/2017	Download
Reclassification Request Form		2/15/2018	Download