Documents

Benefits & Insurance

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	Title	Modified Date
	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
	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

Payroll

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	Title	Modified Date
	PERS Beneficiary Form	6/16/2017	Download
	Mileage Chart	6/15/2017	Download
	Direct Deposit Deduction Form	6/15/2017	Download
	W-4 Tax Form	3/7/2018	Download
	TSA Providers (Tax Shelter Annuities)	3/7/2018	Download
	Tax Deferred Savings Form	2/14/2018	Download
	Classified Comp Time Sheet	6/16/2017	Download
	2018 403(b) TSA and 457(b) Announcement	3/7/2018	Download
	2017-18 Licensed Salary Schedule	3/7/2018	Download
	Direct Deposit Authorization Form	7/27/2017	Download
	Cutoff Dates 2018/2019	6/13/2018	Download
	Cutoff Dates 2017/2018	8/29/2017	Download

Human Resources

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	Title	Category	Modified Date
	Licensed Salary Schedule 2017-2018		3/7/2018	Download
	Licensed Collective Bargaining Agreement 2017-2019		3/7/2018	Download
	Notice of Expected Loss of Time		6/16/2017	Download
	Reclassification Request Form		2/15/2018	Download
	Professional Leave-Travel Request		6/16/2017	Download
	FMLA Guide		6/1/2017	Download
	Classified Professional Funds Request Form		3/7/2018	Download
	Classified Collective Bargaining Agreement 2016-2018		6/15/2017	Download
	Classified Salary Schedule 2017-2018		3/7/2018	Download
	Extra Duty Salary Schedule 2017-18		3/7/2018	Download
	Electronic Communication Policy		6/16/2017	Download