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Staff Forms

Welcome to ouStaff Forms Page

Remember to keep a copy for yourself when submitting any of the following documents. Thank you.

Purchase Order InformationInserted Image
Purchase Order Handbook
New Vendor Request Form (Obtain and attach their W9 form)
BLANK W9 (Need from new vendors. Return to UO)
Instructions for Entering a Purchase Order
Purchase Order Paper- Use to print 'Approved Level 2' POs
Our Tax Exempt Letter
Our W9 Form (2016)
School Specialty Order Instructions
Staples Order Instructions
Request for PO Document- ONLY if not using the electronic PO system


Insurance Information / Documents

 OPEN ENROLLMENT for 2019-2020 is now CLOSED

Questions? Please contact Crissy in Payroll at 815-421-5016

The Herscher School District is part of the Educational Benefit Cooperative (EBC).
EBC Insurance Booklet
19-20 Insurance Rates (Dental, Vision, Health)
DENTAL - Dearborn National Application/Waiver
DENTAL - Dearborn National Benefits - LOW Plan
DENTAL - Dearborn National Benefits - HIGH Plan
DENTAL - Dearborn National Group Benefits

FLEX - Reimbursement Form
HEALTH - BlueCrossBlueShield Application / Policy Change Form
HSA PPO Summary of Benefits 19-20 (High Deductible Health Plan)
HEALTH - HSA Defined
HEALTH - HSA PPO Handout 19-20 with/without screening
HEALTH - HSA Frequently Asked Questions
HEALTH - HSA Salary Reduction Agreement
HRA PPO Summary of Benefits 19-20
HEALTH - HRA PPO Handout 19-20 with/without Screening
HEALTH - HRA Deductible Reimbursement Form 19-20 - Send With EOBs to Unit Office
HEALTH - Insurance Waiver 19-20
HEALTH - Member Rewards - Starting October 1, 2018
LIFE - Reliance Standard (District Provided) Coverage

LIFE - Reliance Standard (Voluntary, Additional) Coverage  
VISION - EyeMed Enrollment Form

VISION - EyeMed Benefits Sheet
VISION - EyeMed Out of Network Claim Form (Submit with itemized receipt.)
TELADOC Information

Click here to view a Health Guide from the National Breast Cancer Foundation Inc.

Women's Health and Cancer Rights Act (Janet's Law)


Payroll/Human Resources DocumentsInserted Image
2019 Pay Dates & Cycles
403b Plan Summary Information

403b Enrollment/Change Form
403b Investment Website
409-A Annualized Compensation Form (CERT)
457b Enrollment/Change Form
Bookkeeping/Payroll Form Instructions

Direct Deposit Form/Instructions
Employee Information Form - Use to update personal information with UO
Employee - First Report of Injury Form/Instructions 
Extra Pay Sheet (CERT) Music Dept
Extra Pay Sheet (CERT) Not Music Dept
Extra Pay Sheet (NON-CERT)
I-9 Form    I-9 Instructions

IMRF Voluntary Additional Contribution Make/Change Form
Personal Day Request Form

Personnel Recommendation Form - PDF - updated 10-2018
Personnel Recommendation Form - WORD - updated 10-2018
W-4 Federal (2019)  
W-4 Illinois

Contract Links
PERA Overview  
PERA Public Acts  
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Technology Department
Accessing public folders/calendars using the web
Accessing public folders/calendars using Outlook
Connecting Android devices to e-mail server
Connecting iPads and iPhones to e-mail server
Connecting your personal laptop to school email using Microsoft Outlook
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Google Apps for education sign in  
Link to Technology Help Desk
New online e-mail link
Setting up your web-page

Teacher Webpage Tutorial Video
Teacher/Staff request to your add personal device on wireless

Maintenance Request Forms
Activity and Facility Usage Request Form
BGS Maintenance Request Form
Custodial Request Form
Foods Maintenance Request Form

HHS Maintenance Request Form
HIS Maintenance Request Form
LMS North Maintenance Request Form

LMS South Maintenance Request Form
Special Services Maintenance Request Form
Technology Maintenance Request Form
Transportation Maintenance Request Form