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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 Information
Purchase Order Handbook
BLANK W9 (Need from new vendors. Return to UO)Inserted Image
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 Documents

- - - OPEN ENROLLMENT for 2017-18 starts May 1, 2017! - - -

The Herscher School District is part of the Educational Benefit Cooperative (EBC).
2016-2017 EBC Insurance Booklet
2017-2018 EBC Insurance Booklet 
EBC PPO Summary
EBC HDHP Summary (High Deductible Health Plan)
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2016-2017 Insurance Rates (Dental, Vision, Health) UPDATED 7-1-2016
2017-2018 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 - Enrollment and Claim Form
HEALTH - BlueCrossBlueShield Application / Policy Change Form
HEALTH - HSA Defined

HEALTH - HSA Frequently Asked Questions
HEALTH - HDHP (High Deductible Health Plan) with HSA with (and w/o) Biometric Screening
HEALTH - HRA Defined
HEALTH - Deductible Reimbursement Form - Send With EOBs to Unit Office
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HEALTH - Reimbursement Arrangement Plan Document
HEALTH - Insurance Waiver
TELADOC Information

LIFE - Reliance Standard (District Provided) Coverage
LIFE - Reliance Standard (Voluntary, Additional) Coverage  
VISION - EyeMed Enrollment Form
VISION - EyeMed Benefits Sheet
MANDATED NOTICE: Women's Health and Cancer Rights Act (Janet's Law)

Payroll/Human Resources Documents
2017 Pay Days and Cycles
403b Enrollment/Change Form
403b Investment Provider List
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Health Savings Acct Salary Reduction Agreement
409-A Annualized Compensation Form(CERT)
457b Enrollment/Change Form
Absent from Work 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
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Extra Pay Sheet (CERT) Not Music Dept
Extra Pay Sheet (NON-CERT)
I-9 Form    I-9 Instructions
Personal Day Request Form

Personnel Recommendation Sheet PDF Version
Personnel Recommendation Sheet Word Version
W-4 Federal (2017)
W-4 Illinois

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PERA Overview    PERA Public Acts    FMLA


Technology Department
Setting up your web-page
Teacher Webpage Tutorial Video
Link to Technology Help Desk
Teacher/Staff request to your add personal device on wireless
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Google Apps for education sign in  
New online e-mail link
Connecting Andriod devices to e-mail server
Connecting iPads and iPhones to e-mail server
Connecting your personal laptop to school email using Microsoft Outlook
Accessing public folders/calendars using the web
Accessing public folders/calendars using Outlook

Maintenance Request Forms

BGS Maintenance Request Form
HHS Maintenance Request Form
HIS Maintenance Request Form
LMS North Maintenance Request Form
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LMS South Maintenance Request Form
Custodial Request Form
Foods Maintenance Request Form
Special Services Maintenance Request Form
Technology Maintenance Request Form
Transportation Maintenance Request Form
Activity and Facility Usage Request Form