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Staff Forms

Welcome to ouStaff Forms Page

When submitting any of the following documents, please remember to keep a copy for yourself.

Herscher CUSD #2 Re-Opening Plan for Fall 2020

Employee Self-Certification Form
Must be completed for all staff.

Latest Guidance from ISBE

Return to Work Flowchart

Request for Emergency Paid Sick Leave

Updated 2020-2021 School Year Calendar


Mental Well-Being Resources / Tips
We hope you find the following resources/information valuable.
Please take care of yourself while caring for those around you. 

Avoiding Burnout While Working From Home

Staying Safe While Running Essential Errands

Preventing Remote-Employee Burnout

CDC Guidance for Employees following a COVID-19 Diagnosis/Exposure

6 Mental Health Tips for Self-Isolation

Yoga Resources


When submitting any of the following documents,
please remember to keep a copy for yourself.
Thank you.

Purchase Order Information
Purchasing and Cash Handling Procedures
New Vendor Request Form (Obtain and attach their W9 form)
BLANK W9 (Need from new vendors. Return to UO)Inserted Image
Our Tax Exempt Letter
Our W9 Form (2016)
School Specialty Order Instructions
Staples Order Instructions
Request for Purchase Order (2020)
Check Request (2020)

American Express P-Card Expense Report (2020)
BMO Mastercard P-Card Expense Report (2020)


Insurance Information / Documents

The Herscher School District is part of the Educational Benefit Cooperative (EBC).
EBC Insurance Booklet

EBC Summary for 2020-2021


Open Enrollment Link that was emailed to all insurance eligible employees

Open Enrollment (2020) User Guide

Got Insurance Questions?
Contact Crissy Livingston in Payroll at 815-421-5016 or via

20-21 Insurance Rates

Employer Cost & Participation Information (IMRF)


BCBS Dental Benefits -
LOW Plan
BCBS Dental Benefits - HIGH Plan

HSA PPO Summary of Benefits and Coverage (SBC)
HSA PPO Handout
HSA Frequently Asked Questions
HSA Salary Reduction Agreement 2021

HRA PPO Summary of Benefits and Coverage (SBC)
HRA PPO Handout
HRA Deductible Reimbursement Form * Send With Your EOBs to Unit Office Attn: C Livingston
Insurance Waiver 20-21
Flyer 20-21


May 2020

Voluntary Life and Accidental Death & Dismemberment (AD&D) Plan Highlights 20-21 
Reliance Voluntary Life Rates 20-21
Reliance Voluntary Accidental Death and Dismemberment (AD&D) Rates 20-21

EyeMed Benefits Sheet 20-21

Handout 20-21

Grandfathered Plan Status
WHCRA Notice
Title IX Information


Payroll/Human Resources DocumentsInserted Image
2021 Pay Dates
403b Plan Summary Information
403b - 457b Plan Participation Guide

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 and Instructions - updated 4/2020
IMRF Voluntary Additional Contribution Make/Change Form
Personal Day Request Form

Personnel Recommendation Form - PDF - updated 6-2020
Personnel Recommendation Form - WORD - updated 6-2020
W-4 Federal (2020)  
W-4 Illinois

Contract Links
PERA Overview  
PERA Public Acts  

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Mileage Reimbursement (2021) - NEW RATES eff January 1, 2021

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

Food Service Department

Lunch Count Form: https://forms.gle/ftGeXuEoi8BurxEeA



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