Human Resources‎ > ‎

Forms for Current Employees

Below is a list of forms for current employees. Click on the link to go directly to a particular form. All forms are in Adobe Acrobat (.PDF) format.

Most forms are editable online.  Use the "Tab" key to move between fields while completing a form. Please complete the form and sign where required prior to mailing or faxing. If you fax the form, please mail the hard copy so that we have your original signature.

All forms should be returned to the Human Resources Office for processing.

Our Mailing address is:
Human Resources
35 Wheelbarrow Lane
East Haven, CT 06513

Our fax number is: 203-468-3918

Our phone number is: 203-468-3951

Insurance Forms
Anthem Reimbursement/Claim Form
Anthem Enrollment Form
Anthem Waiver of Coverage Form
Medicare Credible Coverage Notice-2018

Health Savings Account Forms
(the premium cost shares are listed on page 2)
2017 Payroll Deduction Form-Teachers
2017 Payroll Deduction Form-Administrators
2017-Payroll Deduction Form-Custodian/Maintenance
2017-Payroll Deduction Form-Full-time Security Guards
2017-Payroll Deduction Form-Part-time Security Guards
2017 Payroll Deduction Form-Mid-Management
2017 Payroll Deduction Form-Individual Contracts
2017 Payroll Deduction Form-Technicians
2017 Payroll Deduction Form-Secretaries
2017 Payroll Deduction Form-Part-time Paraprofessionals
2017 Payroll Deduction Form-Full-time Paraprofessionals
2017 Nurses premium cost share information

Flexible Spending Account Forms
2017-2018 FSA Enrollment Form 
Dependent Care Claim Form
Wageworks Quick Start Guide
Wageworks Website Registration Information

FMLA Rights and Responsibilities
FMLA Request Form-Employee
FMLA Request Form-Caregiver

Payroll Forms
State Tax Form-2018
Federal Tax Form-2017 ( 2018 coming soon)
Direct Deposit Form (include voided check with form)
Mileage Reimbursement Form-2017

Pension Forms
Teachers Retirement Board Beneficiary Change Form
Teachers Retirement Board Name/Address Change Form
Municipal Employees Retirement Fund Enrollment/Change Form
Tax Shelter Annuity Payroll Authorization Form
Participating Tax Shelter Companies

Life Insurance Forms
Met Life Beneficiary Change Form

Payroll Calendars
2017-2018 School Year 

Kelly Services Substitute System
Employee Guide
Administrator Guide

Workers Compensation Information
PMA Guide/Provider Directory-updated 8/2017

Information Changes
Employee Information Change Form