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-2017

Health Savings Account Forms
2016 Payroll Deduction Form-Teachers
2016 Payroll Deduction Form-Administrators
2016-Payroll Deduction Form-Custodian/Maintenance
2016 Payroll Deduction Form-Mid-Management
2016 Payroll Deduction Form-Individual Contracts
2016 Payroll Deduction Form-Secretaries

Flexible Spending Account Forms
2016-2017 FSA Enrollment Form 
FSA Brochure
Medical Reimbursement Form
Dependent Care Reimbursement Form

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

Information Changes
Employee Information Change Form

Payroll Forms
State Tax Form
Federal Tax Form-2017
Direct Deposit 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
2016-2017 School Year

Kelly Services Substitute System
Employee Guide
Administrator Guide

Workers Compensation Information
PMA Guide/Provider Directory-updated 11/2016