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 Waiver of Coverage Form
Medicare Creditable Coverage Notice-2018
Health Savings Account Forms
(the premium cost shares are listed on page 2)
2018 Payroll Deduction Form-Teachers Union
2018 Payroll Deduction Form-Administrators Union
2018-Payroll Deduction Form-Custodian/Maintenance
2018-Payroll Deduction Form-Full-time Security Guards
2018-Payroll Deduction Form-Part-time Security Guards
2018 Payroll Deduction Form-Mid-Management
2018 Payroll Deduction Form-Individual Contracts
2018 Payroll Deduction Form-Technicians Union
2018 Payroll Deduction Form-Secretaries Union
2018 Payroll Deduction Form-Part-time Paraprofessionals
2018 Payroll Deduction Form-Full-time Paraprofessionals
2018 Nurses premium cost share information
Flexible Spending Account Forms
Wageworks Website Registration Information
FMLA
Payroll Forms
Multiple Direct Deposit Form (include voided check with form)
Mileage Reimbursement Form-2018
Pension Forms
Teachers Retirement Board Beneficiary Change Form
Teachers Retirement Board Name/Address Change Form
Municipal Employees Retirement Fund Enrollment/Change Form
403(b)-457-Tax Shelter Information
Participating Tax Shelter Companies
Life Insurance Forms
Met Life Beneficiary Change Form
Payroll Calendars
2018-2019 School Year Pay dates
Kelly Services Substitute System
Workers Compensation Information
PMA Guide/Provider Directory-updated 1/2018
Information Changes