General HR Forms

2024-2025 Pay Schedule

Acceptable Use Agreement

All employees must sign this agreement for access to district computers and networked information resources.

Cancer Screening Form

Use this form when you take leave for cancer screening

Employee Accident Form

Use this form if an employee has an accident on the job.

Intent to Take Leave Form

Use this form if you plan to take an extended leave of absence

Name Change Request Form

Use this form if your name has changed, an updated social security card is required.

Reasonable Accommodation Request Form

The purpose of this form is to assist the District in determining whether, or to what extent, a reasonable accommodation may be required for an employee with a disability to perform one or more essential functions of his/her job safely and effectively.

Resignation Form (Non-Instructional)

Use this form if you are a non-instructional unit member and looking to resign from your position.

Salary Adjustment Form

Use this form when you are requesting a Educational Credit Salary Adjustment

Sexual Harassment Complaint Form

If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form and submit it to either District Sexual Harassment Officer. Policy 6121

Workplace Violence Reporting Form

If you believe that you have been subjected to workplace violence, you are encouraged to complete this form and submit it to the District Office. Policy 6190

Payroll Forms

Payroll Payment Voucher

Use to request payment for stipends, chaperoning etc.

Authorization for Direct Deposit form

Use this form to enroll in direct deposit

Extracurricular Assignment

Use this form to submit your hours for extracurricular stipends.

Omni 403b/457b

Omni Link for Information & Forms

Hourly Time Sheet

For hourly employees only.

6th Period Assignment

To request payment for 6th period assignment, labs.

Related Services Timesheet

Tax Forms

W-4 Form

To change your federal withholding amounts.

New York State Tax Withholding

To change your state withholding amounts.

Wingdale Elementary Coverage Forms

WES Classroom Coverage Monitor

Use this form to request payment for classroom coverage if you are a Monitor at WES.

WES Classroom Coverage Teacher Aide

Use this form to request payment for classroom coverage if you are a Teacher Aide at WES.

WES Classroom Coverage Teaching Assistant

Use this form to request payment for classroom coverage if you are a Teaching Assistant at WES.

WES Classroom Coverage Teacher

Use this form to request payment for classroom coverage if you are a Teacher at WES.

WES Teacher Covering Duty or Paraprofessional

Use this form to request payment for a teacher covering a duty or paraprofessional.

Dover Elementary Coverage Forms

DES Classroom Coverage Monitor

Use this form to request payment for classroom coverage if you are a Monitor at DES.

DES Classroom Coverage Teacher Aide

Use this form to request payment for classroom coverage if you are a Teacher Aide at DES.

DES Classroom Coverage Teaching Assistant

Use this form to request payment for classroom coverage if you are a Teacher Assistant at DES.

DES Classroom Coverage Teacher

Use this form to request payment for classroom coverage if you are a Teacher at DES.

DES Teacher Covering Duty or Paraprofessional

Use this form to request payment for a teacher covering a duty or paraprofessional.

Dover Middle School Coverage Forms

MS Classroom Coverage Monitor

Use this form to request payment for classroom coverage if you are a Monitor at the MS.

MS Classroom Coverage Teacher Aide

Use this form to request payment for classroom coverage if you are a Teacher Aide at the MS.

MS Classroom Coverage Teaching Assistant

Use this form to request payment for classroom coverage if you are a Teaching Assistant at the MS.

MS Classroom Coverage Teacher

Use this form to request payment for classroom coverage if you are a Teacher at the MS.

MS Teacher Covering A Duty or Paraprofessional

Use this form to request payment for a teacher covering a duty or paraprofessional.

Dover High School Coverage Forms

HS Classroom Coverage Monitor

Use this form to request payment for classroom coverage if you are a Monitor at the HS.

HS Classroom Coverage Teacher Aide

Use this form to request payment for classroom coverage if you are a Teacher Aide at the HS.

HS Classroom Coverage Teaching Assistant

Use this form to request payment for classroom coverage if you are a Teaching Assistant at the HS.

HS Classroom Coverage Teacher

Use this form to request payment for classroom coverage if you are a Teacher at the HS.

HS Teacher Covering a Duty of Paraprofessional

Use this form to request payment for a teacher covering a duty or paraprofessional.

Tutoring

Tutor Time Sheet

Use this form when you tutor a student.

Tutor Letter $29

This letter must be completed for non-lesson planning tutoring.

Tutor Letter $40

This letter must be completed for lesson-planning tutoring.

Substitute Time Sheets

Permanent Substitute Timesheet

Permanent Substitutes should use this timesheet.

Instructional Substitute Time Sheet

For Instructional Substitutes - Monitors, Aides, Teaching Assistants and Teachers

Non Instructional Substitute Time Sheet

For Non Instructional Substitutes - B&G and Clerical

Health Insurance

ACA - Health Insurance Required Yearly Form

This form must be completed yearly during open enrollment period for ACA requirements.

2024 Empire BC/BS Alt PPO Summary of Benefits & Coverage

Plan information regarding the Empire BC/BS Alt PPO Health Insurance Plan

2024 Empire BC/BS EPO 20 Summary of Benefits & Coverage

Plan information regarding the Empire BC/BS EPO 20 Health Insurance Plan

CSEA Forms

CSEA Non-Instructional Sick Leave Bank Request Form

If you are a CSEA Non-Instructional Employee, use this form to request Sick Bank Leave.

DWTA Forms

DWTA WTF Dental Form

Use this form when you go to the dentist.

DWTA WTF Change of Status Form

Use this form to change status.

DWTA WTF Provider List

DWTA WTF Provider List