Vestal

Central School District

Staff Forms

Staff Wellness

Access to your Work-Life Benefit is easy. Click the UHS Employee Assistance Program icon to log in.

Health & Safety

2019-20 Exposure Control Plan

2019-20 Exposure Control Plan (.rtf)

Rich-text format

2019-20 Hazard Communication Plan

2019-20 Hazard Communication Plan (.rtf)

Rich-text format

Employee Injury Report

Integrated Pest Management Plan 2018-19

Information for Municipal Employees Affected by Layoff

Job Search Guide for School District Employees

Payroll Forms

26-Pay Election Form

Revised January 2020

2020 Form W-4

2020 Form NYS IT-2104

Employee Withholding Allowance Certificate

Payroll Report

Employee Physicals

Employee Physical Exam Form

Revised July 3, 2018

Cancer Screening

Cancer Screening Leave Form

VCSD Form No. 50 (Rev. 3/28/2018)

Insurance Forms

Excellus Health Insurance Enrollment

Health Insurance Verification

Excellus Subscriber Claim Form

Dental Forms

Sieba Dental Claim Form

Sieba Dental Enrollment Form

Sieba Full-Time Student Verification

For Fall 2020

Flexible Benefits Program

Flexible Benefits Information Sheet

For 2019-20

Things You Should Know

Review this before enrolling

Flexible Benefits Enrollment Form

For 2019-20

Flexible Benefits VTA Enrollment Form

For Vestal Teachers Association members

Eligible & Ineligible Expenses

Updated for 2019-20

Flexible Benefits Request for Reimbursement

2019-20