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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.

Employee Rights

Employee Rights
Under the Family First Coronavirus Response Act

COVID-19 Forms

COVID-19 Daily Screening

COVID-19 Symptom Reporting Form

Return-to-Work Form

Health & Safety

2020-21 Exposure Control Plan

2020-21 Hazard Communication Plan

Employee Injury Report

Integrated Pest Management Plan 2020-21

Information for Municipal Employees Affected by Layoff

Job Search Guide for School District Employees

Payroll Forms

26-Pay Election Form (2021)

2021 Form NYS IT-2104

Employee Withholding Allowance Certificate

403(b) Information

403(b) Universal Availability Notice

Employee Physicals

Employee Physical Exam Form

Revised July 3, 2018

Cancer Screening

Cancer Screening Leave Form

(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/Spring 2021

Flexible Benefits Program

Flexible Benefits Information Sheet

Oct. 1, 2020 - Sept. 30, 2021

Things You Should Know

Please review before enrolling

Flexible Benefits Enrollment Form

For 2020-21

Flex Benefits VTA Enrollment Form

For VTA members

Eligible & Ineligible Expenses

Updated for 2020-21

Request for Reimbursement

Updated for 2020-21

Other Forms

Formal Complaint of Sexual Harassment

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