BUSINESS OFFICE FORMS
Forms
- 2022-2023 Always Care Dental & Vision Application/Coverage Summary
- 2023-2024 BCBS App and Section 125 Form
- Employee Benefit Election: Salary Reduction Agreement (Section 125
- Notice of Enrollment Rights
- State and School Health Insurance Application-Monthly Premium Rates-Summary of Benefits
- 2023 Sun Life Application Form
Direct Deposit Forms
Complete this form if you would like to make a change to your direct deposit information and/ or add another checking or savings account to your already existing information for monthly payroll check only. Print this form and return it to the Business Office with supporting documentation.
Complete this form to provide direct deposit information for reimbursements only. Print this form and return it to the Business Office with supporting documentation if needed.
Information
- All PERS forms (refund, change, beneficiary, etc) should be returned to Mrs. Carmichael in the business office.
- Health, Dental/Vision, Section 125, and the American Fidelity Disability claim should be returned to Ms. Paige in the business office.
- Verification Forms for prospective employees should be submitted to Mrs. Carmichael
- Verification Forms and/or online verifications for current employees and/or former employees should be submitted to Mrs. Paige. tpaige@fcsd.us
Tax Forms
Complete this form if you would like to make changes to your marital status and/or withholding amount. Print this form and return it to the Business Office.
Complete this form if you would like to make changes to your marital status and/or the number of dependents claimed. Print this form and return it to the Business Office.