District Employee Forms

Retirement Form

Complaint Against an Employee Form

Harassment Complaint Form

Resignation Form

Leave of Absence Form

Workplace Accident Injury Report (Completed form should be returned to Dave Lyle & Michelle Rogan)

FMLA Forms (Please complete the appropriate form and return to HR so a determination can be made for approval)

• FMLA (Request for Family)
• FMLA (Request for Employee)

SCSD Return to Work Form (To be completed to return to work: If you are on any type of approved long term medical leave, this form will need to be completed by your physician and returned to HR prior to your return)

Benefits Forms

United Healthcare -- myuhc.com

Maestro Health -- Enrollment for FSA (Must be completed during Open Enrollment)

Delta Dental Benefits

VSP Vision Benefits

Teladoc -- 24/7 Access to a U.S. Board Certified Doctor

Com Psych Guidance Resources -- Counseling, Financial Information & Resources, Legal Support and Resources, Work-Life Solutions, Guidance Resources, Free Online Will Preparation

Aflac -- Alison Pfeiffer, Aflac Independent Benefits Consultant, Cell: (937) 672-4899