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WINDHAM CENTRAL SUPERVISORY UNION

1219 VT Rt. 30  Townshend, VT 05353   802-365-9510 phone  *  802-365-7934 fax

802-365-9515 Special Education phone  *  802-365-9513 Special Education fax

All forms are in Adobe PDF format.  Click here to download Adobe Reader.

Send inquiries or requests for other formats to Kathy Velsor, Human Resources Coordinator

EMPLOYMENT  FORMS	DESCRIPTION
I-9 Employment Eligibility Verification.pdf
W4 Employee witholding allowance certificate.pdf	All employees must submit to determine or change federal income tax withholding
W9 Request for Taxpayer Identification Number & Certificate.pdf	Non-WCSU contracted employees must submit this form
Direct Deposit Form.pdf	Submit to WCSU Human Resources Office to set-up or make changes to direct deposit
Declaration of Health Care Coverage.pdf	Submit ANNUALLY if not enrolled in WCSU Health Insurance Plan
403 B Eligibility Notice and Forms.pdf	All employees must submit to enroll or decline voluntary retirement savings plan
Substitute Teacher Application.pdf	Submit to WCSU Central Office
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BENEFIT FORMS	DESCRIPTION
BCBS Enrollment Form - 5.11.09-new form.pdf	Submit to WCSU Human Resources for enrollment in or change to BCBS plan
COBRA Continued Health Care Coverage.pdf
Delta Dental Enrollment.pdf	Submit to WCSU Human Resources for enrollment in or change to Dental plan
Lincoln Financial Disability Insurance	Eligible employees submit WCSU Human Resources to enroll in long-term disability insurance plan
Lincoln Financial Life/AD&D Insurance	Eligible employees submit to WCSU Human Resources to enroll in life/AD&D insurance plan
Cafeteria Plan Forms Kit.pdf	Complete description of Cafeteria Plan
Cafeteria Plan Election of Benefits Form.pdf	Submit w/Personal Information Form to enroll in Cafeteria Plan
Cafeteria Plan Personal Information Form	Submit w/Election of Benefits Form to enroll in Cafeteria Plan
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WCSU FORMS	DESCRIPTION
BI-Weekly Time Sheet.pdf
Title 1 Time Sheet.pdf
Employee Absence Record.pdf	Submit to request anticipated absences or following unanticipated absence
Employee Address-Emergency Contact Form.pdf	Submit for address and/or emergency contact changes
Monthly Travel Voucher.pdf
Credit and-or Reimbursement Approval - Non-Masters work.pdf Credit and-or Reimbursement Approval - Masters.pdf	Professional Development Request for Employees subject to the negotiated agreement between the WCEA  and the following schools:  WCSU, Brookline, Leland & Gray UHS 34, Newfane, Townshend, Wardsboro
Credit and-or Reimbursement Approval - Dover.pdf
Credit and-or Reimbursement Approval - Jamaica.pdf
Credit and-or Reimbursement Approval - Marlboro.pdf
Credit and-or Reimbursement Approval - Windham.pdf
Workshop Expense Guidelines.pdf
Column Change and Verification Form.pdf	Must be submitted by December 1 of year prior to anticipated column change