Forms

Spring Enrollment (deadline June 17, 2011)

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• Spring Enrollments Highlights (PowerPoint)
• Forms
  • Regence Medical
  • Delta Dental/Vision Service Plan
  • Willamette Dental
  • Mandatory 2011-12 Waiver

Flexible Plan

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• Flex Letter of Medical Necessity
• 2010-2011 Plan Year
  • Flex welcome letter
  • Flexible Benefits Enrollment Guide
  • Flex Plan Reimbursement Claim Form
• 2011-2012 Plan Year
  • Online Enrollment Instructions
  • Flexible Benefits Enrollment Guide
  • Flex Plan Reimbursement Claim Form

Change in Family Status

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• Change in Family Status

Early Retirement

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• Early Retirement Stipend Notification (certified)
• Early Retirement Stipend Notification (classified)

Leave

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• Click here to navigate to leave forms

Medical Travel Reimbursement Request Documents

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• Travel Benefit Guidelines
• Travel Reimbursement Expense Report
• Pre-Authorization Request
• Mileage Reimbursement Log

Name, Address and/or Phone Change

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• Name, Address and/or Phone Change

Optional Letter of Resignation/Retirement

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• Word
• pdf

PERSI Choice 401 (k)

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• Employees submitting their 401(k) deferral election form to the District's Payroll Office before the last working day of the month will see their first deduction in the following month's paycheck.
• PERSI Choice 401 (k) Election form

Sick Leave Transfer

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• Complete for transfer of accumulated sick leave from one Idaho School District or another Idaho State educational agency, during the school year immediately following the year of termination to transfer accumulated leave up to a maximum of ninety (90) days, to leave available in the Boise School District.
• Sick Leave Transfer form

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