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If you are going to receive a paycheck from Central Community Schools, the Administration Center must have a copy of all the items marked REQUIRED. Please complete each form, print each form, and turn them in at the Administration Center, 331 E. 8th Street, DeWitt.
Thank you for your cooperation as this will help payroll run efficiently.
Bloodborne Pathogens and Universal Standards Nurse's Notes
College Course Credit Form
Dental Insurance Manual
Dental Insurance Enrollment Form -- For Eligible Employees Only. Notice: After initial employment, May is the only month we allow changes to be made to employee dental insurance enrollments. However, exceptions are allowed due to events such as marriage, death, divorce, birth/adoption, etc.
Direct Deposit Form REQUIRED
Equal Employment Opportunity, School Board Policy No. 401.1
Evaluation Form for Classified Staff
Fundraising Request Form
Fundraising Accountability Form - Due back to Central Office 10 days after the even
Health Insurance Plan Booklet, effective July 1, 2014
Health Insurance Summary of Benefits, effective July 1, 2014
Health Insurance Enrollment -- For Eligible Employees Only. Notice: After initial employment, May is the only month we allow changes to be made to employee health insurance enrollments. However, exceptions are allowed due to events such as marriage, death, divorce, birth/adoption, etc.
Hepatitis B Vaccination Consent or Refusal Form REQUIRED
I-9 Employment Eligibility Verification Form (please note that you are required to provide us a copy of your driver's license, social security card, and/or other documents as listed on this form) REQUIRED. This link will take you to the form located on the U.S. Government website
Incident Report Form
Incident Report Form (Word document)
IPERS Enrollment/Beneficiary Designation Form. This link will take you to the Ipers Organization website
Ipers Member Handbook
Life Insurance - This is the Form you must complete to Change your Beneficiary
Life Insurance Enrollment Form: Available only to Full-Time Teachers, Secretaries, Custodians, Supervisors, Administrators
Life/Long-Term Disability Insurance Manual for Full-Time Teachers, Secretaries, Custodians, Supervisors
Life/Long-Term Disability Insurance Manual for Superintendent and Administrators
Mileage Reimbursement Request Form for Employees.
Payroll cut-off days for this year. Pay day is once per month on the 20th of the month.
Payroll Record - Form to be used by teachers to turn in hours for professional development, training, etc.
Physical Form - REQUIRED
Retirement Investment Club (RIC) 403b program is an employer-sponsored supplemental retirement savings benefit that provides an easy way for you to save a portion of your current wages for future income needs. Click here for the RIC 403b Program Summary. Click here if you would like to participate by completing the 403b salary deduction form.
Sanitation Procedures in case of illness in the classroom, hallway, etc.
Sanitation Procedures in case of illness in the cafeteria.
Substance-Free Workplace Notice REQUIRED
Taxes-FEDERAL W-4 Form REQUIRED This link will take you to the form located on the IRS website
Taxes-State of IOWA W-4 Form REQUIRED For Iowa residents, this link will take you to the form located on the Iowa Government website
Taxes-State of ILLINOIS W-4 Form For Illinois residents, this link will take you to the form located on the Illinois Government website
Teacher license Renewal Forms, Information - This link will take you to the Iowa Board of Educational Examiners site
Technology Appropriate Use Policy 605.6, including the Staff Appropriate Use Agreement REQUIRED
Travel Costs Reimbursement Form
Use of Video Cameras on School Premises and School Transportation - Notice to Employees
Workers' Compensation - First Report of Injury or Illness Form to be Printed, Completed by the employee, then turned in to the Administration Center ASAP after the incident.
Google Apps for Education
Google Apps Education Edition is a free (and ad-free) set of customizable tools that enable faculty, staff and students to work together and learn more effectively.
AESOP (Automated Educational Substitute OPerator)/Frontline Technologies - Our school district has implemented a new automated service to simplify and streamline the process of recording and managing absences and finding substitutes for teachers. This service is called Aesop. The Aesop service will be available to you 24 hours a day, 7 days a week and can be accessed via the link above, or by calling their toll free number shown on their website. The district will assign teachers an ID and PIN number to access the system.
Blue Cross and Blue Shield of Iowa, Alliance Select, Group No. 36861, is the health insurance for eligible employees of Central Community Schools. For all benefit inquiries go to their website or call Blue Cross Blue Shield customer service at 1-800-252-2122.
Bus/School Vehicle Requests from the Operations Department are done through School Dude. Click here to begin the process. You will be on the School Dude log-in page for our district, where you will enter your email address. If you are a first-time user of the system, it will take you through the steps to register. It is a very simple process that is very user friendly.
If you need some help, click here for the detailed guide explaining how to use this system to request use of a school vehicle.
The form is extremely easy to follow and fill out. There is one issue we are hoping the company addresses on their next update, however. At this point the only times that can be entered are at the hour and at quarter-hour intervals. So, for instance, 11:00; 11:15; 11:30 and 11:45. If you need a different pick-up time, as many of you will, you just need to put that in the comments section.
Infinite Campus Log In for Employees
Board of Educational Examiners, Iowa Dept. of Education for teacher and coach licensure forms, instructions, etc. Main phone line: 515-281-3245.
Instructions for Teachers and Administrators on how to receive automatic reminder 18 months prior to license expiring from the State of Iowa
Computer Help Desk for District Employees
Teachers and staff should report problems using the Help Desk Online reporting tool. Click on the link and fill in your email address (email@example.com) to gain access. There is one box you complete to describe the problem. You can also go to this link to track previously entered open or completed problems and resolutions. Nothing is easier than using this tool. Phone numbers are also posted.
Dental Insurance Coverage is through EBS (Employee Benefit Systems) located at P.O. Box 1053, Burlington, Iowa 52601. Phone (800) 373-1327.
Facilities Scheduler (through RSchools Today) for Administrative Use Only
Effective July 1, 2011, our flexible spending account will be run through Kabel Business Services. Employees are allowed to enroll only once per year in the month of May. New employees have to decide upon initial employment if they wish to enroll in the Play Flex program. Click here for the Kabel Business Services Enrollment form. Click here for the Kabel Business Services Flexible Spending Brochure.
Participants who are interested in a flex debit card need to order the cards through the Administration Center of Central Community Schools. The district will pay for each employee to have two (2) cards.
If additional cards are needed, the employee will be responsible for paying the $18 per card and may do so by logging in to myflexonline.com (If a new user) Click on "New User," follow the instructions and order additional cards.
Click here to download a claim form for unreimbursed medical expenses and/or dependent care expenses that you may use to file through the U.S. mail. Kabel really encourages participants to file claims on-line through your personal login. If you use the debt card, no filing is required.
If you have any questions or problems logging on, please can contact Kabel Business Service flex customer services at 800-300-9691.
IEP - Individualized Education Program Log-In for Educators
Iowa Department of Education This site contains information on Open Enrollment. To find that section, select the tab PK-12, then select Options for Educational Choice.
IPERS (Iowa Public Employee Retirement System) information. Toll free number 1-800-622-3849. Or e-mail them at firstname.lastname@example.org
Mississippi Bend AEA-9. Toll free number: 1-800-947-2329.
On-Line Training through Heartland AEA. Please click here and read these step-by-step instructions on how to utilize the new on-line training site prior to accessing it. If you have any questions, please call 1-800-362-2720. They are very helpful.
Bloodborne Pathogens is required once/year for All Employees/Substitutes - no charge for district employees/substitutes.
Right to Know is required once upon initial employment for All Employees/Substitutes - no charge for district employees/substitutes.
Mandatory Reporter: Child & Dependent Adult Abuse training is required once every five years for All Certified Staff (Teachers/Substitute Teachers and Administrators) - You are required to pay a $25 fee for this training. The site will ask for your credit card information upon completion of the on-line course.
NOTE: Mandatory Reporter training may be available at a different rate through other means (i.e., the local community colleges). If you choose to complete it through this on-line training or some other source, please remember to provide a copy of the completion certificate to the school district administration center.
United States Department of Education
VeriTime (through Aesop)
VeriTime is the electronic time card system utilized for all hourly employees in our district. Please review the Veritime Web Clock Guide for Employees to learn more.
Instructions to launch the Time Clock from any district computer.
Web Link: Link for Employees to Log In and Create Requisitions