STAFF INFORMATION

Staff Forms

This FORMS PAGE contains policy and other request forms.

Acceptable Use Policy

2012-13 Acceptable Use Policy

Field Trips

Bus Request Site
- use old user/pw
- do NOT use Firefox
Directions for Bus Requests
Field Trip Activity Form

Other Info

HEA 1205
Master Contract
Mentor Teacher Guidelines
Special Education Staff Site
Universal Precautions Info
FMLA Procedural Overview

Pay

2012-2013 Pay Schedule
2013 Classified Conditions

NEW!! Teacher Leadership Cadre

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What is this? 
Who can do this? 
How many will be chosen? 
Frequently Asked Questions
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RISE Evaluation

Standard for Success Site
PGP and Career Ladder Info
Superintendent's Eval Model

Workman's Comp Guidelines

On The Job Injury Guidelines
Workman's Comp Contact List
Workman's Comp Employee Statement
Workman's Comp Supervisor/Witness Statement
Authorization Form for Workman's Comp

Plymouth Education Association (PEA)

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ISTA Welfare Benefits Plan and Trust Q & A
ISTA Indiana

Financial Information

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Contact person:  Brian Eacret
Retirement Benefit Specialist
765.413.2705
Benefit Limits for 2013
Retirement Planning News
Representative Randy Chin
Work:  260.493.9118  Mobile: 260.416.9308
Main:   866.604.3073  Fax:     260.455.9439

403 (b) Information  
Salary Reduction Agreement
2013 Universal Availability Notice - Please Read

INSURANCE INFORMATION

MASE CLINIC

504 Colonial Court
Plymouth, IN  46563
PHONE:  574-935-0127

Insurance Costs

Insurance Costs FTE Certified
Insurance Costs Classified Hired AFTER 1-1-2010
Insurance Costs Classified Hired BEFORE 1-1-2010 or 12 Month Staff
Insurance Costs Bus Drivers
Insurance Costs Special Ed LEA
Insurance Costs NIESC

Medical and Drug  Information

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Anthem Site
Drug Plan Information
Scripts Home Delivery Form
Medical Claim Form - in case YOU have to file for the doctor
Anthem Summary of Benefits, Plan 1, 2, and 3

Vision Information

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Vision Enrollment Form
Vision Coverage Information

Dental Information

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Dental Information Form
Dental PPO Directory
Dental Premier Directory
Summary of Dental Plan

Section 125

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Visit the American Fidelity Website for Section 125 forms and other AF services