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St. Clairsville-Richland City School District

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    ANNUAL NOTICES

    403(B) Annual Notice

    Medicare Part D Prescription Drug Coverage Notice

    Women's Health and Cancer Rights Act of 1998

    HELPFUL LINKS

    American Fidelity Assurance Company

    Plan with Ease

    SERS

    strs

    Cigna

    AULTCARE - PRICE TRANSPARENCY

    EMPLOYEE FORMS

    AMERICAN UNITED LIFE INSURANCE ENROLLMENT FORM

    AMERICAN UNITED LIFE INSURANCE BENEFICIARY DESIGNATION FORM

    APPLICATION FOR FAMILY MEDICAL LEAVE OR CHILD-REARING LEAVE

    AULTCARE ENROLLMENT/CHANGE FORM

    DENTAL CLAIM FORM

    DENTAL INSURANCE RECORD CHANGE FORM

    DENTAL INSURANCE ENROLLMENT FORM FOR ADMINISTRATORS

    DENTAL INSURANCE ENROLLMENT FORM FOR CERTIFIED STAFF

    DENTAL INSURANCE ENROLLMENT FORM FOR CLASSIFIED STAFF

    DIRECT DEPOSIT AUTHORIZATION FORM

    EYE MED ENROLLMENT FORM

    HEALTH REIMBURSEMENT PLAN FORM

    LIST OF 403(B) AND 457 PROVIDERS

    MET LIFE SUPPLEMENTAL INSURANCE APPLICATION

    MET LIFE BENEFICIARY DESIGNATION FORM FOR SUPPLEMENTAL INSURANCE

    MILEAGE EXPENSE REPORT - ADMINISTRATORS & ATHLETICS ONLY

    PROFESSIONAL MEETING LEAVE PROCEDURES & EXPENSE REPORT (UPDATED 1/2023)

    REQUEST TO WORK OVERTIME

    SICK LEAVE DONATION FORM

    TAX - FEDERAL FORM FOR EMPLOYEE WITHHOLDING EXEMPTION CERTIFICATE

    TAX - OHIO FORM FOR EMPLOYEE WITHHOLDING EXEMPTION CERTIFICATE

    TAX - WEST VIRGINIA STATE WITHHOLDING FORM

    TIMESHEET

    POLICIES & PROCEDURES

    Paycheck Pick-Up Policy for Calamity Days

    Requisition and Purchasing Procedures

    Student Activity Fundraising Guidance

    DOCUMENTS

    403 (b) Administration - Plan with Ease

    Dental Insurance - Schedule of Benefits

    Employee Kiosk Instructions

    Fraud Reporting

    Ohio Ethics Law

    Open Enrollment Time Frames for Deductions

    Pay Dates: 2021-2022 School Year

    Payroll Creep Adjustment

    Section 125 Flexible Spending - American Fidelity

    Find Us

    St. Clairsville-Richland City School District108 Woodrow AvenueSt. Clairsville, OH 43950, Phone: (740) 695-1624Fax: (740) 695-1627

      Schools

      • St. Clairsville-Richland City School District
      • St. Clairsville Elementary School
      • St. Clairsville Middle School
      • St. Clairsville High School
      • St. Clairsville Athletics

        Quick Links

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