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860.349.7200
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135A Pickett Ln.
Durham, CT 06422
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Regional School District 13
Respect • Responsibility • Honesty • Kindness • Courage
135A Pickett Ln.
Durham, CT 06422
860.349.7200
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Google maps directions to
135A Pickett Ln.
Durham, CT 06422
|
Call 860.349.7200
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Certification & Evaluation:
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Evaluation and Support
Forms:
2022 Connecticut Withholding Form (CT-W4)
2022 Federal Withholding Form (Fed-W4)
Direct Deposit Form
Employee Change of Name Form
Field Trip Request Form
Substitute - Prof. Development Request Form
Mileage Reimbursement Form (2022)
Expense Reimbursement Form
Good Apple Award Nomination
Tutoring Payment Form - Certified Staff
RSD13 Staff Exit Surv
ey
Intent to Retire Form
Intent to Resign Form
Certified Extra Hours/PPT
Certified Classroom Coverage Payment Form
Curriculum Writing Timesheet
Information for Support Personnel:
Timekeeping Procedure Guidelines
Support Staff Extra Duty Payment Form
Support Staff Classroom Coverage
Time Clock Reconcilation Form
Health* & Dental Insurance Information
*New* State of Connecticut Partnership Plan
Health Insurance Enrollment/Change Form
State of Connecticut Pharmacy Benefits
Anthem Transition of Care Form
Anthem Disabled Dependent Form
Delta Dental Full Dental Plan & Enrollment Form
Delta Dental Flex Dental Plan & Enrollment Form
Delta Dental Full vs. Flex Comparison Chart
Delta Dental Web Registration & ID Cards
Anthem Vision Voluntary Insurance Information
Anthem Vision Enrollment Form
*Please check your coverage based on your Union.
Links:
State of CT Partnership Plan
Anthem Blue Cross
State of CT Pharmacy Benefits
iVisions Employee Portal
State of Connecticut Teachers' Retirement Board
TRB Member Handbook
Seasons Federal Credit Union
Employee Assistance Program
Other Info:
403b FAQs
403b Plan Employee Guide
Approved List of TSA Companies
403b Salary Reduction Agreement
State of CT 457 Plan
403b Universal Availability Notice
Voya Enrollment
Colonial Life Voluntary Supplemental Insurance
Section 125 Flexible Spending Plan
Anthem Life Insurance
HSA Information:
HSA Liberty Bank Form
HSA Quiz
HSA Eligible Expenses
HSA Ineligible Expenses
IRS - HSA
FMLA Information:
Employee Rights
RSD 13 FMLA Policy
(4151/4251)
Families First Coronavirus Response Act (FFCRA or Act)
Frequently Asked Questions
Defined Benefit Plan:
6/30/2018 Audit Notes of RSD13 Employee Retirement Plan
Defined Benefit Plan Requirements
Defined Benefit Plan Summary Plan Description
Defined Benefit Plan Enrollment & Beneficiary Form
Defined Benefit Plan Explanation of Benefit Option
Defined Benefit Plan Explanation of Benefit Option & Sample
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