Benefit Forms
Temporary Continuation of Coverage
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TCC Rates (DC) for District healthcare plans - employees hired on or after 10/1/1987
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TCC Rates (Federal) all federal healthcare plans can be found the OPM website: www.opm.gov
Compensation Forms
- Additional Compensation Procedures
- Dual Certification Bonus Application
- WTU Tuition Reimbursement Form
- Highly Qualified Teacher Reimbursement Application
- Tax Reform Information
Leave of Absence Forms
- Physician Medical Certification
- Request to Donate Leave (Donator)
- Request for Leave Donation (Requester)
- Advanced Leave Request
Onboarding Forms
Off-Boarding Forms
Payroll Forms
Retirement Forms
- Civil Service Application for Refund of Retirement Deductions (applicable for employees hired on or prior to 9/30/1987)
- 401a Plan Disbursement/Direct Rollover/Transfer Application (applicable for employees hired on or after 10/1/1987, non WTU or CSO employees)
- Teachers’ Retirement Plan Application for Refund or Direct Rollover (WTU or CSO ET-Officers only)
- 403(b) Tax Shelter Annuity Salary Reduction Agreement
- Retirement Contributions Printout Request Form (2806)
- Civil Service Application to Make Deposit or Redeposit (SF2803)
- Teachers' Beneficiary Designation Form
- 457(b) Deferred Compensation Plan Distribution Form
- Retirement Manager Quick Reference Guide
Records Management Forms