Benefit Forms

• Benefits Enrollment Form
• Foster Child Certification form
• Annual Leave Restoration

Temporary Continuation of Coverage

• TCC Rates (DC) for District healthcare plans - employees hired on or after 10/1/1987
• TCC Rates (Federal) all federal healthcare plans can be found the OPM website: www.opm.gov
• TCC Enrollment Form (DC)
• TCC Enrollment Form (Federal)
• TCC Enrollment Process for AETNA Participants

Compensation Forms

• Dual Certification Bonus Application
• WTU Tuition Reimbursement Form

Leave of Absence Forms

• Physician Medical Certification
• Request to Donate Leave (Donator)
• Request for Leave Donation (Requester)
• Advanced Leave Request

Onboarding Forms

• I-9 Form
• Verification of Previous Employment
• PeopleSoft User Guide

Off-Boarding Forms

• DCPS Off-Boarding Guide (non-WTU and CSO)
• DCPS Off-Boarding Guide (WTU and CSO only)

Payroll Forms

• Pay Schedule
• Stop Payment form

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

• Address Change Form
• Personnel File Request form

Return to Employee Services Homepage