Norwich City School District

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District Office | High School | Middle School | Perry Browne | Stanford Gibson

Applications	Forms - Payroll
Professional Application	Federal Withholding Form W-4
Substitute Teacher Application	NYS Withholding IT-2104
Support Staff Substitute Application	Payroll Dates 2007-2008
Support Staff Application - type fill form	Direct Deposit Form
Support Staff Application - download and complete	Omni 403b Enrollment Form
Bus Driver Application (Full time and substitute)	What is a 403b?
Forms - Health/Dental	Forms - EBS Flexible Spending
Excellus Prescription Reimbursement Form	Flexible Spending Enrollment/Change Form
Insurance Change Form	Flexible Spending Reimbursement Form
Health Enrollment Form	Dependent Care Reimbursement Form
Health Claim Form	Flexible Spending Direct Deposit Form
Smile Saver I Dental Enrollment Form	Listing of Over-the-Counter covered expenses
Smile Saver IV Dental Enrollment Form
Dental Claim Form Smile Saver
Dental Claim Form Traditional Plan
Dependent Recertification Form
BOE Policies	Employee Handbook
Family and Medical Leave Act Policy
Substitute Teacher Policy	Cancer Screening / Blood Donation Form
Internet Access & Use Policy

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	Human Resources Kim Perez, Director 19 Eaton Avenue Norwich, New York 13815 (607) 334-1600 x5504

	Office Hours M-Th 8 A.M. to 4:00 P.M. Fri - 8 A.M. to 3:30 P.M.