shortcut to contentOrange-Ulster BOCES - Learning for Life logo

Serving component school districts of Orange & Ulster Counties, New York

Personnel division page heading

Personnel Forms

On this page, you will find many forms that will help you as an employee at Orange-Ulster BOCES.

Click on title to download the selected form. All forms are in .pdf, .xls or .doc format.

What type of form are you looking for?

Personnel Forms | Business Office Forms | New Hire Forms | Other

 

Personnel Forms

Application for Sick Bank Assistance Form (pdf)

 

Cancer Screening Leave Request Form (doc)

 

Cancer Screening Policy (doc)

 

Cancer Screening Verification of Appointment (doc)

 

Course Approval Form- Adult Education Teacher (.xls)

 

Course Approval Form- Full-Time Teacher (.xls)

Course Approval Form for Reimbursement-Para (xls)

Course Approval Request for Salary Credit- Teacher (xls)

Employee Confidential Emergency Information Form (pdf)

 

Employee Hire Exit Checklist (pdf)

Employee Information Change Form (doc)

 

Employee Transaction Form (pdf)

FMLA Information (pdf)

FMLA Request (pdf)

Harrassment Appeal Form (pdf)

Harrassment Complaint

 

Leave Forms (Updated 3/2009)

Request for Leave-12 Mo. Staff | Request for Leave- Full Time Teacher of Adults |
Request for Leave for Teachers, Paras | Request for Sick Leave-Teaching Assistants

Medical Leave (Non-FMLA) (pdf)

NOA Form (pdf)

Personal Day Request Form: Full-Time Teachers of Adults (pdf)

Personal Day Request Form: Teachers, Educators, Certified Staff, PT, PTA, COTA, OTR, RN, Interpreter & Teaching Assistant

Personal Day Request Form: Para (pdf)

Physical Exam Form for Employees (pdf)


Request for Child Leave Form (pdf)

Request for Personnel (pdf)

 

Business Office Forms

 

403(b) Universal Availability Notice (pdf)

 

Affidavit of Lost Check (doc)

Application for Conference or Workshop (pdf)

Business Contact List (pdf)

 

Conference Reimbursement Form (pdf)

 

Dependent Student Certification (pdf) Must file every semester

 

Dental Enrollment Form (pdf)

 

Dental Dependent Student Certification (pdf)

Direct Deposit Form (pdf) (Includes rules and regulations)

Discontine Direct Deposit (doc)


Federal Project From (Grants) (pdf)

Flex Plan Enrollment Form (2010) (pdf)

 

Flex Spending Plan Reimbursement Voucher (pdf)

 

MPO Federal Credit Union (pdf)

 

NYS College Savings Plan

 

Health Insurance Buyout Option (doc)

Monthly Mileage Form (xls)
Standardized Mileage Reimbursement Chart (pdf)

 

Omni Online Services (pdf)

Omni Salary Reduction Agreement Form (pdf)

2010-2011 Payroll Timesheet and Schedule

Retirement System Questionnaire (doc)

Vision Enrollment Form (pdf)

Vision Plan In-Network Locations (pdf)

Dental Claim Form (pdf)

Dental Providers (pdf)

 

New Hire Forms

I-9 Form (pdf)

W-4 Form (pdf) | W-4 Form (pdf) - Effective January 1, 2010

Administrator Telephone Reference (pdf)

Civil Service Applicants Checklist (pdf)

Employee Transaction Sheet (pdf)

 

Employee Withholding Allowance Certificate (IT-2104) (pdf)

 

Employees Retirement System

Membership Application | Change of Address | Loan Application | Designation of Beneficiary | Name Change

 

Flexible Benefit Plan (pdf)


GHI HMO Benefits Schedule (pdf)

 

Health Plan Benefits (pdf)

 

Interviews and References (pdf)

Para Educator Staff Checklist (pdf)

 

Payroll Option Form- New Employees (pdf)

Reference Checks Form (pdf)

 

Retirement System Questionnaire (pdf)

Teacher Certified Staff Check List (pdf)

 

Teacher Retirement System

Membership Application | Change of Address | Loan Application | Designation of Beneficiary


Certified Staff Application (pdf)

Civil Service (Non-Certified) Staff Application (pdf)

 

Other

Photo Release Permission Form (pdf)