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Hazel Crest School District 152 1/2
About Our District
Board of Education
Board Meeting Documents
Barack Obama Learning Academy
Jesse White Learning Academy
Becoming a Substitute
Personnel Forms & Handbook
Teacher Appraisal System
Office of the Superintendent
Teaching and Learning
Collective Bargaining Agreements
Teacher Appraisal System
The Hazel Crest School District utilizes an online applicant tracking system, AppliTrack. All applications are submitted to the district online on the district’s website under the Employment link.
CHANGE OF ADDRESS
Complete the attached form for address or name changes.
FEDERAL W-4 FORM
Complete this form to document the number of exemptions being claimed so that we can withhold the correct federal income tax from your pay. A new form must be completed for all change requests when your personal or financial situation changes.
ILLINOIS W-4 FORM
Complete this form to document the number of exemptions being claimed so that we can withhold the correct state income tax from your pay. A new form must be completed for all change requests when your personal or financial situation changes.
LEAVE OF ABSENCE
To be completed for leave of absences.
FMLA CERTIFICATION (Employee)
Complete this form if requesting FMLA due to a serious personal health condition.
FMLA CERTIFICATION (Family Member)
Complete this form if requesting FMLA to care for a family member with a serious health condition.
PHYSICAL EXAM FORM
To be completed for all new hires.
IMRF ENROLLMENT FORM
Additional information regarding IMRF Retirement Benefits can be found at www.imrf.org.
REQUEST FOR ABSENCE
Please submit this form for sick leave, personal leave, vacation leave, and professional leave
EYEMED ENROLLMENT FORM
Eyemed vision enrollment/change form
DIRECT DEPOSIT FORM
Complete and submit to payroll to enroll in direct deposit.
ACCESSING BENEFITS CONNECT
Steps to accessing the Benefits Connect portal to make Open Enrollment elections or to review benefits. Link is available under Quick Links to the right.
Tuition Reimbursement Form
Use this form to request reimbursement or lane change for approved job-related courses or classes that you have taken.
TRS MEMBER ENROLLMENT & BENEFICIARY DESIGNATION FORM
Use this form to make any updates to TRS as necessary due to life changing events such as a change in marital status or dependents.
VOLUNTEER APPLICATION FORM
All District volunteers must have an application on file with HR. Please complete and return to the Administrative Center for consideration.
Complete and submitted by hourly employees and for extra duty.
FFCRA Protocols and Forms
IMRF Employer Cost and Participation Information
In 2019, the Illinois General Assembly passed Public Act 101-0504. The law requires IMRF to post certain employer cost and participation information on its website. IMRF will update these reports annually.
Your open enrollment journey starts here!
ERS (Employee Assistance Program)
A benefit to provide staff with free and confidential support. Participation if voluntary and strictly confidential!
Instructional Staff Licensure
Global Compliance - Mandated Training
403b/457b Retirement Plan Providor Information
Providing fast and convenient care for your medical needs 24/7/265. Access to Board Certified Physicians through a virtual platform.
2020-2021 Benefit Guide
2020-2021 Benefit Guide (.rtf)
Blue Cross Blue Shield HMO Benefit Booklet
Blue Cross Blue Shield PPO Benefit Booklet
View text-based website