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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/LANE CHANGE REQUEST FORM
Current staff members are eligible to apply for tuition reimbursement and lane change in accordance with their collective bargaining agreement or employment contract.
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.
FFCRA Protocols and Forms
Family First Coronavirus Response Act (FFCRA) Request Protocols
The FFCRA requires employers of any size in the public sector to provide all employees employed at least 30 days with up to 12 weeks of EFML thru December 31, 2020 to care for their child(ren) due to COVID-19 related school or childcare closures.
Emergency Paid Sick Leave (EPSL) Request Form
The FFCRA requires employers of any size in the public sector to provide employees with up to 2 weeks of EPSL during the COVID-19 pandemic thru December 31, 2020.
Expanded Family and Medical Leave (EFML) Request Form
Under the Families First Coronavirus Response Act of 2020, employees may be eligible for emergency paid sick leave or expanded family and medical leave if they are unable to work because of COVID-19.
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
2020-2021 Benefit Guide
2020-2021 Benefit Guide (.rtf)
Blue Cross Blue Shield HMO Benefit Booklet
Blue Cross Blue Shield PPO Benefit Booklet
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