Central Office Responsibilities

Go To:

403b | District Forms & Guidelines | Flex | Insurance | IPERS | Payroll | Tax Forms| Workers comp injury

403b (Retirement Investors Club) (also known as Tax Sheltered Annuitiy - TSA)

• State website
• Payroll Deduction Form
• Accessing 403b Funds
• Provider Summary
• Annual Eligibility Notice     

District Forms & Guidelines

• Cash Box/Petty Cash Request Form (to request cash to provide change for a school event)
• Club/Organization – New Student Club/Organization Request Form
• Course Request Form
• District Procedures
• Donation Gift/Acceptance Form - Donation Process and Donation/Gift Acceptance Form
• Employee Physical Form
• Fundraising Guidelines
• Fundraising Request Form
• Grant Approval Form - Grant Process and Approval to Apply for Grant Funding
• Handbook 2012-13 Meet and Confer
• Handbook – High School staff only
• Handbook – Teacher
  
• Internal Requisition Form (to request an item from food service or to transfer from your account to another account)
• Lane Changes – Notice of Intent due July 1; Evidence of credits earned (i.e. transcripts) must be provided by September 1
• Leave Request – Administrator
• Leave Request – Support Staff
• Leave Request – Teachers & Associates
• Notice of Intent for Salary Schedule Advancement
• Out-Of-District Student Placement Verification
• Public Purpose
• Purchase Order Requisition Form 2013-14 (to order an item for the classroom for example)
• Purchase Order Requisition Form (to order an item for the classroom for example)
• Reimbursement Request Form (to request reimbursement for such things as mileage, meals, etc)
• School Vehicle Use Form
• Student Accident Report Form
• Substitute Form
• Substitute Sign-In Form
• Transportation Trip Request Form
• Transporting Students in a Personal Vehicle
• Workshop Request Form

Flex

• Kabel Flex
• Flexible Benefits brochure
• Flex Claim form 2012-13
• Enrollment form (includes how to order a debit card)

Insurance

• Assurity – (866) 289-7337
• Delta Dental Insurance
• Dental Insurance booklet
• Health Insurance changes/enrollment form (includes medical, dental, vision, life or Assurity plan) - Need to return to Shelley Royer @ Central Office within 30 days of life event 
  All Staff
  Retirees Only
  Staff eligible for Assurity or Vision
• Life Insurance beneficiary change
• Life Insurance Application/Change (Sections 1 & 2 only, plus details for any “yes” answers & signature.  Section 3 unnecessary to complete)
• Life Insurance portability rates
• Long Term Disability Form
• Mail Order Prescriptions Registration and Order Form
• Medical Insurance
• Medical – Blue Choice provider change form
• Vision Insurance
• Vision Insurance Brochure
  

Ipers

• IPERS
• IPERS forms

Payroll

• Payroll Guidelines
• Deduction Authorization Form (contributing to Indianola Community 501(c)3 nonprofit organizations)
• Direct Deposit Form (changes in banking information)
• How to Read Your Paystub
• Payroll Schedule
• Time Card (manual Time Card)
• Time Clock Agreement
• Time Clock Plus
• TimeClock Plus (supervisor link)

Tax Forms

• Federal W4 2013 form
• State of Iowa W4 2013 form

Workers comp Injury

• Workers Comp Injury Reports
• Employee report
• Supervisors instructions
• Supervisor Report
• Physician Authorization form (to be signed by supervisor & taken to Mercy Clinic)
• Health care provider form (to be completed by health care provider and returned to Central Office as well as EMC Insurance)