HomeHomeHuman Resources


NYSUT Information Sheet

CSEA Information Sheet 

Harassment Training Document

Human Resources forms and links

403(b) forms & links
CSEA Vision Care Forms
Employee forms (teacher timesheet, mileage, expense, direct deposit, leave req.)
Health Insurance Forms and Links
Federal/State Tax forms
Life Insurance Form
PGP Flex Spending Plan forms & link
Policies & Information (Medicaid, HIPAA, Workers Comp.)

403(b) forms & links

Smart Choice 403(b) www.cpcfs.com
Smart Choice Enrollment Booklet
Smart Choice Universal Availability Notice 2019
OMNI www.omni403b.com
403 (b) Retirement Plan Document
403 (b) Salary Reduction Agreement
OMNI 403(b) Why me?
403 (b) Contribution Percentage Change Form
OMNI - 2019 Universal Availability Notice

Tax Forms

IT-2104 - NY State Tax - Employee’s Withholding Allowance Certificate
W-4 - Federal Tax - Employee’s Withholding Allowance Certificate
I-9 - Employment Eligibility Verification

Employee forms

WinCapWEB Employee Self Service
WinCapWEB Leave Request Instructions
Home Teacher Time Sheet
CSEA Timesheet
Teacher & Hourly Timesheet

Mileage Reimbursement Form
Employee Expense Claim Form
Direct Deposit (Adobe pdf fill-in form)
Notice of Employee Leave
Conference Request Form
STA Course Approval Form
Sick Bank Enrollment Form


PGP Flexible Spending Plan forms & link

PGP website www.thepreferredgroup.com
PGP Flexible Spending Plan Description
PGP Eligible and Ineligible Expenses
PGP Blank Flex Plan Enrollment Form
PGP Letter of Medical Necessity Form
"Benny" Card Request Form for Saranac CSD Employees
PGP Reimbursement Voucher
PGP Flex Direct Deposit Form

Health Insurance Forms & Links

CEWW Health Insurance
Excellus BC/BS website www.excellusbcbs.com
Excellus Application Form
Excellus Claim Form
Platinum Plan 1 Benefit Descriptions
Platinum Plan 2 Benefit Descriptions
Excellus Bronze Plan Benefit Descriptions
CHIP Notice
Dept. of Labor ACA Compliance Notices
Drug Evaluation Request Form
Excellus Plan 1 Insurance Cert
Excellus Plan 2 Insurance Cert

CEWW Plan 1 Classic Traditional Comparison to Classic Blue

CEWW Plan 2 Classic Traditional Comparison to Classic Blue



Life Insurance Form

Life Enrollment Form-Saranac CSD


Medicaid Compliance Policy
Medicaid Compliance Program
Appendix A - Confidential Disclosure Policy
Appendix B - NYS Medicaid Compliance Policy
New Employee Informational Packet
Worker's Compensation Information
HIPAA Notice

CSEA and NYSUT Vision Care Forms

CSEA Vision Employee Benefits Enrollment Form
CSEA Vision Care Benefits Description

Retirement System links

NYS Teachers’ Retirement System www.nystrs.org
NYS Employees’ Retirement System www.osc.state.ny.us/retire