Payroll Forms
Change In Personnel Records
Direct Deposit Form
2011 Federal Withholding W-4 Form
2011 NYS Employee Withholding IT-2104 Form
Dental Information
Dental Insurance Rates
Dental Plan Explanation
Self Insured Dental Providers
Self Insured Dental Plan - Non Teachers
Dental Plan Fee Schedule
J.J. Stanis Claim Form
Self Insured Dental Plan - Teachers / Clerical/SSSU
Self Insured Orthodontic Allowance
Self Insured Orthodontic
Dentcare Plan and Providers
Student Status Information Request
TSA Information
Omni Group for Updating or Starting a 403b Plan
AFLAC
Cancer Insurance Document
Flex ONE
Request for Reimbursement
AFLAC Brochure (3Mb)
Benefits Rider (1Mb)
Purchasing Office
Purchasing General Information
Open Enrollment 2011
Health Insurance Open Enrollment
Proof of Dependent Eligibility
Open Enrollment Excess Major Medical and Vision
Dental Open Enrollment
Waiver Option Open Enrollment
Health Insurance
NYSHIP Memo: Adult Children to age 26
Group Excess Major Medical Form
NYSHIP Empire Plan Claim Form (Out of Network)
Blue Choice HMO Website
NYSHIP Empire Plan Website
New Hire Generic Waiver
Pharmacy Reimbursement Claim Form
Medco by Mail Form
Medco Allergy Questionnaire
Vision
Davis Vision
Vision Claim Form
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Mr. Bruce Singer Mr. Ronald Sacks Jennifer Ayala Catherine Nocco Sachem Central School District Please click the link below for specific contact information. |
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