Employees should complete this form when requesting a leave of absence for more than nine consecutive days. Employee's and Principal's signature is required. Form should be submitted to the Benefits Coordinator preferrable 60 days in advance for all foreseeable leaves.
The attending physician must complete this form for all employee medical leaves including disabilities and leaves to care for immediate family members. This form must be submitted to the Benefits Coordinator with the B-1 Leave Request Form. Timeline for submitting this form is the same as the B-1 noted above.
This form is to be completed when an employee wishes to apply for voluntary shared leave (where co-workers donate leave days to the employee). The B-1 & B-2 forms must accompany this application. The completed forms should be submitted to the Benefits Coordinator. The timeline for submitting this paperwork is the same as the B-1 form noted above.
This form is to be completed only by employees who wish to donate leave days to a co-worker approved to receive Voluntary Shared Leave. Employees who donate leave must be in a position which currently earns leave days. This form should be submitted to their bookkeeper/lead secretary as soon as possible.
This form is used for the term life insurance coverage offered by Caldwell County Schools. By completing this form employees can add or remove dependents from their policy (some restrictions apply). Once this form is completed, please submit it to the Benefits Coordinator in Human Resource Services.
This form can only be used once an employee has resigned their position with Caldwell County Schools and wishes to withdraw their retirement money. Please note once money is withdrawn, the service time and all future benefits are forfeited (insurance benefits, entitlement to future retirement checks, etc.).