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Health/Safety Concern Report Form

Mileage, Vehicle Request & Conference Forms

• Mileage chart to component schools
• Vehicle Request Form
• ISC Conference Room Request Form

CVES Employees

• 2021 Mileage and Travel Reimbursement Form for Employees (for travel conducted after Jan. 1, 2021)
• 2022 Mileage & Travel Reimbursement Form for Employees (for travel after Jan. 1, 2022)
• 2022 Fill-in Employee Conference Request Form 
• 6830 Expense Reimbursement Policy for Employees
• 6830R Expense Reimbursement Reg for Employees

CVES Board Members

• 2022 Mileage and Travel Reimbursement Form for Board Members (for travel conducted after Jan. 1, 2022)
• 2521R School Board Conferences Workshops Regulations

Federal & State Withholding Forms:

• IRS Form W-4, Employee’s Withholding Allowance Certificate
• NYS IT-2104, Employee’s Withholding Allowance Certificate

Guardian Dental & Vision

• https://www.guardiananytime.com/
• Member Guardian Anytime Instructions
• 2021-22 Guardian Benefit Summary 
• 2021-22 Guardian Enrollment-Cancellation Form (Dental/Vision)
• Beneficiary Designation/Change Form

Omni Group

• OMNI Updates 4th Quarter 2020 
• Tax Sheltered Annuities (IRS 403(B) Plans)
• SRA Forms Announcement Memo (5/20/2011)
• 403b Salary Reduction SRA Form (5/20/2011)
• 457 Salary Reduction SRA Form (5/20/2011)
• 457 – NYS Deferred Compensation Plan Comparison Chart 
• 457 – NYS Deferred Compensation Plan Fact Sheet 
• 403(b) Universal Availability Notice-September 2020
• 403b Why Me?

Payroll & Timesheets

• Direct Deposit Authorization Form
• Authorization to Deactivate Direct Deposit Form
• Timesheet Approval Form 2018-07-16
• 2021-2022 Payroll Schedule for Timesheets
• Procedures for Completion of Timesheets – revised 04/2019

PGP Flex Spending Forms

• PG Plus website
• PG Plus Login   || Login Instructions
• Flexible Spending Plan Brochure
• Over-the-Counter Changes
• 2021-2022 School Year PG Plus FSA Enrollment Form
• Direct Deposit Form
• Benefit Card Request Form
• Flexible Spending Plan Reimbursement Voucher
• HRA Reimbursement Voucher
• CEWW Admin.-Managerial HRA Q+A for Participants-7-1-2016
• CEWW Teacher HRA Q+A for Participants-7-1-2016

Retirement Information

• NYSLRS Retirement Video  – YouTube
• NYSLRS Facebook page
• Retirement Online Factsheet
• https://www.nystrs.org/
• https://secure.nystrs.org/SMA/Security/Logon.aspx?default_deny
• https://www.nystrs.org/Library/Videos/Member-Information/MyNYSTRS-Your-Information-on-Your-Schedule
• https://www.nystrs.org/retirement-planning