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Employee Links and Forms

Families First Coronavirus Response Act (FFCRA) - Employee Rights (effective 4/1/2020)

Sub Finder link

blue cross blue shield nebraska
Educators Health Alliance logo

BCBS Enrollment Guide - video and resources to decide on your insurance plan
BCBS ENROLLMENT FORM (Health/Dental Insurance)
BCBS Overview of EHA Healthcare, Prescription Drug, and Dental Benefits (effective 09/01/2019) TeleHealth flyer
myBlue flyer

myBlue Logo

VSP logo
VSP Vision Insurance Benefit Summary

I-VISIONS Employee Self-Service (ESS) Portal

Nebraska Retirement System (NPERS)  



Forms in Alphabetical Order
2021 W-4 Federal Form - Please fill out form and return to Human Resources or Payroll (must also fill out W-4 Nebraska Form)
2021 W-4 Nebraska Form - Please fill out form and return to Human Resources or Payroll (mus also fill out W-4 Federal Form)
Annuity (403B) Form-Must be filled out online.Directions to navigate the site.Please direct questions to Payroll: 402-461-7500 or email

Beneficiary Form for Retirement- (PDF) - Complete and get notarized and then forward to Human Resources. 
rev. 07/2020

Course Approval Form - (pdf) - Complete and forward to the Superintendent's Office
Direct Deposit Form - for security purposes, if you wish to change your direct deposit information please contact Human Resources Office
Mileage Claim Form you can fill this out and download it, then Send to jeff.schneider at

Salary Schedule for Certificated Staff 2019-2020
Sick Leave Bank Application (Certificated & Classified)
Time Sheet - Classified/Hourly - Complete and return to Payroll
Time Sheet- Interpreter Complete and return to Payroll