Employee Forms

EMPLOYEE FORMS
Change of Address Form - HealthTrust
Change of Address Form - NHRS
Direct Deposit Form
W-4 Federal Form
W-4 Maine Form

NEW HIRE FORMS
Criminal History Record Release Form and Livescan Sites
Direct Deposit Form
Permanent Record Card
Fitness for Duty Form
I-9 Employment Eligibility Verification Form
I-9 Instructions 
NHRS Attestation of Eligibility Form (For employees not eligible to participate in NHRS)
Pay Option Form for Certified Staff at Greenland Central School
Pay Option Form for Certified Staff at Maude H. Trefethen School
Pay Option Form for Certified Staff at Newington Public School
Pay Option Form for Certified Staff at Rye School District
Pay Option Form for Support Staff at Rye School District
Potassium Iodide Application (Not applicable to Newington School District)
W-4 Federal Form
W-4 Maine Form (If applicable)


ENROLLMENT FORMS
HealthTrust Flexible Benefits Plan
HealthTrust Flexible Benefits Plan Limited Purpose
HealthTrust Medical and/or Dental Application and Change Form
Lincoln Financial - Greenland School District
Lincoln Financial - New Castle School District
Lincoln Financial - Newington School District
Lincoln Financial - Rye School District/Certified Staff
Lincoln Financial - Rye School District/Support Staff
Lincoln Financial - Central Office
NHRS Designation of Death Beneficiary(ies) Pre-Retirement
NHRS Death Benefits Designation of a Trust as Beneficiary
NHRS Member Information/Enrollment Form

FLEXIBLE BENEFITS PLAN ENROLLMENT FORMS
Greenland - Full
Greenland - Limited
New Castle - Full
New Castle - Limited
Newington - Full
SAU 50 - Full
SAU 50 - Limited




ADMINISTRATOR FORMS
Employee Payroll Form
Recommendation to Employ
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