Enrollment Forms

• Flexible Spending Account - Healthcare/Dependent Care
• Flexible Spending Account - Healthcare/Dependent Care Limited Purpose
• Life/AD&D, Long Term Disability - Greenland School District
• Life/AD&D, Long Term Disability - New Castle School District
• Life/AD&D, Long Term Disability - Newington School District
• Life/AD&D, Long Term Disability - Rye School District/Certified Staff
• Life/AD&D, Long Term Disability - Rye School District/Support Staff
• Life/AD&D, Long Term Disability - Central Office
• Medical and/or Dental Application and Change Form
• New Hampshire Retirement System (NHRS) Enrollment Form
• NHRS Designation of Death Beneficiary(ies) Pre-Retirement
• NHRS Death Benefits Designation of a Trust as Beneficiary

Employee Forms (* Denotes Forms Which Must be Completed by all New Hires)

• Change of Address Form - HealthTrust
• Change of Address Form - NHRS
• Criminal History Record Release Form and Livescan Sites *
• Direct Deposit Form
• 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 *
• Permanent Record Card *
• Potassium Iodide Application (Not applicable to Newington School District) *
• W-4 Federal Form *
• W-4 Maine Form (If applicable) *

Administrator Forms

• Employee Payroll Form
• Recommendation to Employ