Forms

Bus Evacuation Form

Direct Deposit Authorization for ACH 

Fundraising Application

Insurance/Benefits

ARBenefits Login (open in Chrome Browser)

Health Enrollment Form (Group#: 042305)

Health Spouse Affidavit

EAP – Employee Assistance Program

Health Rates 2022 with Wellness

Health Rates 2022 without Wellness

Health Plans Summary 2022

Colonial Life Enrollment

Dental and Vision Enrollment Packet

Delta Dental Benefits-Rates

BCBS VSP Vision Benefits-Rates

EBi (Educational benefits)  NEW

   EBi  questions: 1-844-559-3521
   There is an APP for Mayflower School District EBi benefits offered. 
(Instructions for this can be found on the NEW EBi link.)

EBi Claim Forms

USAble Wellness Benefits Form

Guardian Cancer Wellness Form

Lincoln Short Term Disability/ STD Benefit Claim Form

The above forms and other claim forms can also be found on the NEW EBi link,

  • see “My Benefits”  | choose benefit |then look under Plan Documents

     

Annuities
AIG/VALIC - 403(b),457(b)

Payroll Tax Withholding Forms

W4 – Federal

AR4EC – State 

Purchase Order

Link downloads Excel file. Open, fill in all info and print.

Reimbursement

Download file and then open to view/edit properly.

Return Ordered Merchandise
Salary Advancement Form
Sick Leave Bank Enrollment Form
Sick Leave Bank Request 

Teacher Licensure

Before Oct 1:

Inventory

New Inventory

Relocate Inventory

Delete Inventory

Time Sheet (Classified Employees)

Time Sheet (Classified - Google)