Employee Forms

(Click on form to print in pdf format)

Sick/Vacation/Personal Leave Form (Revised 11/02/07)
Professional Meeting Leave Request Form
Purchase Order Requisition Form
Travel Expense Form (Please note: Effective Jan. 1, 2008, the mileage reimbursment rate is 50 cents per mile)
Hourly Time Sheet
Daily Time Sheet
Substitute Teacher/Aide Time Sheet
Direct Deposit Enrollment
Employment Authorization Form
Municipal Income Tax Form
Employees Withholding Form (W-4) Federal
Employee Withholding Form (IT-4) State
Fringe-in-Lieu Reimbursement Form Letter
Injury Report
Injury Report Instructions
Prescription Refill Form
Salary Reduction Agreement
Technology Staff AUP


To obtain Vision Claim Forms and Instructions
Go to www.visplus.com. Select "customers". Select "Order Claim Form" (Forms should be requested at least five days prior to your appointment)

To obtain Medical Claim Forms and Dental Claim Forms
Contact the Delaware-Union ESC Treasurer's Office




Last modified: January 08, 2008.