Welcome to the St. Croix Central Website
St Croix Central School
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      • Application Forms
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    • Facilities and Sites >
      • 2012-2013 Facility Investment Project
      • Phase 1 - School year 2012-13
      • Phase 2 - Summer 2013
      • Energy Project Measurement
      • Process
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        • Family Access - Acct 'Payors' Use Me
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      • Bus Route Change Form
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      • Elementary Homeschooling >
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We are pleased to welcome you to the new HR Self-Service page which allows you to access many of the employee forms with:

  • The convenience of anytime, anywhere access
  • Speed of immediate access to forms
  • Ownership and responsibility of updating personal data

Forms

Please click on the form that you wish to access. Depending on the type of form selected choose to:

  •  print the form and fill out by hand
  •  fill out the form on-line and print

Send the form via inter-office mail to the SCC District Office or mail to: SCC District Office, P.O. Box 118, Hammond, WI 54015.

Sections

  • Health Insurance - Medica
  • Dental Insurance - WEA
  • Life Insurance - WEA
  • Vision Insurance - EPIC
  • Disability Insurance - EPIC
  • Flexible Spending Accounts - EBC Flex Plan
  • Payroll Information
  • Retirement
  • Other - PO Directions, Meal Reimbursement, United Way
  Health Insurance - Medica
2013 Medica Open Enrollment Presentation
2013: $1,500/$3,000 Deductible Medica Health Insurance Grid
2013: $250/$500 Deductible Medica Health Insurance Grid
2013: Option Plan (Cash-in-Lieu of Health Insurance) Grid
2012: $1,500/$3,000 Deductible Medica Health Insurance Grid
2012: $250/$500 Deductible Medica Health Insurance Grid
2012: Option Plan (Cash-in-Lieu of Health Insurance) Grid
Medica Health Insurance Website
Medica Optum Employee Assistance Program
Medica - Preventative Care Tips
2013 HSA (Health Savings Account) Contribution Form
2012 HSA Education PowerPoint
This PowerPoint answers many questions regarding your HSA and Medica health insurance benefits. Click on the link to play the PowerPoint. It last about 16 minutes.
2012 HSA Education PowerPoint -- In PDF form with notes
This PowerPoint answers many questions regarding your HSA and Medica health insurance benefits.
2012 HSA (Health Savings Account) Contribution Form
  Dental Insurance, Life Insurance - WEA
Dental Insurance Benefit Summary
WEA Dental Insurance Website
WEA Life Insurance Website
  Vision Insurance, Disability Insurance - EPIC
Vision Insurance Comparison Sheet
EPIC Vision Insurance Website
Long Term Disability Flyer
Short Term Disability Flyer - Optional
EPIC Long Term Disability and Short Term Disability Website
Employee Assistance Program by EPIC
  Flexible Spending Accounts (FSA) - EBC Flex Plan
EBC Flex Plan Answer Book
EBC Website Link for Forms
Click on the Quick Forms link at the top of the page in the green bar for claim forms.
  Payroll Information -- Salary Schedule, Credit Forms, Direct Deposit, Taxes
Credit Approval Form - For Graduate Credit
Please use this form when participating in a Book Study to receive graduate credit and move across the salary schedule.
Credit Approval Form - In District Credit for Lane Change
Please use this form when participating in a Book Study to move across the salary schedule only.
Direct Deposit Form
Pay Schedule for Extra-Curricular Assignments
2013 W-4 Federal/State Employee's Withholding Allowance Form
  Retirement
Wisconsin Retirement System Information and Forms Website
403B Option 1 -- WEA Trust Retirement and Investment Services
1-800-279-4030
WEA 403B Website Link
WEA TSA Application - For First-Time Accounts
WEA 403B Retirement Savings Plan Salary Reduction Form
403B Option 2 -- The Standard
Tony Zantua (J. A. Counter and Associates) at tzantua@jacounter.com or 1-800-334-9252.
The Standard 403B Website Link
The Standard 403B Enrollment Form
The Standard 403B Retirement Salary Reduction Agreement
  Other District Forms and Information
Purchase Requisitions Power Point
Purchase Order Receiving Power Point
Meal Reimbursement Form - Staff
Please use this form when requesting reimbursement for meals while on school business. Attach receipts to this form.
Meal Reimbursement Form - Student
Please use this form when requesting reimbursement for meals while on school business. Attach receipts to this form.
United Way-St. Croix Valley
Last Updated: 4/17/13
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St. Croix Central Schools
P.O. Box 118
1295 Vine Street
Hammond, WI 54015
Phone: 715-796-2256
Fax: 715-796-2460

jsanders@scc.k12.wi.us

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