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Staff Resources

The Staff Resources portion of the Jamesville-DeWitt Central School District web page provides a variety of resources and general information for all Jamesville-DeWitt employees. 

EMPLOYEE BENEFITS
 
Excellus Health Insurance
Customer Service:  877-253-4797

Get the  Excellus Mobile App 
 
   
Authorization Form to Share Information  
Excellus Health Insurance Enrollment Form  
Excellus Medical Reimbursement Form  
   
Excellus BCBS Dential Blue Options
Customer Service:  800-724-1675
 
   
Excellus Dental Insurance Enrollment Form  
Excellus Dental Claim Form   
   
OMNI - Tax Shelter Annuity (403B)
(see links below)
 
 


 
PAYROLL DOCUMENTS RETIREMENT (TRS)
 
2019 IT-2104
TRS Application for Membership
2019 W-4 TRS Change of Name and Address
Direct Deposit Form TRS Designation of Beneficiary
2019-2020 Payroll Schedule TRS Prior Service Verification
   
MISCELLANEOUS FORMS RETIREMENT (ERS)
Mileage Claim Form 2019  ERS Application for Membership
  ERS Change of Name
WINCAP WEB ERS Change of Address
  ERS Designation of Beneficiary
  ERS Loan Application - Tiers 1 & 2
  ERS Loan Application - Tiers 3-6
 

SEXUAL HARASSMENT REPORTING FORM
Complaint Form for Reporting Sexual Harassment 

GMAIL CONVERSION INFORMATION
GMAIL Conversion Information
 
Links

Payroll/Retirement

DISTRICT

OUR SCHOOLS




Dr. Peter Smith, Superintendent

P.O. Box 606
DeWitt, NY 13214

Phone: (315) 445-8300
www.jamesvilledewitt.org


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