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)
2020 IT-2104	TRS Application for Membership
2020 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

Employees' Retirement System
Excellus Website
OMNI Employee Link to Forms
OMNI Website
Teachers' Retirement System
WinCap Web

Payroll/Retirement

2019-2020 Payroll Schedule