• Payroll Timesheet
• Opt Out of Email Notification of Direct Deposit

 2022-2023 Payroll and Calendar

• Payroll Schedule 2022-23 Fiscal School Year
• School Calendar 2022-2023 (Single Page)

2023-2024 School Calendar

Employee Information:

Employee Badge Change Request Form

• Unemployment Fraud Notice ***
• K12 Employee Information Form
• Health and Dependent Care Benefit Information
• Healthcare Account Reimbursement Form
• Flexible Spending Account -FSA- Enrollment Form
• Cancer Screening Form
• Aflac Information
  
• Employee Change of Name/Address Form (for CHUFSD)
• Vacation Buy Back Request Form
  
  
• Civil Service Application
  
  
• NYS (ERS) Employee Retirement System Change of Address Form
• NYS (ERS) Employee Retirement Retirement System Death Benefit (Beneficiary)
• NYS (ERS) Beneficiaries Change Form
  
  
• NYS (TRS) Teacher Retirement System NAME/ADDRESS CHANGE FORM
• NYS (TRS) Prior Service Verification
• NYS (TRS) Prior Service Claim
  
  
• NYC to NYS (TRS) Membership Transfer Form
• Sunmark Payroll Change Form

• Requisition Form 2022-2023
• Requisition Form 2023-2024*
• New Vendor Fillable Form
• Vendor Quote Worksheet
• Request a PO Increase Form

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• Expense Reimbursement-Claim Form
  

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• Request for Reassignment of Appropriation Transfer Funds Form

Employee Packet (for printing purposes only)

The completion of the following forms is mandatory and must be returned to Risa.Ross@chufsd.org 914-271-4713 ext. 4210.

*The links below are PDF Fill-In-Forms*

• Employee Payroll Data Sheet
• Form I-9, Employment Eligibility Verification(Must bring 2 original ID's to the District Office. See a list of Acceptable Documents on page 3)
• 2023 Form W-4 Federal Tax Withholding
• 2023 Form IT 2104 State Tax Withholding
• OMNI 403(b) New Hire Information Packet
• OMNI 403(b) Universal Availability Notice
• OMNI Group (Optional)-Salary Reduction Agreement Form 403b
• EEO-5 Self Identification to Report
• Direct Deposit
• Retirement Acceptance/Declination Form
• NYS (ERS) Employees Retirement System Form
  (Mandatory for 12 month full-time civil service positions-optional for part-time employees)
• NYS (ERS) Employee Retirement Retirement System Death Benefit (Beneficiary)*
• NYS (TRS) Teachers Retirement System Form 
  (Mandatory for full-time teachers and leave replacements working through End of the Year -Optional for Part time Teachers
• New Employee Additional Information Form
• Rates of Pay Acknowledgement Form
• Rates of Pay 2022-2023
• Acceptable Use Policy 
  For all users of District computers/electronic/digital devices and internet.
  
  • 4526-E.1 Acceptable Use Contract
• Approved Calendar from Superintendent of Schools
  • School Calendar 2022-2023 (Single Page)
  • School Calendar 2023-2024 (Single Page)
  • Payroll Schedule 2022-2023 Fiscal School Year
  • Payroll Schedule 2023-2024 Fiscal School Year
• Health Insurance Declination 2023-2024 (for eligible employees only)
• Flexible Spending Account -FSA- Enrollment Form
• Health Insurance Memo/Questionnaire 2023-2024 - Aides, monitor, all substitutes
• Health Insurance Memo/Questionnaire 2023-2024 - Bus Drivers and bus attendants
• Health Insurance Memo/Questionnaire 2023-2024 - Bus Dispatchers

• K12 Employee Information Form

Human Resources

The Croton-Harmon School District embraces diversity in our workplace and in our schools. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. The more inclusive we are, the better we will be.  All available employment opportunities within our district can be found on our 
Online Application System -https://www.olasjobs.org/CrotonHarmonUFSD

• OLAS Employment Application
• OLAS Certified Employment Application