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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
Lifetime Benefit Solutions (LBS) Flexible Spending
Customer Service:  800-327-7130
Authorization Form to Share Information LBS Dependent Care Form
Excellus Health Insurance Enrollment Form LBS Unreimbursed Medical Reimbursement Form
Excellus Medical Reimbursement Form  
   
OMNI - Tax Shelter Annuity (403B)
(see links below)
Lifetime Benefit Solutions (LBS) Dental Insurance
Customer Service:  315-671-9812
  LBS Dental Insurance Enrollment Form
  LBS Dental Insurance Claim Form
  LBS Student Verification Form
 


 
PAYROLL FORMS RETIREMENT (TRS)
2017 IT-2014 TRS Application for Membership
2017 W-4 TRS Change of Name and Address
Direct Deposit Form TRS Designation of Beneficiary
  TRS Prior Service Verification
   
MISCELLANEOUS FORMS RETIREMENT (ERS)
Mileage Claim Form ERS Application for Membership
  ERS Change of Name
  ERS Change of Address
  ERS Designation of Beneficiary
  ERS Loan Application - Tiers 1 & 2
  ERS Loan Application - Tiers 3-6
   
Links


DISTRICT

OUR SCHOOLS




Dr. Alice Kendrick, Superintendent

P.O. Box 606
DeWitt, NY 13214

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


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