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12465 Warwick Boulevard • Newport News, VA 23606 • Phone: (757) 591-4500

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HUMAN RESOURCES

Frank Labrecque
Executive Director

Greta Foster, Exec.Secretary
(757)881-5061, Option 9, x.11109
Fax (757)597-2967

BENEFITS

Human Resources Forms

AMERICANS WITH DISABILITIES ACT
Reasonable Accommodation Request - Form 1
Reasonable Accommodation Request - Form 2
Reasonable Accommodation Request Policy
FAMILY MEDICAL LEAVE ACT (FMLA)
Employee Rights and Responsibilities under FMLA
Request for Leave - FMLA
Certification of Health Care Provider for Employee's Serious Health Condition
Certification of Health Care Provider for Family Member's Serious Health Condition
Certification of Qualifying Exigency For Military Family Leave
Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave
EMPLOYMENT & OTHER H.R. FORMS
Job Content Guide
Job Content Questionnaire
Name / Address Change Form
Reference Check Form (by Telephone)
Request for Personal Leave/Vacation
Supplemental Pay Guide:
- Teaching Overload Request Form
- Special Duty Supplement Approval Form
FLEXIBLE SPENDING ACCOUNTS
Commonly Downloaded Forms
Qualifying Event Change Form

HEALTH INSURANCE
Student Status Form
LICENSURE
Licensure Request Form
Relicensure Report Form
LIFE INSURANCE
Minnesota Life Optional Life Insurance
Minnesota Life Notice of Claim VRS30 4-2004
Minnesota Life Beneficiary Statement
Prudential Group Life Claim Form
PAYROLL
NOTE: Payroll forms can be accessed by logging in to Employee Self Service.
PERFORMANCE ASSESSMENT
Central Office Performance Evaluation
School-Based Administrator Performance Assessment
Teacher Performance Assessment
WORKERS' COMPENSATION
NNPS Policy GBGD-P: Workers' Compensation
Workers' Compensation Policy Acknowledgement
Report of Occupational Injuries and Illnesses

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