Staff Forms

Direct Deposit Form

State Tax Form

W4 Form

I9 Form

Health Savings Account

Sick Bank Application

Sick Bank Request Form

Teacher's Experience Record

FMLA Employee Guide

FMLA Fact Sheet

FMLA Form 4358-FMLA

FMLA Eligibility and Procedures

Mileage Claim

Bar Cons Federal Credit Union

Additional Duty Pay

Advance Travel Request

Anthem Dental Information

VSP Vision Insurance - Base Plan

VSP Vision Insurance - Premier Plan

Anthem Medical Plan - Option E2

Anthem Medical Plan - Option E5

If you are interested in participating in a 403(b) retirement plan please feel free to contact one of our approved providers. Once you contact one of the providers and choose to participate in the 403(b) retirement plan the provider will then have you complete a salary reduction agreement form which the provider will then fax to Flat Rock-Hawcreek for us to process your deduction (deductions are processed on 24 pays).

If you choose to participate please know that the 403(b) is 100% funded by the employee. Flat Rock-Hawcreek does not match any dollar amounts you deposit.

403(b) Approved Provider List