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Administrative Internship Proposals to Cabinet:


APPR - Annual Professional Performance Review (revised 1/2019)

APPR Plan for Teachers Covered by 3012-d (2018-19)

APPR Plan for Adult Ed. Teachers, Teaching Assistants and Related Service Providers (2018-19)

APPR - Plan for Administrators

Teaching Assistant Evaluation Reference Guide

Pre-Conference Form for Teaching Assistants

Teaching Assistant Observation/Evaluation Form

Post-Conference Form for Teaching Assistants

Pre-Conference Form for Teachers

Post-Conference Form for Teachers

Teachers not covered by 3012-c Rubric

Pre-Conference Form for Related Service Providers

Related Service Providers Observation/Evaluation Form

Post-Conference Form for Related Service Providers

Adult Education Rubric

NYSUT Professional Practice Rubric  

Professional Improvement Plan

Action Research Plan
Learning Group Plan
Portfolio Plan

Annualized Salary Election Form (revised 5/24/2010)
Bargaining Unit Contracts:
  • COMBO (7/1/2018-6/30/2021)
Cancer Screening - Submission of a form and back up is no longer required effective immediately.  Please be sure to enter the 1/2 day in WinCapWeb under Breast/Prostate Screening.
Civil Service Form(s) (Onondaga County Department of Personnel)
Dental Insurance Enrollment Information - (Open enrollment annually during the month of December)  Contact Tammy Jones, 433-2632 or with regard to any questions or changes to your coverage.
Direct Deposit Form (Go to OCM BOCES only/Forms)
Discrimination Procedure
Employment Application
Employee Leave Request  (Revised 04/10/2017)  This form is to be used to request Unpaid Leave Days, Military Leave Days and Workers' Compensation Absences only.  Requests for Sick Bank Days requires use of the Sick Leave Bank Withdrawal Application (see below).  All other absences must be entered in the WinCapWeb Attendance System.
Employment Needs Form
Employee Recognition Form - To recommend an employee or employees for the quarterly Employee Recognition Luncheon
Employment Recommendation Forms:
Evaluation Form - Non-Instructional Employees
Evaluation Form - Operations and Maintanence
Family and Medical Leave Request
Flex Benefit Reimbursement Claim Form
(Benefit Resource, Inc. - website address

Fringe Benefit Summary Sheets

Classified/Non-Instructional Appointments
Teaching/Instructional Appointments
Mid-Level Administrative Appointments
Non-Affiliated Appointments
Non-Represented Administrative Employees

Graduate/Undergraduate/Inservice Credit Salary Adjustment
Health Insurance Enrollment Information - (Open enrollment available annually during the month of December)  Contact Tammy Jones, 433-2632 or with regard to any questions or changes to your coverage.
Health and Safety Report
Job II Form (Rev 01/24/17) 
New Position Duties Statement  (fill in)
Part Time Employee Weekly Work Schedule
Part Time Hourly Pay Schedule  
This schedule includes the following hourly rate schedules:
                            Part Time
                            Job II
                            Substitute Pay Rates
                            Adult Continuing Education (short-term and part time)
                            Clinical Instructors

Personnel Change Form (revised 04/10/2017)  Please note, this form is not required for address changes if you have a WinCapWeb account.  Address and phone number changes can be done directly in WinCapWeb.
Position Requisition (revised 05/09/2017)
Recruitment Request Form
Reimbursement Claim Form (Go to OCM BOCES only/Forms)
Reference Check Form

Reference Check Tips

Reference Release Form
Request for Approval of Course(s) for In-Service Credit
Salary Recommendation Forms

2019-2020 Salary -  Teacher/Instructional Salary Recommendation forms 
                                  (all fill-in forms):

            19-20 School Psychologist, School Audiologist, OT, PT Salary Rec.

            19-20 OTA, PTA Salary Rec

            19-20 School Nurse Salary Rec

            19-20 TA Salary Rec

            19-20 TA-Interpreter Salary Rec

            19-20 Teacher, Speech Therapist, School Social Worker, Guidance Counselor, School Library,      Media Specialist Salary Rec

            19-20  New Employee Salary Schedule

Salary - COMBO Schedule

COMBO Job Titles and Salary Grades (effective 04/26/2019)

COMBO 2019-2020 Salary Schedule (effective 07/01/2019)

School Improvement/Model Schools Teacher Stipend:

School Improvement Teacher Stipend - Employee Data/Record of Time Worked

Sexual Harassment Complaint Form
Sexual Harassment Appeal Form
Sick Leave Bank Withdrawal Application
Student Teacher/Intern/Volunteer Request for Approval
Subservice Registration Forms:

Subservice:  Substitute Form

Subservice:  Teacher Form
Tenure Recommendation
Time Sheet (Go To OCM BOCES only/Forms)
W-4 Forms: Federal / State (revised links 01/08/2019)  Employees with WinCapWeb accounts can change these online through their WinCapWeb profile.  Go to Employee Deductions once you log in to your WinCapWeb account.  
Workers' Compensation Accident/Injury/Occupational Illness Report Form (fill in form).   Please note the employee must sign off on both the accident report and the instructions page.  Forms returned without both signatures will be returned to the employee for completion.

Worker's Compensation Carrier Information - to be supplied to any doctor/treatment facility if you are treated for an injury.  Be sure to contact the Personnel Department to notify them if you go for treatment other than the school nurse.

NCA Comp Inc.
14 LaFayette Square, Suite 700
Buffalo, NY  14203




ocm boces

Christopher J. Todd
Interim District Superintendent

PO Box 4754
Syracuse, NY 13221
(315) 433-2600

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