Forms
Administrative Internship Proposals to Cabinet: |
APPR - Annual Professional Performance Review (Revised 1/2019)
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Annualized Salary Election Form (Revised 03/11/2020) |
Bargaining Unit Contracts:
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Cancer Screening - Please be sure to enter your time in WinCapWeb as hours under cancer screening with the time frame noted in the Employee Comment section (i.e.: 1-3 hours) |
Civil Service Form(s) (Onondaga County Department of Personnel) |
Dental Insurance Enrollment Information - (Open enrollment annually during the month of December) Contact Shannon Spadafora, at 315-433-2632 or sspadafora@ocmboces.org 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 02/14/2023). This form is to be used to request Unpaid Leave Days, Military Leave Days, and Workers' Compensation Absences only. Requests for Sick Bank Days require the 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:
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Evaluation Form - Non-Instructional Employees |
Evaluation Form - Operations and Maintenance |
Family and Medical Leave Request Family Medical Leave Plus/Emergency Paid Sick Leave |
(Benefit Resource, Inc. - website address: benefitresource.com) |
Fringe Benefit Summary Sheets:
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Graduate/Undergraduate/Inservice Credit Salary Adjustment |
Health Insurance Enrollment Information - (Open enrollment is available annually during the month of December) Contact Shannon Spadafora, at 315-433-2632 or sspadafora@ocmboces.org with regard to any questions or changes to your coverage. |
Health and Safety Report |
Job II Form |
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 Please note, this form is not required to address changes if you have a WinCapWeb account. Address and phone number changes can be done directly in your WinCapWeb account. |
Position Requisition |
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
2023-2024 Salary - Teacher/Instructional Salary Recommendation Forms
2023-24 New Employee Salary Schedule 2023-24 School Psychologist, School Audiologist, OT, PT 2023-24 Occupational Therapist - Assistant, Physical Therapist - Assistant 2023-24 School Nurse 2023-24 Teaching Assistant 2023-24 Teaching Assistant - Interpreter 2023-24 Teacher, Speech Therapist, Social Worker, Guidance Counselor, Library Media Specialist |
Salary - COMBO Salary Schedule 2023-2024 COMBO Salary Schedule 2023-2024 COMBO Job Titles and Salary Grades |
School Improvement/Model Schools Teacher Stipend:
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Sick Leave Bank Withdrawal Application |
Student Teacher/Intern/Volunteer Request for Approval |
Subservice Registration Forms: Subservice: Substitute Form Subservice: Employee Form |
Summer School Rate Schedule (2023-24) Summer School Employment Recommendation (rev 8.7.23) Summer School Personnel Change/Job II Form (rev 8.7.23) |
Tax Forms: Federal (W-4)/ State (IT-2104). Employees with WinCapWeb accounts can change these online through their WinCapWeb profile. Go to Employee Deductions once you log in to your WinCapWeb account. |
Tenure Recommendation |
Time Sheet (Go To OCM BOCES only/Forms) |
Verification of Prior Service |
Workers' Compensation Accident/Injury/Occupational Illness Report Form (fill-in form). Updated: 07/25/2023 *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. Workers' Compensation Carrier Information - to be supplied to any doctor/treatment facility if you are treated for an injury. Be sure to contact Molly Lawson, Personnel Department at 315-433-2641 to notify them if you go for treatment other than the school nurse. NCA Comp Inc. 14 LaFayette Square, Suite 700 Buffalo, NY 14203 716-842-0045 |