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Le Roy Central
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COMMEMORATION GUIDELINES Le Roy Central School District
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Forms Forum
Periodically faculty and staff need copies of the various forms used by district office staff to track payroll. Use the links, located at the bottom of this page, to download and print the forms as needed.
GAHP Enrollment Form
GAHP Enrollment Form Fillable
Davis Vision Enrollment form
2023-24 GAHP PPO Benefit Booklet
2023-24 GAHP PPO D-2 Benefit Booklet
2023-24 GAHP Dental Benefit Booklet
2023-24 In Network PPO & D-2 Comparison
2023-24 Out of Network PPO & D-2 Comparison
Blue 365 Flyer
Fitness Your Way Blue 365
Wellframe
Memo to Accompany Summary of Benefits
Web-GAHP Over 65 PPO with RX SBC 23-24
Web-GAHP Under 65 PPO with RX SBC 23-24
Web-GAHP Over 65 PPO without RX SBC 23-24
Web-GAHP Under 65 PPO without RX SBC 23-24
Web-GAHP Over 65 D2 with RX SBC 23-24
Web-GAHP Under 65 D2 with RX SBC 23-24
Web-GAHP Over 65 D2 without RX SBC 23-24
Web-GAHP Under 65 D2 without RX SBC 23-24
Flexible Benefits Medical Care Expense Claim Form
Name or Address Change Notification
EmergencyContact
Personal Absence (new)
403 (b) FAQs
Flexible Benefits Dependent Care Claim Form
403 b Omni Enrollment Form
403 b TSA Vendors Listing Feb 2022
Vendor Information Letter September 20, 2022
Vendor Information Worksheet September 20, 2022
Form W-9 (Rev. Oct. 2018)
2023 NYS IT 2104 State Withholding Form
2023 W4 Federal Withholding Form
Direct Deposit Form (fillable, updated 3.23.23)
Project Request
Request to Unblock Site
Request for Removal of Obsolete Equipment/Supplies (Non-Technology)
Le Roy CSD Accident Report Form
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Schooltool
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Frontline Education (My Learning Plan)
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i-Ready
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Office of Instruction
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Forms Forum
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Edlio Login
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My Learning Plan
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TEACH online services
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eDoctrina
Sexual Harassment Policies and Claim Form
Wolcott Street School
Le Roy Junior-Senior High School