District Employee Information & Forms

By Shrader, Amy

Web Link login

• Certified Staff please complete Leave Requests in WebLink 

  • ​Click HERE for instructions

• Classified Staff time clock website: tmsConneXion

  • Please submit leave requests on the website.
  • Employee Kiosk

• Accident Report Forms

  • Accident Investigation Report-SUPERVISOR (Employee Accident Only)
  • Accident Incident Report-EMPLOYEE
  • Accident Report Form-STUDENT

• Flex Plan- FSA & HSA Accounts

• •  American Fidelity
    • Insurance Claims: How to File an Insurance Claim | American Fidelity
    • Health Savings Account information: File an HSA Claim | American Fidelity
    • Flexible Spending reimbursement information: File an FSA Claim | American Fidelity
    • Dependent Care reimbursement information: File a DCA Claim | American Fidelity

• Blue Cross/Blue Shield of Nebraska Insurance Information/Links​

  • MyBlue Flyer: View your plan information & claims on the mynebraskablue.com website 

    • myblue » Home (nebraskablue.com)

  • MyEHA App Flyer

  • High Deductible Health Plan with HSA Information Sheet

    • 2023-2024 $1,200 Deductible EHA Health, Prescription & Dental Information Sheet

    • 2023-2024 $3,800 Deductible EHA Health, Prescription & Dental Summary Sheet

  • Blue Cross/Blue Shield Telehealth Services Brochure

  • Identity Protection Services Flyer

• Payroll & Benefits Information/Links

  • Vision Insurance Information:​
    • Eye Care Highlight Sheet
    • VSP Eyecare Provider List
    • ​VSP Certificate of Coverage
  • Identity Theft Assistance Information provided by Madison National Insurance
  • Life Insurance Certificates of Coverage
    • Employees
    • Retirees

  • 403(b) Flyer

    • 403(b) Presentation

  • Long Term Disability Certificates of Coverage

    • Administrators
    • Teachers
    • Clerical/Custodial

• Other Forms/INFO

  • District Expense Report
  • In-District Mileage Reimbursement Form
  • Out of District Mileage Reimbursement Form
  • Fund-Raising Form
  • Graduate Hour Form
  • Pre-Observation Inventory
  • Professional Growth Activity Form
  • Policies & Procedures for Observation & Evaluation
  • FMLA Information
  • Teacher Extended Contract Reporting From