Human Resources Forms & Information

Americans with Disabilities Act (ADA)

• Reasonable Accommodation Request - Form 1
• Reasonable Accommodation Request - Form 2
• Reasonable Accommodation Request Policy

Child Protective Services (CPS)

• CPS Intake Report
• Sample Employee Child Abuse Report

Family Medical Leave Act (FMLA)

• FMLA and Medical Absences at NNPS
• Employee Rights and Responsibilities under FMLA
• Request for Leave - FMLA
• Certification of Health Care Provider for Employee's Serious Health Condition
• Certification of Health Care Provider for Family Member's Serious Health Condition
• Certification of Qualifying Exigency For Military Family Leave
• Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave

Employment and Other HR Forms

• Name & Address Change Form
• Reference Check Form (by Telephone)
• Request for Personal Leave/Vacation
• Supplemental Pay Guide (Teaching Overload and Special Duty)

Flexible Spending Account (FSA)

• FSA Claim Form
• Qualifying Event Change Form

Health Insurance

• Student Status Form

Leave of Absence Options

• Leave of Absence Policy and Options

Licensure

• Licensure Request Form
• Application For License Renewal
• Administrative_Internship_Placement_Request Form

Life Insurance

• Minnesota Life Optional Life Insurance
• Minnesota Life Notice of Claim VRS30 4-2004
• Minnesota Life Beneficiary Statement

Payroll

• NOTE: Payroll forms can be accessed by logging in to Employee Self Service

Performance Assessment

• Teacher Development and Evaluation Process

Worker's Compensation

• Worker's Compensation Forms Packet with Safety Evaluation