Staff Resources

New York State Employer Registration Number:  04-62868-6

Federal Employer Identification Number:  14-6010281

Employer Name:  Kinderhook Central School District

Employer Address:  PO Box 820 Valatie, NY  12184

 

Dental Insurance Information:

Dental Insurance Form (CSEA members only)

ICTA members see union representative for dental insurance information

 

Employees Assistance Program

EAP Information

EAP Orientation Video

 

Flexible Spending Account (FSA):

FSA information available through Benetec

FSA Dependent Care Expense Claim Form

FSA Medical Recovery Form

FSA Eligible & Ineligible Expenses

Health Reimbursement Account- TA’s

 

Health Insurance information:

Health Insurance through Benetech

Health Insurance Form (to be used for qualifying event)

Health Insurance open enrollment – annually during the month of May)

Insurance Buy-Out Forms available through Treasurer, Mena Mazure, ext. 3006

Buy Out Info – see contract

COBRA – contact Benetech

 

Mileage:

Mileage Reimibursement Form for 2021-2022

Mileage Reimbursement Form Example

Mileage Reimbursement Procedures

 

NYS 529 College Savings Program:

NY Saves Website

Steps to Enroll

 

Payroll:

Payroll Calendar Dates for 2021-2022 (Uploaded May 6, 2021)

Payroll Calendar Dates for 2020-2021 (Updated Sept. 14, 2020)

Direct Deposit Form

Salary Election Form

Hourly Payroll Claim Form (CO 41)

Home Tutoring Payroll Claim (CO-2)

Payroll Codes

 

Retirement information and resources:

403(b)

• https://www.benefitwebaccess.net/AGH/
• 403b Plan Highlights
• Booklet
• Enrollment Form
• Beneficiary Form
• Change of Contribution Form
• Summary of 403b Plan Provisions

NYS Deferred Compensation Link

NYS Teachers Retirement Link – TRS

OSC Pension Site Link – Employee Retirement System (ERS)

Pension Projection Link (use this link to project what your pension will be when you retire)

 

Sick Bank:

Request for Withdrawl of Sick Days

Sick Leave Bank Waiver Form

 

Tax Forms:

NYS Tax Form IT-2104

Federal Tax Form W-4

 

Other forms:

Claim Form

Stipend Claim Form

Surplus & Obsolete Form

Donation Form (related to Policy #1800- Gifts from the Public)

Science Lab Payroll Claim Form

Employee’s Report of Injury/Illness

Food Set-Up Request Form

Post Formal Observation: Post-Observation Conference- Domain Four:  Professional Responsibilities, Tenured Teachers

 

Instructional Information

Student Learning Objective (SLO) Class Roster and Scores

Student Learning Objective (SLO) Template

Substitutes

Substitute Teacher/TA Handbook & Guide

 

Wellness

Field Goods – Ichabod Crane partners with locally based business- Field Goods – so staff can get the freshest and most affordable selection of local products, delightfully delivered right to their door. Discover delicious food from local farmers and makers including eggs, vegetables, meat, cheese, milk, bread, snacks and more while shopping from the comfort of your home!

Ichabod Crane schools are also part of the Field Goods Gives program, which gives our community members $20 off their first purchase from them and means Field Goods will also give $20 to benefit Ichabod Crane schools. To get your discount and have your purchase benefit Ichabod schools, just use code ICSCH20 code at checkout

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