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Employment Documentation

Welcome to the Dublin Unified School District. We are pleased you have chosen to join Dublin Schools and we look forward to a rewarding and successful 2012-2013 school year. The Human Resource Department implemented a new process last year with the goal of decreasing paper consumption and becoming more ecologically responsible. Below is a table of contents with all employment forms and information.

Mandatory employment forms are denoted with an *asterisk and must be completed. It is important to bring these forms to the intake meeting that you have selected to attend. All forms and documents will be discussed and questions answered during the intake meeting.

Please click on the links to open the documents in the following table of contents. At this time most documents have not been converted to a PDF form that can be completed on line, therefore you must print those forms and complete them manually.   Again, Welcome to DUSD!

*  Denotes Mandatory Paperwork Must Be Completed and Turned In 

New Employment Documentation Table of Contents  

1.  

Warrant Assignment Information *

21.

 Employee Race/Ethnicity Information *

2.

Oath of Allegiance  * 

22.

Envoy - 403(b) Third Party Provider - informational

3.

W-4 Federal Tax Form*

23.

Dental Enrollment  *

4.

EDD - State of California Withholding Tax *

24.

Summary of dental benefits - informational

5.

Authorization for Automatic Payroll Deposits *

25.

Use of Personal Property Procedures - instructions

6.

Personal Property Use - complete if registering personal property used in classroom*

7.

Credential Screening Form*

27.

Complying with State Laws and Board Policies / Child Abuse Signoff *

8.

Notification of Designation as a Disaster Service Worker *

28.

Board Policies - must read

9.

CALSTRS Permissive Membership Election *

29.

Child Abuse/Neglect Reporting Procedure - informational

10.

STRS and PERS Status *

30.

Uniform Complaint Procedures- informational

11.

One-Time Death Benefit Recipient - optional but recommended*

31.

CalSTRS vs CalPERS Election - informational

12.

32.

Employee Right to Representation- informational

13.

I-9 Employment Eligibility Verification * - copy of Social Security card and driver's license required

33.

Worker's Comp Covered Employee Notification- informational

14.

Health Benefit Guide - informational

34.

Worker's Compensation Predesignation of Personal Physician *

15.

2011 Health Benefit Summary - informational

35.

Assignment Information *

16.

Medical Waiver *

36.

General Notice of Continuation Coverage Rights Under Cobra - informational

17.

Medical and Dental Insurance Rates    - informational

37.

AESOP - Automated Substitute Instructions for Employees - informational

18.

Health Benefits Plan Enrollment - complete if taking medical through DUSD

 38.  

 SDI Notification *

19.

Benefits Sample Template - use to complete benefits enrollment form