FORMS

For the convenience of staff, the following forms are available as PDF documents which may be downloaded using Adobe Reader and printed for completion.

Contracted Agreements

Agreement between Franklin Teacher Assn. & Franklin Education Assoc.
2018-2019

Agreement between AFSCME Council 93/Local 3158 Support Staff and
Franklin School Board - 2018 - 2020

Agreement between Franklin School District and Franklin Custodians
AFSCME AFL-CIO -  2018 - 2020

 

General Forms

Conference/Tuition Request/Reimbursement Form

DCYF Reporting Form

Facilities Use Form

Mileage Log/Reimbursement

Student Accident Form

Initial Accident Reporting Form

Payroll Forms

Direct Deposit

Flexible Benefits Plan - Eligible Expenses List

Flexible Benefits Plan Enrollment Form - Franklin

Form W-4 (Federal)

403B Vendor Listing

403B Salary Reduction Agreement - Waddell & Reed

403B Universal Availability Notice

     SUMMARY OF BENEFITS & COVERAGE:

      Teacher

                Teacher Enrollment Form - Choice Fund Open Access

      HealthTrust (Access Blue)
      (Administrator, Support and Custodian)

       Dental 4C Plan

CHIP  (Children's Health Insurance Program) 

Health and Dental Insurance Rates - 18-19


Human Resources


Application for Employment -- Support Staff

Certified Nomination Profile

Change of Name/Address Form -- DOE
(or you may access your myNHDOE Single Sign On and make changes)

Change of Name/Address Form -- HealthTrust (health ins)

Change of Name/Address Form -- NH Retirement System

Leave Request -- Certified Staff

Leave Request -- Administration/Support Staff

Teacher Interview Form

Reference Check Form

Teacher Application

Volunteer Application