Quick Links

Human Resources

PAYROLL DEPARTMENT

Payroll forms are listed in the right hand column of this page. The list is very long and is grouped as follows:

CERTIFIED STAFF

NON-CERTIFIED STAFF (Support Staff)

COACHES/SUPPLEMENTAL & SUMMER STAFF

Below the staff payroll forms are the following sections for insurance:

ANTHEM

DENTAL CARE PLUS

VISION BENEFITS OF AMERICA

The next sections include the following:

TIME SHEETS

TAX FORMS

ADDRESS CHANGES

AMERICAN FIDELITY/SECTION 125

Most of the forms a current employee needs will be at the bottom of the right hand column.

The Federal Family Medical Leave Act (FMLA) provides employees time off, with job protection, to deal with medical situation of their own or their family. Click on the FMLA Frequently Asked Questions link below for more information.

FMLA Frequently Asked Questions

IF YOU HAVE ANY QUESTIONS OR CANNOT FIND THE FORM YOU ARE LOOKING FOR PLEASE CONTACT:

MELODY GREGORY - 924-3701
mgregory@madeiracityschools.org
OR
SUSAN CRABILL - 985-6070
scrabill@madeiracityschools.org

THE FLEXIBLE SPENDING PLAN YEAR STARTS ON 9/15/12 AND ENDS ON 9/14/13. CLAIM FORMS ARE LOCATED ON OUR WEBSITE.

2012/2013 SALARY SCHEDULES:
CERTIFIED SALARY SCHEDULE
CERTIFIED PRESCHOOL SALARY SCHEDULE
SUPPORT SALARY SCHEDULE

Forms

CERTIFIED STAFF (Teachers/Adm's)
	New Teacher & Administrator Check List
	Check List

	General Application


	STRS Enrollment Forms


	STRS Rehired Retiree
	Enrollment Form

	Fingerprinting
	Information

	Pay Type
	When you are paid

	Direct Deposit Instructions & Form
	Electronic Payment

	Get Connected
	Madeira Email Address

	Race & Contact Info
	Required Payroll Info

	TSA
	Approved 403b & 457 Companies

	TSA 403B vs 457


	ANTHEM LIFE INS
	ENROLLMENT FORM

	ANTHEM LIFE INS
	BENEFICIARY DESIGNATION FORM

	I-9 FORM
	2 Forms of ID Required

	Certified Salary Schedule - 2012-2013


	Preschool Salary Schedule - 2012-2013


	2012-2013 Fringe Benefits
	Benefits & Rates 2012-2013

	Disability Form
	No Cost To You

	American Fidelity
	Section 125 - Flexible Spending Account

	Verizon - Employee Discount
	Employee Perk

	AUL VOL LIFE
	Enrollment Form

	AESOP - Directions


	HQ TEACHER INFO
	Required Information!

	Credit Unions
	Valley Council or HCSECU

	Certified Drug Policy
	Drug Free Workplace

	Auditor of State
	FRAUD HOTLINE

	RMS
	DONATION FORM

	Ohio Ethics Law
	Please Read/You will need to sign that you read when you submit paperwork

	Ohio Ethics Certification
	CERTIFCATION YOU HAVE BEEN GIVEN ACCESS TO THE LAW

	FMLA
	Employee Rights & Responsibilities

NON-CERTIFIED STAFF (Support Staff)
	NEW Support Staff Check List
	Check List

	General Application


	SERS INFO


	SERS - Page 1
	Enrollment Form

	SERS - Page 2
	SSA-Enrollment Form

	SERS
	Refund Application

	SERS
	CHANGE OF ADR FORM

	Fingerprinting
	Information

	Pay Type
	When you are paid

	Direct Deposit Form
	Electronic Payment

	Get Connected
	Madeira Email Address

	Race & Contact Info
	Required Payroll Info

	TSA 403B vs 457


	TSA Companies


	2011-2012 Support Salary Schedule


	ANTHEM LIFE INS
	ENROLLMENT FORM

	ANTHEM LIFE INS
	BENEFICIARY DESIGNATION FORM

	I-9 FORM
	2 Forms of ID Required

	Support Salary Schedule - 2012-2013


	Fringe Benefits 2012-2013
	Benefits & Rates

	Disability Form
	No Cost To You

	American Fidelity
	Section 125 - Flexible Spending Account

	Verizon - Employee Discount
	Employee Perk

	AUL VOL LIFE
	Enrollment Form

	AESOP Instructions


	Credit Unions
	Valley Council or HCSECU

	Classified Drug Policy
	Drug Free Workplace

	Employees Certification
	Employees rec'd Drug Policy

	SERS REHIRED RETIREE


	Auditor of State
	FRAUD HOTLINE

	RMS
	DONATION FORM

	Ohio Ethics Law
	Please Read/You will need to sign that you read when you submit paperwork

	Ohio Ethics Certification
	CERTIFCATION YOU HAVE BEEN GIVEN ACCESS TO THE LAW

	FMLA
	Employee Rights & Responsibilities

COACHES/SUPPLEMENTAL & SUMMER STAFF
	COACHES/SUPPLEMENTALS/SUMMER STAFF
	Welcome Letter - Check List

	General Application


	When Will I Be PAID?
	Payment Schedule

	STRS Enrollment Form
	Enrollment Form

	SERS - Page 1
	Enrollment Form

	SERS - Page 2
	Enrollment Form

	SERS
	CHANGE OF ADR FORM

	Federal Tax Form
	2013 W4 Form

	State Tax Form
	IT 4

	Fingerprinting
	Information

	Race & Contact Info
	Required Payroll Info

	Direct Deposit Instructions and Form
	Electronic Payment

	I-9 FORM
	2 Forms of ID Required

	Hepatitis B Info


	Hepatitis B
	Waiver Form

	Drug Free Policy & Adm.Guidelines


	Employees Certification
	Employees rec'd Drug Policy

	Auditor of State
	FRAUD HOTLINE

	Ohio Ethics Law
	Please Read/You will need to sign that you read when you submit paperwork

	Ohio Ethics Certification
	CERTIFCATION YOU HAVE BEEN GIVEN ACCESS TO THE LAW

Anthem
	Anthem Benefit Summary
	Updated SOB Effective 7/1/2012

	Anthem - Outline of Changes
	Benefit Changes Eff: 7/1/12

	Fringe Benefits 2012-2013
	Employer/Employee Cost

	Health Benefit Book
	Review of Covered and Not Covered Services

	Anthem Enrollment Form
	3 PAGES

	Anthem Change Form


	Express Scripts Rx Order Form
	Mail Order

	ANTHEM LIFE INS
	ENROLLMENT FORM

	ANTHEM LIFE INS
	BENEFICIARY DESIGNATION FORM

	Medical Claim Form
	Use for reimbursement

	RX Claim Form
	Use for reimbursement

	ANTHEM DEPENDENT COVERAGE
	ADD TO AGE 26

	Adult Certification Form
	Deps Age 19-26

Dental Care Plus
	Dental Care Plus
	Enrollment Form

	DCP
	Covered Services

	DCP
	Dentist Directory

	DCP
	Plan Design

	DCP
	TVS Welcome Letter

	DCP
	TVS - New Brochure

	DCP
	Member Services Site

	DCP
	Notice of Privacy

	DCP
	Add Your Dentist

	DCP
	Change Form

	Adult Certification Form
	Deps Age 19-26

Vision Benefits of America
	VBA
	Vision Care Program

	VBA
	Enrollment Form

	VBA FAQ's


	VBA
	Flex Savings Plan

	VBA
	Limitations

	Adult Certification Form
	Deps Age 19-26

Time Sheets
	YELLOW - TIME SHEET
	Secretaries, EA's, OKP, MCC

	PINK - TIME SHEET
	Home Instr, Tutor, Extra Hours

	TAN - TIME SHEET
	Custodian - Reg Hrs

	TAN - TIME SHEET 2
	Custodian - OT hrs

	PEACH - TIME SHEET
	Food Service

	Sub Teachers
	2012-2013 Payroll Schedule

	3 WK TIME SHEET


	2012-2013 PAYROLL DEADLINES
	TIME CARD SCHEDULE

Tax Forms
	2013 W4 Form
	Federal Tax Form

	State Tax Form
	IT 4

	City Tax
	Local Tax

Address/Name Change
	Address/Name Change Form
	Print, Complete, Send to Melody

American Fidelity - FSA
	American Fidelity
	Helpful Websites

	American Fidelity
	Revised: FSA Medical Claim Form

	American Fidelity
	FSA Dep Care Claim Form

	Benefit Card
	Participating Merchants

	American Fidelity
	Eligible Expense List

	American Fidelity
	Direct Deposit Form


webmaster@MadeiraCitySchools.org

Madeira City Schools
7465 Loannes Drive
Cincinnati, OH 45243
Phone: 513-985-6070
Fax: 513-985-6072