Payroll Forms

W-4 (Federal Withholding)

A-4 (Alabama Withholding)

ALSDE - Verification of Employment - Supplement Exp Form

FPCS Change of Address

FPCS Direct Deposit

Signing up for your TRS RSA Online Account - Must have your PID to register 

Insurance Links:

American Fidelity Claim Forms

Express Script - Register for your account

Express Scripts - Prescription Card and Documentation

EyeMed Enrollment/Change

PEEHIP - Coordination of Benefits Form

PEEHIP - Flexible Spending Account (FSA) and Dependent Care (DCA) - Understanding your benefits for these plans

     FSA Orthodontia Form

PEEHIP - New Enrollment and Status Change - Form to be mailed

PEEHIP Premium Assistance Application

PEEHIP - Premiums

PEEHIP - Understanding your PEEHIP benefits as a new employee

PEEHIP Wellness Healthcare Provider Screening Form

RSA Online Account

RSA/PEEHIP Change of Address

RSA-1 Deferred Compensation Plan - Link for documentation and registration

Southland Benefits - Request a card, see coverage/claims for Optional Coverage Plans (Dental, Cancer, Indemnity, Vision)

Reimbursement Forms

Purchase Order Form (MUST BE PRINTED WITH COLOR)

Expense Voucher (Updated 08-01-2024)

Pay Period Calendar

Pay Period Calendar for the 2024-2025 School Year

Pay Period Calendar for the 2025-2026 School Year

Substitute Information

Substitute Teacher Handbook

Links

American Fidelity

Express Scripts – Register for Your Account

Express Scripts – Prescription Card and Documentation

Eye Med – Vision Insurance Option

PEEHIP – Annual Wellness Form for Physician

PEEHIP – Coordination of Benefits Form

PEEHIP – Flexible Spending Account – Understanding Your Benefits for FSA and Dependent Care Forms

PEEHIP – New Enrollment and Status Change - Options that cannot be completed online

PEEHIP - Premium Assistance Application

PEEHIP - Premiums

PEEHIP – RSA Online Account

PEEHIP – FSA Orthodontia Form

Southland Benefits – Request a Card, See Coverage for Optional Coverage Plans

Frontline Education (formerly AESOP)

Retirement Systems of Alabama (RSA)

American Fidelity

EyeMed Vision Care