COOK COUNTY SCHOOL DISTRICT 130

Document Title Date Uploaded Benefit Guide 2021-06-17 403b Plan Information 2021-06-17 BCBS Application Form 2020 2019-07-31 bcbs_benefits_summary_guide_fy22-23.pdf 2022-08-15 bcbs_employee_premiums_fy22-23.pdf 2022-08-15 BIEA Sick Leave Bank Form 2021-06-17 BIESPA 330 Sick Leave Bank Form 2021-06-17 BIESPA 430 Sick Leave Bank Form 2021-06-17 Dental Application 2019-07-31 Digital Timesheet 2020-11-17 Direct Deposit 2019-07-31 Employee Premiums FY22 2021-06-17 Federal W-4 2020 2020-11-17 FMLA Self 2020-07-17 FMLA Family 2020-07-17 Illinois W4 Form 2019-07-31 Illinois Department of Labor Visitation Form 2019-09-20 Life Insurance Application 2019-07-31 Market Place Insurance Options 2019-07-31 Military Leave of Absence 2019-09-12 Payroll and Timesheet Deadlines 20-21 2020-11-17 Pay Period Request 2019-07-31 Personal Leave Form 2019-07-31 Internship Procedures 2019-10-10 Request and Report Comp Time Authorization 2019-11-14 Request for Approval for Additional Training- Advancement on Salary Schedule 2021-01-06 Request for Approval for Additional Training- Tuition Reimbursement and Salary Schedule Advancement 2021-01-06 Section 125 2019-07-31 time_sheet_periods_fy23.pdf 2022-08-15 Vacation Day Change Request 2021-06-02 VESSA Request Form 2019-09-12 VSP Application 2019-07-31