Whitworth Fingerprinting Information Packet

ESD Fingerprinting Information

To obtain a certificate or update your expired certificate, go to the OSPI Certification Website.

When you come in to sign new hire paperwork please bring with you a Passport, or a Driver’s License and Social Security card or a Work Permit or another acceptable I-9 identification.

Please also bring with you a voided check or a letter from your bank with your direct deposit information for payroll purposes.

Certificated Verification of Employment Form

Classified Verification of Employment Form

ESA Verification of Employment Form

New Employee Handbook 2020-2021
Staff Policy Update 2020-2021
Reimbursement For Supplies/Travel (Mileage)
Items for Surplus
Incident Investigation Report
Injury Reporting
Americans With Disabilities Act
Reasonable Accommodation Form
Reasonable Accommodation Medical Authorization Release Form
Exit Form

Credit Approval
Supplemental Pay Form
Clock Hour Rationale, Objectives, and Program Agenda (Word Version)
ESA Clock Hour
PGP Clock Hour

Starting in 2020, all Washington State school districts, educational service districts (ESDs), and charter schools will receive benefits for their eligible employees through the State’s new SEBB Program. These benefits replace the health and insurance benefits currently provided by local districts.

Employees can make changes to their benefits during the annual open enrollment periods. The next open enrollment will be from October 26, 2021 to November 23, 2021, for coverage effective January 1, 2022. Employees who do not take action during open enrollment will keep their current coverage, as long as their plan is still available.

New employees have 30 days from hire to enroll in SEBB benefits or waive coverage.

The School Employee Enrollment Guide and information on Enrollment is located at the following Washington State Health Care Authority web site:  https://www.hca.wa.gov/employee-retiree-benefits/school-employees

Employees can access the SEBB portal using the following link:  https://myaccount.hca.wa.gov/auth

SEBB Employee Request Form
SEBB Medical Benefits Comparison
SEBB Vision Benefits Comparison
SEBB Dental Benefits Comparison
Spouse or Domestic Partner  Coverage Premium Surcharge
Information about Surcharge

SEBB and Retirement

There are several factors to weigh in choosing your retirement month, including what’s gained from an earlier start to benefits and cost-of-living adjustments (COLAs) compared to what’s earned from two extra months of service. And, starting this year, there’s a new consideration: the impact of an earlier retirement on your health care costs.

These two scenarios illustrate how these various factors come into play:

July retirement scenario (resign your position effective June 30 to retire starting July 2021)

You’ll receive your pension benefit plus your salary for July and August.
Your COLA will start in July of the following year (July 1, 2021).
You won’t receive service credit for July and August.
Your health care coverage via SEBB will be discontinued after June 30.

September retirement scenario (resign your position effective August 31 to retire starting September 2021)

You’ll receive your pension benefit starting in September.
Your COLA won’t go into effect until July 2022.
You’ll earn service credit for July and August.
You’ll continue to receive SEBB health care coverage in July and August.

In compliance with the requirements of IRC §403(b)(12(A)(ii) this Notice will advise you of the voluntary 403(b) Program established and maintained for the benefit of all employees.

Open enrollment is the time to act if you wish to maximize your pre-tax contributions to the 403(b) and 457(b) Plans or make changes for this calendar (taxable) year. All employees who are employed by the Deer Park School District are eligible, including both full and part-time employees.

You have the opportunity to save for retirement by participating in a 403(b) and a 457(b) retirement plan. If there are any questions about the 403(b) plan, you may contact the plan administrator, The OMNI Group at 877-544-6664. Additionally, we recommend that all employees view a brief, 3-minute video presentation called, “403(b) – Why me?” explaining a 403(b) plan, and how to contribute.

In regard to Washington State’s Deferred Compensation Program (DCP), which is a 457(b) pre-tax salary deferral retirement savings plan, you can download the “What is a Deferred Compensation Program” flyer and you can also access additional resources online at the Washington State Deferred Compensation Program website.

* What’s the difference between 403(b) and 457(b)?

Both are tax deferred plans. In 457(b), there is no minimum retirement age which means there is not a 10% penalty upon withdrawal of money based on a qualifying event. An early withdrawal penalty does apply to both 403(b) and 401k plans.

What is notable is that if an employer offers both 457(b) and 403(b), an employee can choose to contribute to both from his salary.

While under 403(b), an employee can withdraw money for hardship circumstances such as buying a home or for the education of himself or a qualified dependent. Such withdrawals are not allowed under the unforeseen emergency provisions of a 457(b) plan.

403b_ua_notice_1814-1

Request for Extended Time Off and/or Leave of Absence Form  (Fillable Word Version)

FMLA Document

FMLA Q&A

Employee’s Rights and Responsibilities under FMLA

FMLA Military Family Leave Entitlements

Shared Leave Information

Shared Leave Application

Shared Leave Documentation

Donate Sick Leave