6696 Clark Road
Paradise, CA 95969
Phone: (530) 872-6400
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Photography by Alain Tomatis Photography
Staff Room
Staff Forms
Staff Forms
Employee Benefits
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Employee Benefits
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BSSP - Butte Schools Self-Funded Programs
AFLAC Information Pamphlets
Employee Benefit Plan Application / Change Form
Salary Redirection Agreement 2011/2012
Medical Reimbursement
Child Care Reimbursement
Employment Forms
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Name/Address Change Form
STRS Certification
Frequently Requested Forms
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Field Trip Form
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fill out on computer
Field Trip Form
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print and fill out
Use of Private Vehicle Form
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print and fill out
Conference Authorization
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fill out on computer
Conference Authorization
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print and fill out
Authorization to Attend District or Outside Agency Workshop or Inservice
Use of Facilities Form
District Work Order Form
Student Accident Report Form
Request for Certificate of Liability Insurance
Mileage Reimbursement
Reimbursement Claim Form
Payroll Forms
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Important Note:
The forms for 403 B and Direct Deposit Authorization at the top of the list below require
that the employee hand deliver the forms to the appropriate payroll clerk for the forms and requests to become active.
TSA Form 403 B and Roth 403 B
, Tax Sheltered Annuity
(requires hand delivery to payroll clerk)
Direct Deposit Authorization
(requires hand delivery to payroll clerk)
W-4 (Federal Tax Withholding)
DE-4 (State Tax Withholding)
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