For the convenience of WSESU employees, several forms are now available to print from this page, in PDF format. Please read all requirements carefully when filling out the forms, and call the WSESU Central Office with any questions.

Payroll Items

Pay Date Schedule 2019-2020
Pay Date Schedule 2018-2019
Credit Union Form
Direct Deposit Form
Direct Deposit Form for Substitute Teachers  
Request for Payment - Certified Staff
Request for Payment - Classified Staff
403 (b) Financial Rep List
403 (b) Transaction Routing Request
403 (b) Salary Reduction Agreement -
​        please choose your employer: WSESD  Vernon, WSESU
2020 Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod
Summer Services Time Sheet

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Expense Items

Expense Reconciliation Form
Funds Advance Request Form
New Mileage Reimburse Form 1-2-20
New Requisition Form

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Human Resources & Benefits

Meaningful Notice 2019
Flexible Spending Account
Dental Insurance
Medical Insurance  
Employee's Claim and Employer First Report of Injury
Health Declaration Form
​Flexible Spending - Fillable PDF Form - Please Contact HR for current Form
Madlyn Moore Award information
Madlyn Moore Extension Information
PowerPoint - Health Equity Presentation
HRA Video
​VEHI Updates 
​​Exchange Notice of Coverage
​One Percent Application

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Credit Equivalency

Credit Equivalency Form
Credit Equivalency Form - Fillable PDF

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L/RSB Forms (WSESU Re-Licensure forms and links to the Agency of Education (AOE))

Professional Learning Approval Form (as of March 2018)
Self Assessment on Teaching Practice from AOE (as of March 2018)
Self Assessment Verification form from AOE (as of March 2018)
ALIS: VT AOE Online Licensing System for Educators
VT Re-licensure FAQ's and Tutorials for licensure
​VT AOE License Renewal Main Page

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Wellness

October 2019 - Dental Wellness 

Madlyn Moore Pamphlet

Madlyn Moore Nomination Form