Windham Southeast Supervisory Union
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Forms, Applications & Licensing

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.

Human Resources & Benefits

​VEHI (Vermont Education Health Initiative):
  • VEHI/BCBSVT Benefits Guide
    • ​VEHI Platinum 2021 SBC
    • VEHI Gold 2021 SBC
    • VEHI Gold CDHP 2021 SBC
    • VEHI Silver CDHP 2021 SBC

  • VEHI FY21 Health Rates Approved
  • VEHI FY21 Health Rate Renewal Announcement for Active Employees
  • VEHI 2021 Health Plan Changes - Decision Support Site
    • ​VEHI Licensed Employee - Plan Comparison Chart
    • VEHI Licensed Employee - Cost Comparison Chart
    • Licensed Employee - Premiums, HRA & HSA 
    • VEHI Non-Licensed Employee - Plan Comparison Chart
    • VEHI Non-Licensed Employee - Cost Comparison Chart
    • Non-Licensed Employee - Premiums, HRA & HSA
      ​
  • VEHI/BCBSVT Enrollment/Change Form
  • VEHI Domestic Partnership Form

  • BCBSVT Debit Card Request Form
  • BCBSVT PowerPoint Presentation

Dental:
  • Cigna DPPO Plan Summary
  • Cigna Enrollment/Change Form
    ​​
Flexible Spending & Limited Flexible Spending (FSA):
  • FSA Enrollment Form 2021

Department of Labor:
  • FMLA Information
  • Employee's Claim and Employer First Report of Injury
  • ​​Exchange Notice of Coverage

State of Vermont: 
  • Arbitration Award and Resolution of Negotiations - Provisions of 16 V.S.A. Chapter 61
  • Health Declaration Form

Madlyn Moore Award Information
Madlyn Moore Extension Information
​

Payroll Items

Pay Date Schedule 2020-2021
Credit Union Form
Direct Deposit Form
Direct Deposit Form for Substitute Teachers  
403 (b) Financial Rep List
403 (b) Salary Reduction Agreement -please choose your employer: WSESD  VTSD, WSESU
2021 Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod

Request for Pay - Certified Staff


Expense Items

Expense Reconciliation Form
Funds Advance Request Form
New Mileage Reimburse Form 1-5-21
New Requisition Form - 8-31-2020

​
One Percent Application
​

Credit Equivalency

Credit Equivalency Form
Credit Equivalency Form - Fillable PDF



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

Wellness
October 2019 - Dental Wellness 
Madlyn Moore Pamphlet
Madlyn Moore Nomination Form

Home

Central Office: 802-254-3730

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Copyright © WSESU webmaster 2018
Photography by Eliya Petrie
  • Home
  • SCHOOLS
  • CENTRAL OFFICE
    • Mission
    • Superintendent
    • Central Office Staff
    • Curriculum & Assessment
    • Finance Office
    • Office of Diversity, Equity and Social Justice
    • Special Education
    • Technology
  • SCHOOL BOARDS
  • LEADERSHIP COUNCILS
  • EARLY EDUCATION
  • Resources
    • PARENT RESOURCES
    • COMMUNITY RESOURCES
    • EMPLOYEE RESOURCES >
      • Classroom Resources
      • Employee Portal
      • Forms, Applications, Licensing
      • Substitute Online
  • EMPLOYMENT
    • WSESU Employment
    • WSESD Employment
  • COVID-19
  • COVID-19 Student Meals
    • COVID-BUS-ROUTES-V
    • COVID-BUS-ROUTES-G
  • WSESD Budget Vote
  • COVID 19 Dashboard