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
New!!! WSESU BENEFITS PORTAL - Please visit our new website for all benefits information, including:
Department of Labor:
State of Vermont:
Madlyn Moore Award:
- Health Insurance
- Dental Insurance
- Life Insurance
- Retirement
- Telehealth
- Much more!
Department of Labor:
State of Vermont:
- Arbitration Award and Resolution of Negotiations - Provisions of 16 V.S.A. Chapter 61
- Health Declaration Form
Madlyn Moore Award:
Payroll Items
Pay Date Schedule 2021-2022
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
Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod
Request for Pay - Certified Staff
Request for Pay - Other
Schedule 403B appointment with Empower Rep.
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
Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod
Request for Pay - Certified Staff
Request for Pay - Other
Schedule 403B appointment with Empower Rep.
Expense Items
Expense Reconciliation Form
Funds Advance Request Form
New Mileage Reimburse Form 1-3-22
New Requisition Form 3-9-22
Mileage Matrix
Mileage Matrix ECSE
One Percent Application
Purchasing Manual - 3-9-22
Funds Advance Request Form
New Mileage Reimburse Form 1-3-22
New Requisition Form 3-9-22
Mileage Matrix
Mileage Matrix ECSE
One Percent Application
Purchasing Manual - 3-9-22
Credit Equivalency
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
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