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Student/Parent Forms

Student Incident Report

Student_Incident_Report.pdf 58.08 KB (Last Modified on May 15, 2013)

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Emergency Procedure Form

http://wnyric.schoolwires.com//cms/module/selectsurvey/TakeSurvey.aspx?SurveyID=175

(Last Modified about a minute ago)

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Medical Examination Form

This form must be filled out and signed by your child's physician.

Medical Examination Form.pdf 130.02 KB (Last Modified on May 15, 2013)

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School Bus Change Form

Bus_Change_Form.pdf 98.67 KB (Last Modified on May 15, 2013)

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Staff Forms

Federal Withholding W-4

Federal income tax withholding form. Please submit to HR when complete.

Federal Withholding W-4.pdf 102.66 KB (Last Modified on May 15, 2013)

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NYS Withholding IT-2104

NYS Employee's Withholding Allowance Certificate. Please submit to HR when complete.

NYS Withwolding IT-2104.pdf 509.21 KB (Last Modified on May 15, 2013)

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Health Benefits Enrollment/Change Form

This form is for enrollment into our Health Insurance plan OR changes to your current enrollment information. Please send to HR, when complete.

Health Benefits Enrollment-Change Form.pdf 52.70 KB (Last Modified on May 15, 2013)

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Change of Information

This form is for Name/Address changes.

http://wnyric.schoolwires.com//cms/module/selectsurvey/TakeSurvey.aspx?SurveyID=176

(Last Modified about a minute ago)

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