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Employee Benefits

Useful Documents and Forms:

 

New Employee & Open Enrollment Forms


Personnel Information - For name changes submit this form with a copy of your social security card with your new name.

Change of Address Form - This form should be used for changing the mailing address on your paycheck.   Submit this form to Payroll.

School Experience Verification Form 

Employment Eligibility Verification (Form I-9)

Direct Deposit Enrollment - Submit this form to have your paycheck directly deposited into your checking account.

Form G-4 - Employee's Withholding Allowance for Georgia State Income Tax.

Form W-4 - Employee's Withholding Allowance for Federal Income Tax.

YMCA Membership Application

Factor X Fitness Membership Application
Factor X Fitness Cancellation Form

Backpack Buddies Enrollment Form

 

Family & Medical Leave

The following forms are required when requesting Family & Medical Leave.  Please return them to Miranda McInnis in the Finance Department.  If you have short or long-term disability coverage, additional forms are required.

Request for Family & Medical Leave

Physician's Confirmation of Disability


Maternity Leave

The following forms are required when requesting maternity leave.  Please return them to Miranda McInnis in the Finance Department.  If you have short-term disability coverage, additional forms are required.  

Request for Maternity Leave

Request for Family & Medical Leave

Physician's Confirmation of Pregnancy

Physician's Statement Following Pregnancy

Sick Leave Bank

The Sick Leave Bank (SLB) has been established to provide additional sick leave to members whose personal sick leave and other available leave has been exhausted and who are unable to perform their assigned duties for an extended period of time due to their own catastrophic illness or the catastrophic illness of their child, spouse, or parent. Employees must be a member of the SLB to be eligible to participate.  Below you will find the Enrollment/Withdrawal application (for use during Open Enrollment periods), the Request form (for use when requesting days from the Sick Bank), and the SLB Guidelines.

SLB Enrollment/Withdrawal Application

SLB Request Form

SLB Guidelines 

 

Separation of Employment

The Separation of Employment Form must be completed if you are leaving the employment of the system.  This will be mailed in your separation package.

The Exit Interview will allow the system to obtain valuable information from those leaving our employment.

 

 

 

Miranda McInnis
Employee Benefits & CPI Coordinator
Ph (229) 584-9114
Fax (229) 225-5233
mmcinnis@tcjackets.net