Below is a list of forms for existing employees. Click a link to go directly to a particular form. All forms are in adobe Acrobat (PDF) format.
Use the "Tab" key to move between fields while completing a form. please complete the form and sign where required prior to mailing or faxing. If you fax the form, please mail the hard copy so that we have your original signature.
Our mailing address is:
Norwalk Public Schools
Attention: HR / Talent Office
125 East Avenue
Post Office Box 6001
Norwalk, CT 06852-6001
Our fax number is: 203-854-4095
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| Please excuse any link errors while this page is being renovated. Contact burrd@norwalkps.org with questions. Thank you. |
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ESS Tutorial for Open Enrollment |
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ESS Qualifying Life Event |
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Life, Dental, Vision
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FMLA |
AETNA Beneficiary Designation Form
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FMLA for Employee |
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FMLA for Spouse/Family |
| DELTA DENTAL ENROLLMENT FORM |
FMLA for Military |
| Delta Dental Claim Form |
FMLA Poster |
| IPI Dental Claim Form |
FMLA Employee Guide 2018
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| Norwalk BOE - Vision Benefit Summary |
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| ANTHEM ENROLLMENT-MEMBER CHANGE FORM |
FSA (Flexible Spending Account) |
| Anthem Claim Form - Vision ONLY |
FSA Plan Description 2018
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FSA Eligible Expenses 2018 |
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FSA Enrollment Form 2018 |
| Tax |
FSA Reimbursement Form 2018 |
| Affadavit Federal 1040 Tax Form Dependent Confirmation |
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Health Insurance Information
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State 2.0 Plan Brochure
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State 2.0 Partnership Plan
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State 2.0 Presentation
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State 2.0 Health Discount Program
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| State 2.0 Oxford Healthy Bonus |
State 2.0 Clinical Programs
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| Connecticut 2.0 Insurance Roll-Out Information |
State 2.0 HEP for Partnership Plans |
| State 2.0 Enrollment Form |
State 2.0 HEP Preventive Requirements |
| Instructions to Print Connecticut 2.0 Cards |
CVS Prescription Factsheet |
| State 2.0 Member Change Form |
CVS Caremark - Prescriptions |
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| Union Contracts
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Miscellaneous Forms |
| NASA Contract 2015-2018
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Personal Day Request |
| BOE - NASA Agreement 20170722 |
Request for school sponsored field trip |
| NFT Contract 2016-2019 |
Visiting or Professional Day Request |
| NFT - BOE Agreement 20170829 |
Teacher Evaluation Professional Learning Plan
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| NFT MOA re SPED Case Managers |
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| NFT MOA re Extended Day and Time |
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| HCE Nurse's Contract 2016-2019 |
Holiday and Weather Related Closings
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| ESG Contract 2016 - 2019 |
School Building/Office Holiday Schedule for 2017-2018
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| UFT Technician's Contract 2016-2019 |
Weather Related Closings 20180322
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| UPSEU Contract thru June 30, 2020 |
2018-2019 NPS Office Holiday Schedule
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| NFEP Local 1723 2013-2017 |
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| Food Service Contract, Expired 2016 |
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