If you are going to receive a paycheck from Central DeWitt Community Schools, the Administration Center must have a copy of all the items marked REQUIRED. Please complete each form, print each form, and turn them in at the Administration Center, 331 E. 8th Street, DeWitt.

Thank you for your cooperation as this will help payroll run efficiently.

On-Line Training through Heartland AEA. Please click here and read these instructions on how to use the on-line training site to complete the training requirements stated below. If you have any questions while on the site, please call 1-800-362-2720.
If you have already completed these trainings and they are still valid, please provide a completion certificate and you will not have to repeat them at this time.
- Bloodborne Pathogens training is REQUIRED once/year at the beginning of each new school year for All Employees/Substitutes – no charge for district employees/substitutes.
- Right to Know training is REQUIRED once upon initial employment for All Employees/Substitutes – no charge for district employees/substitutes.
- Current Mandatory Reporter made up of two parts – Child Abuse AND Dependent Adult Abuse training – are REQUIRED for All Certified Staff (Teachers/Nurse/Substitute Teachers and Administrators) – No charge for district employees/substitutes.
  - There have been changes to the Mandatory Reporter training that is causing some confusion. Please refer to this FAQ for further information.

Asbestos Notice – ALL EMPLOYEES/SUBSTITUTES ARE REQUIRED TO READ THIS

ALICE: Central DeWitt Community Schools has implemented the ALICE protocols throughout our district. This stands for Alert, Lockdown, Inform, Counter, Evacuate.
- Code/Building Lockdown Procedure Guide.– We encourage ALL EMPLOYEES/SUBSTITUTES to review this two-page guide.
- Please click here to see a youtube video and learn more about ALICE.

Background Check Waivers to be completed: REQUIRED We must have completed background checks for all Employees and Substitutes prior to working in our district. Please complete the TWO pages of waivers and turn them in to the Administration Building as either a hard copy, scan or photo to get this process started.
Bloodborne Pathogens and Universal Standards Nurse’s Notes
– ALL EMPLOYEES/SUBSTITUTES ARE REQUIRED TO READ THIS
College Course Credit Form for Teachers: As stated in the CDEA Master Contract, if college course credits are to be used for advancement on the salary schedule, such credits must receive advance approval by the Superintendent. This electronic form is to be used for that purpose is now located in the Talent Ed Records system>Available Forms. (That is the same system where contracts are being issued. You must use your secure login to access that site.)
Credit Card Checkout Electronic Form
Dental Insurance is with same provider as Health Insurance. You will find the link for the manual under Health Insurance further down on this page.
Dental Insurance for Eligible Full-Time Employees Only. Notice: After initial employment, May is the only month we allow changes to be made to employee dental insurance enrollments. However, exceptions are allowed due to events such as marriage, death, divorce, birth/adoption, etc. The enrollment form is located below listed as Health Insurance (and Dental) Enrollment Form since Mercer is the administrator for both types of insurance.
Deposit Form – to be used by anyone turning in money/checks to be deposited at any school building office. Please include this completed form at the same time you are turning in the money/checks. This is required by our Auditors.
Direct Deposit Form REQUIRED
Educational Foundation Payroll Deduction Form
Equal Employment Opportunity, Board Policy No. 401.1 – ALL EMPLOYEES/SUBSTITUTES ARE REQUIRED TO READ THIS
Employee Assistance Program – The EAP can help you with your day-to-day concerns or provide guidance through a challenging situation, including: no-cost confidential help, referrals, and resources for issues like depression, stress management, financial or legal concerns, marital difficulties, anxiety, eldercare, and more.
Evaluation Form for Classified Staff
Expense Reimbursement Form
- Hotel Reservations/Lodging: As of 1/1/2022, there has been a law change that will affect how we handle hotel reservations.
  - Iowa public money can no longer pay for rooms at non-certified hotels.
  - The Iowa Department of Public Safety wants you to be aware of the new Iowa Code section 80.45A requirements. Per the Code section, effective January 1, 2022, for any public money to be used at a lodging provider, the lodging provider must certify with DPS that all of its employees have received approved human trafficking training. Further information is available at www.stophtiowa.org. A list of certified hotels is posted at www.stophtiowa.org/certified-locations.
  - To make sure we comply with this new requirement, before you make reservations, please make sure your hotel is listed on the list of certified hotels. At that time, we would ask that you please print off or screen shot the certification page showing that the hotel you are reserving a room at is certified and send it to sarah.johnston@cd-csd.org. This will ensure that we are compliant with this new rule when audited. If the Iowa Hotel you are wanting to stay at is NOT listed as a certified location, school funds CAN NOT be used to pay for this lodging.
Family and Medical Leave Act (FMLA) Information
Fundraising Request Form
Fundraising Accountability Form – Due back to Central Office 10 days after the event
Health/Dental Benefit Guide for All Three Available Plans beginning 7/1/2022
- Eligible Full-Time (40 hours/week) Employees
  - Select 500 is the health insurance plan.
    - Click here for the current Select 500 coverage manual
    - Click here for the one for the current Summary of Benefits of Coverage
- Part-Time Employees have the option to purchase one of the three following health insurance plans. A Summary of Benefits comparing the three plans and the cost of each is located on pages 3-4 of the health insurance guide shown above.
  - Select 500 (see coverage guide link in paragraph above)
  - Select 2500 with a $2,500 deductible.
    - Click here for the current Select 2500 coverage manual
    - Click here for the current Summary of Benefits of Coverage.
  - MV6350 is the minimum value plan with a $6,350 deductible.
    - Click here for the current MV6350 coverage manual
    - Click here for the current Summary of Benefits of Coverage.
  - Former employees selecting COBRA can choose from these options as well, but there is an additional 2% cost to what is shown on this due to administrative costs.)
  - Please contact cyndie.johnson@cd-csd.org for more information:
Health Insurance (and Dental) Enrollment Form — Both types of insurance are on this one enrollment form because Mercer is the administrator for both. However, only full-time employees are eligible for dental insurance. After initial employment, May is the only month we allow changes to be made to employee health insurance enrollments. However, exceptions are allowed due to events such as marriage, death, divorce, birth/adoption, etc.
Hepatitis B Vaccination Consent or Refusal Form REQUIRED
I-9 Employment Eligibility Verification Form (please note that you are required to provide us a copy of your driver’s license, social security card, and/or other documents as listed on this form)REQUIRED. For instructions and more information about this I-9 form, please go to the Department of Homeland Security website
Incident Report Form: to be used to report employee and/or student incidents that do not involve workers’ compensation
IPERS Enrollment/Beneficiary Designation Form. This link will take you to the IPERS Organization website where you can find that form and much more information.
Life Insurance – This is the Form you must complete to Change your Beneficiary
Life/Long-Term Disability Insurance Enrollment Form: Available only to Full-Time Teachers, Secretaries, Custodians, Supervisors, Administrators
- Group Term Life Insurance Manual for:
- Group Long-Term Disability Insurance Manual for:
  - Full-Time Teachers, Clerical, Custodial, Supervisors and Mechanics
  - Superintendent and Administrators
Meal Expense Form
Mileage Reimbursement Request Form for Employees.
Nurse’s Notes for Substitutes
Payroll cut-off days for this year. Pay day is once per month, usually on the 20th of the month.
Payroll Record – Form to be used by teachers to turn in hours for professional development, training, etc.
Physical by Certified Medical Examiner – Required for all Bus Drivers and Substitute Bus Drivers. Form available from our Director of Operations.
Release of Information Form
Retirement Investment Club (RIC) 403b program is a voluntary retirement savings program offered by participating employers of educational and education-related institutions. Click here to go to the Iowa Department of Administrative Services for more detailed information about this program, including the helpful RIC 403b at-a-glance document. To start your contributions, you must open an account with one of the RIC investment providers and submit a completed RIC Salary Reduction Form to your payroll office. Provider contact information is located on the Enrollment tab of the above-mentioned website. A provider will supply enrollment information and, at your request, schedule an appointment with a financial advisor (at no extra charge) to walk you through the investment options and enrollment application.
Substance-Free Workplace Notice REQUIRED
Taxes-FEDERAL W-4 Form REQUIRED This link will take you to the form located on the IRS website
Taxes-State of IOWA W-4 Form REQUIRED For Iowa residents, this link will take you to the form located on the Iowa Government website
Taxes-State of ILLINOIS W-4 Form For Illinois residents, this link will take you to the form located on the Illinois Government website
Teacher license Renewal Forms, Information – This link will take you to the Iowa Board of Educational Examiners site
Technology Appropriate Use Policy 605.6 and Regulation 605.6R1. Please read these and then print and sign the Staff Appropriate Use Agreement, No. 605.6E1 REQUIRED
Title IX Employee Training: What Do I Need to Know?
Title IX Employee Training Form Document REQUIRED
(Travel Reimbursement Form has now moved up above and been renamed Expense Reimbursement Form.)
Use of Recording Devices on School Property – Notice to Employees, Policy No.804.6
Use of District Owned Recording Devices on District Property Regulation, Policy No. 804.6R1
Vision Insurance is available on a voluntary basis to district employees. Please notice that Brochures and Enrollment Forms are different based upon whether you are an employee paid over 10 months or 12 months.
- Employees paid over 12 months (Teachers, Custodians): Vision Insurance Brochure explaining the coverage as well as the monthly premiums. Enrollment form for 12-month employees – please complete and turn in to Administration Center if you wish to participate.
- Employees paid over 10 months (Associates, Drivers, Nutrition, Secretaries): Vision Insurance Brochure explaining the coverage as well as the monthly premiums. Enrollment form for 10-month employees – please complete and turn in to Administration Center if you wish to participate.
- Vision Insurance Directory of Doctors Currently Participating in the Plan. If your provider is not listed, please send the provider name and address to the School District Business Manager and we’ll see if they can be added.
- Vision Reimbursement/Claim Form
Workers’ Compensation and Incident Report Forms – First Report of Injury or Illness and Incident Report Forms (3 pages total) to be Printed, Completed by the employee, Signed by supervisor, then turned in to the Administration Center ASAP after the incident.

Employee Links

Google Apps for Education
Google Apps Education Edition is a free (and ad-free) set of customizable tools that enable faculty, staff and students to work together and learn more effectively.

Absence Management (f/n/a Aesop/Frontline Technologies – Our school district has implemented a new automated service to simplify and streamline the process of recording and managing absences and finding substitutes for teachers. This service is called Aesop. The Aesop service will be available to you 24 hours a day, 7 days a week and can be accessed via the link above, or by calling their toll free number shown on their website. The district will assign teachers an ID and PIN number to access the system.

Aflac Insurance is available for purchase to all employees.

The district offers voluntary Accident Insurance plans and/or Critical Care Insurance plans through Aflac. The Accident insurance is an inexpensive way to help with costs when any type of accident occurs. The Critical Care insurance helps during those times when a critical illness is diagnosed and you need help covering the additional costs you may have. We have a brochure that shows the monthly cost that would be set up through payroll deduction. Click on forms below for more information. If interested, please complete the enrollment form and return to the Administration Center.
- Aflac Accident Brochure
- 10-month Accident Rates
- 12-month Accident Rates
- Change of Beneficiary Form for Accident
- Aflac Critical Illness Brochure
- 10-month Critical Illness Rates
- 12-month Critical Illness Rates
- Change of Beneficiary Form for Critical Illness
- Enrollment form for Accident and/or Critical Illness

Blue Cross and Blue Shield of Iowa, Alliance Select, Group No. 36861, is the health insurance for eligible employees of Central DeWitt Community Schools. For all benefit inquiries go to their website or call Blue Cross Blue Shield customer service at 1-800-252-2122.

Bus/School Vehicle Requests from the Operations Department are done through School Dude. The password everyone must use for submission is sabers. Click here to begin the process. You will be on the School Dude log-in page for our district, where you will enter your email address. If you are a first-time user of the system, it will take you through the steps to register. Remember, the password to use for submission is the same for everyone: sabers. It is a very simple process that is very user friendly. Requests must be submitted through School Dude at least 8 days in advance, or you will have to contact the Director of Operations to enter them for you.

If you need some help, click here for the detailed guide explaining how to use this system to request use of a school vehicle.

The form is extremely easy to follow and fill out. There is one issue we are hoping the company addresses on their next update, however. At this point the only times that can be entered are at the hour and at quarter-hour intervals. So, for instance, 11:00; 11:15; 11:30 and 11:45. If you need a different pick-up time, as many of you will, you just need to put that in the comments section.

Infinite Campus Log In for Employees

Board of Educational Examiners, Iowa Dept. of Education for teacher and coach licensure forms, instructions, etc. Main phone line: 515-281-3245.

Instructions for Teachers and Administrators on how to receive automatic reminder 18 months prior to license expiring from the State of Iowa

Computer Help Desk for District Employees
Teachers and staff should report problems using the Help Desk Online reporting tool. Click on the link and fill in your email address (your.name@cd-csd.org), a summary of your problem, a detailed description and a category to gain access. Nothing is easier than using this tool.

OR, you may create a ticket by sending our Tech Team an email at ccsdhelpdesk@cd-csd.org

Facilities Scheduler (through RSchools Today) for Administrative Use Only

Field Trip Request Form (CDHS only)

Flexible Spending
Effective July 1, 2011, our flexible spending account will be run through Kabel Business Services. Employees are allowed to enroll only once per year in the month of May. New employees have to decide upon initial employment if they wish to enroll in the Flex program. Click here for the Kabel Business Services Enrollment form. Click here for the Kabel Business Services Flexible Spending Brochure.

Click here for the summary plan description that explains the benefit plans, grace period for unused flexible dollars, etc.

All Flex Plan participants will receive 2 flex debit cards at no additional cost.

If additional cards are needed, the employee will be responsible for paying the $18 per card and may do so by logging in to https://kabelparticipant.lh1ondemand.com (If a new user) Click on “New User,” follow the instructions and order additional cards.

That is also the site to use when submitting claims on-line for reimbursement. If you use the debit card, no filing is required.

Click here to download a claim form for unreimbursed medical expenses and/or dependent care expensesthat you may use to file through the U.S. mail, if that is the way you would prefer to file claims.

If you have any questions or problems logging on, please can contact Kabel Business Service flex customer services at 800-300-9691.

IEP – Individualized Education Program Log-In for Educators

Instructional Coaches This site contains information from the Instructional Coaches for Central DeWitt CSD.

Iowa Department of Education This site contains information on Open Enrollment. To find that section, select the tab PK-12, then select Options for Educational Choice.

IPERS (Iowa Public Employee Retirement System) information. Toll free number 1-800-622-3849. Or e-mail them at info@ipers.state.ia.us

Talent Ed Records. For employee records

Mississippi Bend AEA-9. Toll free number: 1-800-947-2329.

United States Department of Education

VeriTime (through Aesop)
VeriTime is the electronic time card system utilized for all hourly employees in our district. Please review the Veritime Web Clock Guide for Employees to learn more.

Web Link: Link for Employees to Log In and create requisitions, access and electronically sign employment contracts, view pay stubs, etc.

Instructions for Employees to E-Sign Documents in Web Link

Instructions for Employees to Create Requisitions on Web Link