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Iredell Statesville Schools

Human Resources Department Forms

"We Open Tomorrow's Eyes"
PO Box 911 
Statesville, NC 28687
Telephone: (704) 872-8931        FAX: (704) 872-2553 
Personnel Department Directory
2006-2007 School Calendar
Working In North Carolina Public Schools
Licensed Personnel Recommendation (Print on yellow paper)
Classified Personnel Recommendation (Print on blue paper)
Telephone Reference Call
Health Examination Certificate
Termination of Employment  (Print on yellow paper)
Employee Transfer Request (Print on green paper)
Employee Change 
Induction Checklist for New Employees
Licensed Vacancy Permit to Advertise a Vacancy
Flexible Benefit Plan: List of Qualifying Events
State Health Plan Comparison of Employee Contribution (2006-07)
Benefit Comparison Plan Choices at a Glance
Health Insurance Claim (State Plan) PPO Plan or Indemnity Plan
Prescription Claim
Authorization Request Form - HIPAA - PPO Plan or Indemnity Plan
HIPAA Privacy Rule Information
Information on Substitute Teachers
First Day Information - Substitute Teachers
Request For Forms
Types of Leaves of Absence
Voluntary Shared Leave Application (Print on green paper)
Voluntary Shared Leave Donation (Print on blue paper)
Leave Request
Family and Medical Leave Act Request (FMLA)
Workers' Compensation: Most Frequently Asked Questions
First Report of Injury
Industrial Commission Form #25P (Charge for Drugs)
Industrial Commission Form #25T (Charge for Travel)
ISS Accident Investigation Report
OSHA Form #300 (pg 7)
OSHA Form #300A (pg 8)
OSHA Form #301 (pg 10)
Checklist of Required Posters
Monthly Verification Form For Paid Mentors
National Board Candidate Support Prog. Facilitator Contact Log
Volunteer Profile Form (English) (Spanish)
updated 03/07/07