Human Resources Forms

The following forms are offered to employees by the Human Resources office of North Kansas City Schools. If you are looking for a particular form, please contact Mandy McKay at (816) 413-5007.
 

Employee Forms
403b
Direct Deposit Form
Previous Employment Verification -- Certified Staff
Resignation  Form
Transfer Request Form -- Certified Staff
  
   
   
Benefits Forms
Blue Cross Blue Shield - Enrollment / Change Form
Cigna Life Insurance - Death Claim / Proof of Loss Form
Cigna Life Insurance - Evidence of Insurability Form (EOI)
Delta Dental - Enrollment / Change Form
EZFlex / Tri-Star Systems 125C - Change in Status Tri-Star
EZFlex / Tri-Star Systems 125C - FSA Claim Form
Retirees / Cobra - Direct Debit Form (Word Document)
 
 
Leave Forms
FMLA Physician Statement
FMLA Request
Long-Term Leave Request
Short-Term Leave Request 
 
 
Substitute Forms
Employee Quick Reference Card
Substitute Certification Process
Policy Training via eCampus Guide

Info

Daniel Clemens, Ed.D.
Assistant Superintendent

Administrative Services

2000 NE 46 St.
Kansas City, MO 64116
(816) 413-5010

NCA Accredited

National Accreditation through NCA-CASI
A Nationally Accredited
School District

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