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200 1st Street NW
PO Box 249
Sebeka MN 56477
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218-837-5101

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Staff Forms

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COVID-19 Information

  • Families First Coronavirus Response Act (FFCRA or Act)

Claim Forms

  • Flex Plan Summary
  • HRA Claim Form
  • HSA Change Deduction Form
  • Request for Extra Compensation
  • Expense Claim Form

Activity Forms

  • Bus Use Form
  • Check Drawing Order
  • Food Request Form
  • Receipt for Deposit
  • Student Activity Account Funds Transfer Form

403(b) Forms

  • 403(b) Universal Availability Notice Form

Faculty Forms

  • Credit Lane Change
  • Continuing Education Form
  • Clock Hour Approval Form

Misc Forms

  • Letterhead
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  • Requisition Form

Health Insurance Plans

  • Essentia Choice Care (07/01/2023)
  • Medica Choice Passport (07/01/2023)
  • Essentia Choice Care (Details)
  • Medica Choice Passport (Details)

Life Insurance

  • Certificate of Insurance - All Other Eligible Staff
  • Certificate of Insurance - Bus Drivers And Food Service Employees
  • Certificate of Insurance - Principal
  • Certificate of Insurance - Superintendent
  • Certificate of Insurance - Teachers Bargaining Unit

Long Term Disability Insurance

  • Certificate of Insurance - Administrators
  • Certificate of Insurance - Bus Drivers
  • Certificate of Insurance - Business Manager
  • Certificate of Insurance - Clerical, Para-Professionals, Custodians, And All Other Specified Non-Certified Employees
  • Certificate of Insurance - Superintendent
  • Certificate of Insurance - Teachers Bargaining Unit

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