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Human Resources Forms and Documents

Looking for HR forms and documents? Whether you are looking for a bi-weekly payroll calendar or a request for unpaid dock leave, you can find them here. Just take a look at the listing below:

General Forms

Accident/Incident Form

Accident_Incident Report.pdf 211.97 KB (Last Modified on January 17, 2019)

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Workers' Compensation Claim Form (801)

Workers Comp 801.pdf 788.77 KB (Last Modified on January 17, 2019)

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Request for Unpaid Leave

Request for Unpaid Leave 2021_2022.pdf 177.49 KB (Last Modified on April 5, 2022)

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Child Abuse/Neglect Referral Report

Child Abuse-Neglect Referral Report 4_30_19.pdf 61.58 KB (Last Modified on April 30, 2019)

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Abuse of Child Investigations Conducted on District Premises Form

Abuse of Child Investigations Conducted on District Premises Form.pdf 98.24 KB (Last Modified on May 3, 2019)

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Fire - Earthquake - Safety Threat Drill Report Form

2. Fire Drill 3_16_22 AM fillable.pdf 264.13 KB (Last Modified on July 20, 2022)

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Student Accident Report Form

STUDENT_ACCIDENT_ILLNESS_FORM_121818.pdf 32.5 KB (Last Modified on April 9, 2019)

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Use of Private Vehicle Form (Staff Member or Adult Volunteer)

Private Vehicle Use Form20151015update.pdf 202.86 KB (Last Modified on May 1, 2019)

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Bi-Weekly Payroll Calendar

2022-23 BW PR Calendar.pdf 175.18 KB (Last Modified on September 28, 2022)

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Monthly Payroll Calendar

2022-23 MO PR Calendar.pdf 134.28 KB (Last Modified on September 28, 2022)

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EDUStaff Employee Performance Feedback Form

Employee Performance Feedback Updated.pdf 265.65 KB (Last Modified on February 3, 2022)

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OHA Covid-19 Vaccine Medical Exception Request Form

OHA Medical Exception Form.pdf 115.08 KB (Last Modified on October 18, 2021)

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OHA Covid-19 Vaccine Religious Exception Request Form

OHA Religious Exception Form.pdf 110.43 KB (Last Modified on October 18, 2021)

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2023 Federal W4 Form

2023 W-4 Form.pdf 184.29 KB (Last Modified on January 20, 2023)

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2022 State W4 Form

2023 OR W-4 Form.pdf 52.11 KB (Last Modified on January 20, 2023)

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Benefit Forms and Documents

2022-23 Medical and Dental Payroll Deductions

2022_2023 Plan Rates.pdf 189.81 KB (Last Modified on August 22, 2022)

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2022-23 Regence Medical Plan Comparison

MSD_2022_Medical Plan Comparisons_v2.pdf 139.76 KB (Last Modified on August 22, 2022)

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2022-23 Regence Dental Plan

MSD_2022_Medical_Dental_Plan Comparisons.pdf 308.72 KB (Last Modified on August 22, 2022)

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2022-23 Willamette Dental Summary of Benefits

WDG BenSum_Medford School District_10.1.2022.pdf 79.88 KB (Last Modified on August 22, 2022)

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Health Savings Account (HSA) Enrollment Form

Fillable HSA Application.pdf 74.78 KB (Last Modified on August 24, 2021)

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Flexible Spending Account (FSA) Enrollment Form

Fillable Health Equity FSA Application.pdf 187.29 KB (Last Modified on August 24, 2021)

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Life Insurance/Short & Long Term Disability Enrollment Form (Standard Insurance)

Fillable Standard Application.pdf 131.05 KB (Last Modified on September 3, 2021)

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Accident and Critical Illness Insurance Enrollment Form (The Standard)

Fillable AI_CI Application.pdf 237.59 KB (Last Modified on September 3, 2021)

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Insurance Opt Out Form

Opt out.pdf 47.34 KB (Last Modified on September 3, 2021)

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Benefits Contact Information

Benefits Contact Info 2021-22.pdf 452.82 KB (Last Modified on August 24, 2021)

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Regence Preventative Care Benefits Information

Regence Preventive Care.pdf 3.11 MB (Last Modified on January 11, 2019)

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Regence Application for Enrollment or Change

Regence Application for Enrollment or Change.pdf 153.58 KB (Last Modified on January 11, 2019)

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Vision Insurance: VSP (Vision Insurance Plan)

Summary of Benefits - VSP.pdf 897.47 KB (Last Modified on August 22, 2022)

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HSA HealthEquity Flyer

HSA Flyer.pdf 984.7 KB (Last Modified on August 24, 2021)

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FSA Health Equity Flyer

FSA Health Equity Flyer.pdf 1.7 MB (Last Modified on January 11, 2019)

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Group Basic Life and Accidental Death and Dismemberment Insurance Information (The Standard)

The Standard Group Basic Life and ADD.pdf 71.63 KB (Last Modified on January 11, 2019)

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Standard Insurance Enrollment and Change Form

Standard Insurance Company Enrollment and Change.pdf 225.74 KB (Last Modified on January 11, 2019)

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Additional Life and Accident Death and Insurance Information

7-Standard Additional life.pdf 145.81 KB (Last Modified on December 3, 2018)

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Short Term and Long Term Disability Coverage Information (The Standard)

The Standard Group Long and Short Term Disablity.pdf 126.81 KB (Last Modified on January 11, 2019)

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ID Theft - Allstate InfoArmor

16 Infoarmor.pdf 1.08 MB (Last Modified on September 10, 2021)

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Pet Insurance Enrollment Information (Nationwide)

17 Pet Insurance 101 Infographic.pdf 808.62 KB (Last Modified on August 24, 2021)

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Retirement Plan Information (AIG)

AIG 2021_2022.pdf 342.36 KB (Last Modified on September 3, 2021)

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Leave Available to Employees

Leave available to employees.pdf 127.12 KB (Last Modified on August 22, 2022)

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Workers' Compensation Claim Form (801)

Workers Comp 801.pdf 788.77 KB (Last Modified on January 11, 2019)

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Accident/Incident Report

Accident_Incident Report.pdf 211.97 KB (Last Modified on January 11, 2019)

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Administrator Forms and Documents

2022-23 Administrative Workday Calendars

2022-2023 Admin Calenders - combined.pdf 138.43 KB (Last Modified on June 16, 2022)

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2023-24 Administrative Workday Calendars

2023-24 Admin.pdf 137.48 KB (Last Modified on February 10, 2023)

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Licensed Administrators Professional Growth and Performance Evaluation Handbook

Medford Framework for Administrator Evaluation and Support Systems September 2021 kjt.pdf 1.15 MB (Last Modified on October 27, 2022)

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Classified Employee Forms and Documents

2022-23 OSEA Workday Calendars

2022-23 Classified - combined.pdf 246.62 KB (Last Modified on June 28, 2022)

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2023-24 OSEA Workday Calendars

2023-24 Classified.pdf 236.69 KB (Last Modified on February 10, 2023)

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2022-23 Twelve Month Workday Calendar

2022-23 Twelve Month.pdf 85.56 KB (Last Modified on April 26, 2022)

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2023-24 Twelve Month Workday Calendar

2023-24 Twelve Month.pdf 86.37 KB (Last Modified on February 10, 2023)

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2022-23 KUA Classified Workday Calendar

2022-23 KU Classified.pdf 90.87 KB (Last Modified on June 16, 2022)

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2022-23 Classified Wage Schedule

2022-23 OSEA Wage Schedules.pdf 136.03 KB (Last Modified on September 21, 2022)

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2022-2026 OSEA (Oregon School Employees Association) Contract

2022-2026 OSEA Contract Master with Signatures.pdf 803.93 KB (Last Modified on September 13, 2022)

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Classfied Staff Development Fund Guidelines

CLASSIFIED_STAFF_ DEVELOPMENT_FUND_GUIDELINES.pdf 248.39 KB (Last Modified on January 16, 2019)

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Classified Staff Development Reimbursement/Advance Payment Form

OSEA Staff Development Reimbursement.pdf 101.49 KB (Last Modified on January 14, 2020)

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Out of Classification Form

Classified_Out_of_Classification_updated_logo_20162707.pdf 205.23 KB (Last Modified on May 1, 2019)

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Classified Position Review Request Form

Position Review Form 3_3_2023.pdf 226.02 KB (Last Modified on March 8, 2023)

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OSEA Position Review Guidelines Flow Chart

Flow_Chart_Classified.pdf 126.79 KB (Last Modified on May 1, 2019)

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Request for Unpaid Leave

Request for Unpaid Leave 2021_2022.pdf 177.49 KB (Last Modified on April 5, 2022)

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Sick Leave Bank Guidelines and Request Form

Sick leave bank guidelines and request form.pdf 196.19 KB (Last Modified on March 8, 2023)

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Sick Leave Bank Donation Form

Sick Leave Bank Donation Form.pdf 189.12 KB (Last Modified on March 8, 2023)

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Licensed Employee Forms and Documents

2022-23 Licensed Workday Calendars

2022-2023 Licensed Calenders - combined.pdf 257.1 KB (Last Modified on August 12, 2022)

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2022-23 Licensed Salary Schedule

2022-23 Licensed Salary Schedule.pdf 134.45 KB (Last Modified on June 30, 2022)

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2022-23 Licensed Specialist Salary Schedule

2022-23 Licensed Specialist Salary Schedule.pdf 116.21 KB (Last Modified on August 23, 2022)

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2022-23 KUA Licensed Workday Calendar

2022-23 KU Licensed - combined.pdf 119.71 KB (Last Modified on June 16, 2022)

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Licensed Educators - Professional Growth & Performance Evaluation Manual

FINAL MSD Professional Growth and Evaluation Handbook-Licensed 8_4_21.pdf 1,007.03 KB (Last Modified on August 13, 2021)

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MEA (Medford Education Association) Contract

MEA Contract - 2019-23 Final.pdf 2.42 MB (Last Modified on December 9, 2021)

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Continuing Professional Development Plan

Continuing Professional Development Plan.pdf 38.19 KB (Last Modified on January 16, 2019)

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PDU Information and Log

PDU Information and Log.pdf 35.1 KB (Last Modified on May 2, 2019)

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Request for Unpaid Leave

Request for Unpaid Leave 2021_2022.pdf 177.49 KB (Last Modified on April 5, 2022)

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Tuition Reimbursement Guidelines

Tuition Reimbursement Guidelines - MEA - Revised 111309.pdf 17.9 KB (Last Modified on May 2, 2019)

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Tuition Reimbursement Form

Tuition Reimbursement Form 47 - Revised 111309.pdf 173.89 KB (Last Modified on October 26, 2020)

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(UPDATED) SOU Co-Pay Authorization Form

Must be submitted to HR 2 weeks prior to the beginning of each term.

SOU Co-Pay Form updated 120922.pdf 162.23 KB (Last Modified on December 9, 2022)

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Job Share Request Form

Job Share Request Form.pdf 284.62 KB (Last Modified on April 27, 2022)

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Co-Curricular Extra Compensation Appeals Form

Co-Curricular Extra Compensaton Appeals Form.pdf 207.49 KB (Last Modified on October 29, 2020)

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Twelve Month Workday Calendar

2022-23 Twelve Month Workday Calendar

2022-23 Twelve Month.pdf 85.87 KB (Last Modified on June 16, 2022)

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2023-24 Twelve Month Workday Calendar

2023-24 Twelve Month.pdf 86.37 KB (Last Modified on February 10, 2023)

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