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Valuing one another, working with one another, succeeding together.
Classified Regular Employee

Please read the instruction page.  This document contains instructions on how to complete the payroll packet.

In addition to completing these documents, you will also be required to provide a copy of your driver's license and social security card.

**Instructions Page**

Clark County Schools Application

Verification of Experience Form

Direct Deposit Form

SSA-1945 Form

Tax Forms

Federal W-4

State IT-4

City (Municipality) Tax Form

School District Tax Form

Tax Finder Link

I-9 Form (Federal Homeland Security)

Ohio Homeland Security Form

GAAP Form

SERS (School Employees Retirement System) Member Handbook

Insurances

Medical - please see Instructions Page for more detail

Medical, Dental, and Vision Insurance Rate Sheets

Life Insurance - please see Instructions Page for more detail

Insurance Waiver Form

Ohio Bureau of Workers' Compensation Form

Tuberculosis Test Information Sheet

Fingerprinting Information Sheet

New Employee Information Sheet

Fraud Reporting Form

Staff Emergency Health Card - please see Instructions Page for more detail

Copy of driver's license and social security card - see Instructions Page for more detail

5610 Troy Road Springfield, OH 45502
Phone: 937-964-1318
| Fax: 937-964-6019
© 2017. Northwestern Local Schools. All Rights Reserved.
5610 Troy Road Springfield, OH 45502 Phone: 937-964-1318 | Fax: 937-964-6019