FORMS - In Alphabetical Order
Adult Dependent Election and Eligibility Form
Accident and Violent Incident Reports- Students
Candidate Request for Clinical Supervision Experience and/or Field Experience Form
Compensation for Teacher Assistant/Aide Working Alone
Confidentiality Statement Form
COVID Leave Request Form (EPSLA)
DEHIC (Empire BSBS Alt PPO) Enrollment/Change Form
DEHIC (Empire EPO Select 20) Enrollment/Change Form
Direct Deposit Authorization Form
Emergency Contact Information [Fillable Form]
Empire BS/BS Alternate PPO Plan Handbook
Employee Handbook - (Includes Bargaining, Benefits, Policy and other Employee information)
Employee Timesheet Semi-monthly Form (Fillable - PDF)
Grant Setup [Zip Download]
Incidental Employee Agreement Amendment
Incidental Employee Agreement Form
Independent Contract Amendment Form
Independent Contract Request Form
Internal Transfer [Zip Download]
Media Materials Loan Request Form
Mileage Chart for Itinerant Locations
Mileage Grid for Microcomputer Repair Staff [Zip Format: Print to 11 X 17]
Mileage Grid for Microcomputer Repair Staff [PDF Format: Print to 11 X 17]
Notable News & Events Submission Form
Paraprofessional Evaluation Form- Appendix H
Rechazo a publicar foto o nombre de mi hijo
Media release form 2022-23 (adult)
Professional Performance Review For Staff with Non-Instructional Assignments
Public Information Service Project Request Form
Reasonable Accommodation Request Form
Recommendation for Payment of Per Diem-Substitutes
Sample Written Response Form 1
Sample Written Response Form 2
Sample Written Response Form 3
Sample Written Response Form 4
Sample Written Response Form 5
Sick Day Buy-Back Request Form (ASA)
Sick Day Buy-Back Request Form (BFA Teachers and School Related Professionals)
Substitute Handbook
Summary of Benefits & Coverage for CD PHP (HMO)
Summary of Benefits & Coverage for DEHIC (Empire BCBS Alt. PPO)
Benefits Guide for DEHIC EPO Select 20 [December 16, 2016]
Summary of Benefits & Coverage for MVP (HMO)
Teacher Coverage Payment Form for Teacher Aides - PDF
Teacher Coverage Payment Form for Teaching Assistants - PDF
Teacher Missed Prep Period Payment Form- PDF
Telephone Reference Form [Personal]
Telephone Reference Form [Professional]
Tax Sheltered Annuities
- Please enter the state as: New York and Employer Name: Dutchess BOCES
- 403b Plan: https://www.omni403b.com/forms_SRA_403b.aspx (link is external)
- 457 Plan: https://www.omni403b.com/forms_SRA_457.aspx (link is external)
Tenured Paraprofessional Self-Evaluation Form - Appendix I
Transfer of Employee Location Form
Universal BOCES Cross Contract Form
Vacation Day Buy-Back Request Form (ASA)
Vacation Day Buy-Back Request Form (SSA Employees Only)
IT-2104 Tax Form [Fillable PDF format]