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
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)
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
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)