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Michigan City Area Schools

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Current MCAS Employees

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To view your paystubs and benefit information, please visit Employee Access. (Username/password required.)

Human Resources Forms and Information

Absence Forms


Form Number & Name	Find it here:
223: Advance Application for Permission to Be Absent - Classified/Administrator	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form223_AdvApp4Absence_Admin_Classified.pdf
224: Classified Personnel Report of Absence	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form224.pdf
572: Pre-Approved Travel Reimbursement Application for Teachers	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Form572.pdf
Fitness for Duty Certification Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Fitness_for_Duty_Cert.pdf

Other HR Forms


Form Number & Name	Find it here:
209: Certificated Employee's Request for Transfer	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form209.pdf
329: Authorization for Direct Deposit	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form329.pdf
553: Employee Resignation (fillable pdf)	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Form553_fillable.pdf
573: Checklist for Employees Leaving the District	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form573.pdf
584: Application for Payout of Unused PTO	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form584.pdf
585: MCAS Para/Instructional Assistant/EAP Evaluation form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form585.pdf
586: MCAS Secretary Evaluation Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Form586.pdf

Miscellaneous


Form	Find it here:
516: Volunteer Forms	http://mcas.schoolwires.net/domain/2029
568: Abuse/Neglect Reporting Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Form568.pdf
American Fidelity (Section 125) benefits and services	https://benefits.americanfidelity.com/michigan-city-area-schools
Employee Assistance Program (EAP)	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/Domain/4/20130131142008145.pdf
Medicare Part D Information	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/Domain/25/Medicare Part D.pdf
VRG-7 State Form 50504: Indiana Voter Registration Application	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - public/VRG-7_2014 revision_ 10-15_version.pdf
Wall of Fame Nomination Info & Forms	https://www.mcas.k12.in.us/domain/664

Training Resources


Title:	Find it here:
Bus Drivers and Bullying Prevention	http://www.nea.org/assets/docs/ESP-Bus-Bullying-final.pdf
Paraeducators and Student-to-Student Bullying	http://www.nea.org/assets/docs/ESP_STOP_Bully_Para_Final.pdf
Food Service ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Food_Final.pdf
Clerical Services/Administrative ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Clerical-rev.pdf
Health and Student Services ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Health-final.pdf
Custodial and Maintenance Services ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_custodial-final.pdf

COVID-19 Staff Resources

How to Protect Yourself and Others

prevention-H.pdf 238.52 KB (Last Modified on July 17, 2020)

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Families First Coronavirus Response Act (FFCRA) Leave Information

Employee Rights FFCRA Poster.pdf 175.67 KB (Last Modified on July 9, 2020)

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COVID-19 Leave Summary

COVID-19 Leave summary.pdf 52.12 KB (Last Modified on July 9, 2020)

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Insurance Information (Teachers Only)

Plan A

Effective 7/1/20

Plan A.pdf 3.41 MB (Last Modified on June 11, 2020)

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Plan B

Effective 7/1/20

Plan B.pdf 3.41 MB (Last Modified on June 11, 2020)

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Plan C

Effective 7/1/20

Plan C.pdf 3.71 MB (Last Modified on June 11, 2020)

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Plan D

Effective 7/1/20

Plan D.pdf 3.77 MB (Last Modified on June 11, 2020)

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Dental Coverage Information

1920 Teachers_Dental.pdf 115.6 KB (Last Modified on May 17, 2019)

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Vision Coverage Information

1920 Teachers_Vision.pdf 40.21 KB (Last Modified on May 17, 2019)

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Insurance Information (ESP Staff Only)

ESP Insurance Summary - Blue Access Plan

Effective 7/1/20

Blue Access Plan.pdf 354.45 KB (Last Modified on June 11, 2020)

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Vision Coverage Information

1920 ESP_Vision.pdf 39.91 KB (Last Modified on May 17, 2019)

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Dental Coverage Information

1920 ESP_Dental.pdf 115.7 KB (Last Modified on May 17, 2019)

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Porter Co. Insurance (Administrators, Technology Staff and Admin Bldg Staff only)

Benefits Summary

Benefit Summary 20_21.pdf 90.58 KB (Last Modified on January 6, 2021)

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Benefit Booklet

20-21 Porter County School Employee Insurance Trust Benefit Booklet.pdf 583.42 KB (Last Modified on January 6, 2021)

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Dental and Vision Summary of Benefits

20150728064736173.pdf 428.75 KB (Last Modified on July 28, 2015)

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Employee Assistance Program (EAP)

Employee Assistance Program - Introductory Letter for Staff

eap ltr.pdf 79.87 KB (Last Modified on October 21, 2015)

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Employee Assistance Program Manual

EAP Manual Updated 3.2019.pdf 709.99 KB (Last Modified on March 18, 2019)

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EAP Informational Flyer

EAP Flyer 10.26.15.pdf 392.52 KB (Last Modified on October 26, 2015)

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Dependent Eligibility Audit

Memo - Dependent Verification Audit

SACS Dependent Verification Audit.pdf 32.41 KB (Last Modified on December 15, 2014)

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Dependent Eligibility Guidelines

ELIGIBILITY GUIDELINES.pdf 51.71 KB (Last Modified on December 15, 2014)

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Frequently Asked Questions - Dependent Eligibility Audit

DEPENDENT ELIGIBILITY AUDIT FAQs.pdf 182.95 KB (Last Modified on December 15, 2014)

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Annuity Information (403b)

Plan Summary Information - 2019

MICHIINB4290_3_33.pdf 493.84 KB (Last Modified on June 7, 2019)

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403(b) Plan Administration Information

TSA Consulting Group - Information for Employees and Advisors

403bPlan Information.pdf 361.87 KB (Last Modified on June 5, 2019)

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Transaction Information Form

TSA Consulting form for Distributions, Rollovers, Transfers, Loans, etc.

5.2_Transaction Information Form.pdf 470.05 KB (Last Modified on June 5, 2019)

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Salary Reduction Authorization Form - 403(b)

For 403(b) Annuity or 403(b)(7) Custodial Accounts

MICHIINB4290_403.pdf 40.2 KB (Last Modified on June 5, 2019)

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Salary Reduction Authorization Form - ROTH 403(b)

For ROTH 403(b) Annuity Contract or Custodial Accounts

MICHIINB4290_403Roth.pdf 40.65 KB (Last Modified on June 5, 2019)

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