Michigan City Area Schools

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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


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
Category 2 Employee Evaluation Form (for IAs and Paraprofessionals; fillable pdf)	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Cat2_Evaluation_3-2013.pdf
Secretary (Non-MCESP) Evaluation Form (fillable pdf)	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Sec_NU_Evaluation_2012.pdf
Secretary Evaluation Form (fillable pdf)	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Sec_Evaluation_2012.pdf


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


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

Plan A
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SBC MCAS Teachers Plan A Blue Access_PPO_200.pdf 481.44 KB (Last Modified on May 6, 2016)

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Plan B
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SBC MCAS Teachers Plan B Blue Access _PPO.pdf 481.13 KB (Last Modified on May 6, 2016)

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Plan C
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SBC MCAS Teachers Plan C Blue Access for Health Savings Acc.pdf 480.80 KB (Last Modified on May 6, 2016)

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Plan D
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SBC MCAS Teachers Plan D 8.0 PPO HSA Embedded Rx 5 0716.pdf 480.67 KB (Last Modified on May 6, 2016)

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Dental Coverage Information
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dentalinsurance.pdf 246.52 KB (Last Modified on May 20, 2015)

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Plan A
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SBC Plan A 8_0 PPO 2 RX BA Eff 7_1_2016.pdf 690.65 KB (Last Modified on May 13, 2016)

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Plan B
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SBC Plan B 8_0 PPO 12 Rx BA 750 Ded Plan.pdf 691.12 KB (Last Modified on May 13, 2016)

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Plan C
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SBC Plan C 8_0 BA HSA 1 1500 Ded Plan.pdf 683.25 KB (Last Modified on May 13, 2016)

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Plan D
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SBC Plan D HSA PPO E4 Rx BI 5000 Ded Plan.pdf 688.92 KB (Last Modified on May 13, 2016)

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Dental Coverage Information
By

dentalinsurance.pdf 246.52 KB (Last Modified on May 13, 2016)

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