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Westerly Public Schools

Where we create an inspiring, challenging, and supportive environment where students are encouraged and assisted in reaching their highest potential.

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  • Departments
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Human Resources

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  • Westerly Public Schools
  • Forms and Information
  • Human Resources Forms and Information


    New Employee Forms

    • 403(b) Salary Reduction Authorization Form
    • Benefits Authorization Form - If Applicable
    • Direct Deposit & Electronic Delivery
    • District Agreements Acknowledgement
    • Electronic Pay Stub Opt-In Form
    • Employee Self Service (ESS)
    • Emergency Contact Designation
    • Federal I-9
    • Federal W-4
    • RI W-4 Form
    • Westerly Public Schools Employee Handbook
    • National Education Association Rhode Island (NEARI) Childrens' Fund Contribution Form - Voluntary
    • New Health Insurance Marketplace Coverage - Read Only
    • RI Temporary Caregiver Insurance/Tempoary Disability Insurance Opt In - Non-Union Only
    • Symetra Change of Beneficiary Designation Form
    • Symetra Supplemental Life Insurance Enrollment - Calendar Year Employees/Voluntary
    • Symetra Supplemental Life Insurance Enrollment - School Year Employees/Voluntary
    • Waiver of Health Coverage - If Applicable
    • Westerly Education Endowment Fund (WEEF) Contribution Form - Voluntary
    • Westerly Public Schools Employee Handbook
    • Westerly Teachers' Association (WTA) Scholarship Fund Contribution Form - Voluntary

    Employee Forms

    • ***NEW Health Screening***
    • 403(b) Salary Reduction Authorization Form
    • Americans with Disabilities Act (ADA) Reasonable Accommodation Medical Certification Form
    • Augmented Bus Driver Opt In/Out
    • Benefits Authorization Form
    • Direct Deposit & Electronic Delivery
    • Electronic Pay Stub Opt-In Form
    • Employee Self Service (ESS)
    • Exit Interview
    • Family Medical Leave Act (FMLA) Request Form
    • Family Medical Leave Act (FMLA) Policy
    • Local 808 Eyewear Reimbursement Form
    • Mileage Reimbursement
    • National Education Association Rhode Island (NEARI) Childrens' Fund Contribution Form
    • Request for Reimbursement
    • Request for Time Off
    • Request for Workplace Accomodation
    • Symetra Change of Beneficiary Designation Form
    • Symetra Supplemental Life Insurance Enrollment - Calendar Year Employees/Voluntary
    • Symetra Supplemental Life Insurance Enrollment - School Year Employees/Voluntary
    • Sick Pool Request Form - WTA only
    • Timesheet
    • Westerly Education Endowment Fund (WEEF) Contribution Form
    • Westerly Teachers' Association (WTA) Scholarship Fund Contribution Form - Voluntary
    • Workers Compensation Initial Injury Report

    Administrator Forms

    • Non Certified Staff Evaluation Form
    • Personnel Action Form
    • Personnel Recommendation Form
    • Progressive Discipline Form
    • Request for Personnel
    • Workers Compensation Initial Injury Report

23 Highland Ave, Westerly, RI 02891

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p: 401-315-1500

f: 401-348-2707

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p: 401-315-1500

f: 401-348-2707

It is the policy of Westerly Public Schools not to discriminate in its educational programs, activities, or employment policies on the basis of age, color, gender, national origin, race, religion, sexual orientation, or disability. If special accommodations are needed call 348-2700, 48 hours in advance. .
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