Human Resources - Forms and Notices

Required Reading for New Employees

Click on the links, and carefully read each of the documents listed:

  1. The sexual harassment prevention brochure entitled, "Don't Do It, Don't Allow It"
  2.  Drug-Free Workplace Communication letter
  3.  Education Unit on Universal Precautions, Bloodborne Pathogens, and Infection Control in the School
  4.  Tri-Creek School Corporation Responsible Use Policy RUP
  5. Family and Medical Leave Act (FMLA) notification document


State / Federal Tax Documentation

Indiana Income Tax Withholding Form (WH-4).

HIPAA Information

 HIPAA Notice (effective October 1, 2013)

Optional Family Medical Leave Act (FMLA) forms 

The United States Department of Labor has provided optional forms for use by employers and employees during the FMLA process.  These forms include:

Employee’s Serious Health Condition ( WH-380E

Family Member’s Serious Health Condition ( WH-380F)

Notice of Eligibility and Rights and Responsibilities form ( WH-381)

Designation Notice to Employee of FMLA Leave ( WH-382)

Certification of Qualifying Exigency for Military Family Leave ( WH-384)

Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave ( WH-385).