Forms & Links

District Forms

• Forms and Documents for Parents, Students, and Community Resources
  • 2021-22 Student Registration Packet
    Student Enrollment 
  • 2022-23 District Calendar
    A one-page printable calendar.
  • Teacher Evaluations
  • Volunteer Form
    **NOTICE** At this time, the district is not allowing volunteers due to the pandemic. If you would like to volunteer in the classroom or with any programs in the district, please complete the Volunteer Form and submit it to the building secretary for processing. 
  • External Request Permission forms
    **NOTICE** At this time the district is not allowing use of its indoor facilities by outside groups due to the pandemic. If you would like to offer or sponsor a program in the district, please start with this form.
• Athletic Forms
  • Full Athletic Packet
• Cafeteria News
  • Medical Statement Form
  • Elementary Wellness Report
  • Jr/Sr High Wellness Report
  • Food Allergy
  • Cafeteria News and Information
• Employee Forms and Documents
  • 2022-23 Required Reading for Employees
    This includes information on child abuse reporting, sexual harassment, employee use/discretion of social media, and internal controls/handling of money. 
  • 2022-23 General Information - Required Reading
    This contains general information on required procedures.
  • 2022-23 Required Employee Forms
    These forms can be completed online and then printed and signed for submission to the district office.
  • 2022-23 Employee Handbook
    The materials, statements, and policies included within are issues which the district feels should be highlighted and are not, in themselves, all inclusive. Please be informed that the district has an extensive Board Policy Manual that includes additional policies, rules, procedures, and regulations. If you wish to review this manual at any time, it is available at the district office, at and each building office. This handbook may be modified by emergency policies and procedures adopted by the Board of Trustees during the period of COVID emergency. Students, Parents, and Staff are directed to review the C-Series of the Policy Manual (and amendments thereto) for the latest changes related to COVID. All students will be subject to and expected to be familiar with all COVID-related rules adopted by the Board and implemented by District Administration.
  • 2022-23 Negotiated Agreement
    Negotiated agreement between the Plummer-Worley School District and the Plummer-Worley Education Association
  • Code of Ethics
    All employees of the Plummer-Worley School District are expected to maintain the standards set forth in the Code of Ethics for Idaho Professional Educators
  • PERSI Choice 401(k) Election Form (Optional)
  • PERSI Beneficiary Designation
  • PERSI Handbook
    This contains information relative to the Public Employee Retirement System of Idaho
  • Staff Technology Use Agreement
    Tech Use Terms
  • W-4
    IRS Form W-4 for payroll withholding
  • W-4 - Idaho
    Idaho Form W-4 for payroll withholding
  • Direct Deposit Authorization
    Use this form to set up direct deposit of your paycheck.
• Employee Insurance
  • Employee Benefits at a Glance
    2022-23 Insurance Benefits Overview
  • Blue Cross/Willamette Enrollment Application
    Enrollment Application - Fillable Form
  • 2022-23 Blue Value Summary of Benefits
  • 2022-23 Blue Value Summary of Services
  • 2022-23 Blue Value Prescription Highlights
  • 2022-23 Dental Blue (Willamette) Connect Summary
  • 2022-23 HSA Summary of Coverage and Benefits
  • 2022-23 HSA Summary
  • 2022-23 HSA Frequently Asked Questions
  • 2022-23 HSA Preventative Drug List
  • Glossary of Health & Medical Terms
    This glossary has many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. Some of these terms also might not have exactly the same meaning when used in your policy or plan, and in any such case, the policy or plan governs. (See your Summary of Benefits and Coverage for information on how to get a copy of your policy or plan document.) <BR> <BR>
  • Blue Cross - MD Live 24/7 Telemedicine
    Overview of MD Live
  • Blue Cross Smart Shopper
    Helpful Information 
  • Delta Dental
    Overview of Delta Dental
  • Delta Dental Enrollment
    Enrollment or Change Form
  • VSP - United Heritage Vision Coverage
    Overview of Vision Coverage
  • VSP - United Heritage Vision Enrollment
    Enrollment Forms for Vision
  • United Heritage Group Term Life/AD&D
    Enrollment Form
  • United Heritage Group Beneficiary Form
    Form to list beneficiaries
  • Optional NCPERS Insurance Letter
  • Optional NCPERS Brochure
  • Optional NCPERS Enrollment Form
  • Optional NCPERS Beneficiary Designation Form
  • United Heritage Supplemental Life
    Enrollment Form
  • United Heritage Voluntary Long Term Disability
    Enrollment Form
• Human Resources Forms
  • Certificated (Teacher) Application
    This form can be used for all teachers, pupil personnel staff (counselors, OT/PT, SLP, etc.)
  • Classified Staff Application
    This form can be used for all paraprofessionals (aides), administrative support staff, food service, maintenance, transportation, etc.
  • Bus Driver Application
    This form is used for all transportation staff and is IN ADDITION to the classified application.
  • Extra-Curricular (Coaching) Application
  • Pre-Employment Drug Test
    This includes the policy and your signature indicates your agreement to submit to pre-employment drug testing
  • Authorization for Release of Information
    This form must be signed and allows previous employers to release personnel information to the district
  • Verification of Service
    Sick Leave Transfer and Experience Verification
• Transportation
  • Bus Routes and responsibilities of Passengers