Hillsboro Classified United Forms

Forms

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* The Classified Professional Improvement Form should be submitted through your supervisor and forwarded to the Human Resources Office for final approval by the District and Union. To receive reimbursement, an employee must provide verification of successful completion of the course, and proof of payment. If agreeable to the provider, the District will make direct payment to cover registration fees, etc. If advance payment is requested, please submit a completed registration form with your request, atleast 30 daysin advance of the class. No employee shall receive more than $300 in any one school year. The cost of a substitute, if required, should be included in the $300 allotment.

Death of a Loved One

Our condolences on your loss. Hopefully, this section can assist you somewhat in at least organizing and clarifying some things for you with regards to your Benefits as you go through this tough time.

If the deceased was covered for Life/AD&D Insurance, the claim process for these coverages is one of the first things to get underway. Please consult your HR Department for the necessary forms to be completed, and they will submit them to the appropriate insurance companies and/or administrators.

With regards to the Medical, Dental and/or Vision coverages, if the death was an employee participating in those coverages, the dependents who were also covered can elect COBRA continuation of those coverages for a period of up to 36 months, paying the necessary premiums. The dependents will receive notification of their rights under COBRA, and from that notification date, they will have a period of 60 days to apply for the COBRA continuation and pay the necessary premiums.

If the death was a covered dependent, and if the employee participates in the Flexible Spending Account/Dependent Care Account, the employee may choose at this time to decrease or cease the contribution to this account for the dependent. Again, please contact your HR Department for the necessary forms to be completed.

Hillsboro Office: 245 SE 4th Avenue, Suite B, Hillsboro, OR 97123 (see map)
Phone: 503-681-2111 | Fax: 503-648-4670