Applications & Forms

The links below will contain forms in various formats for use by/for MSAD #11 school district. Please check with each building for school building specific forms.

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Non-Teaching Application.pdf177.49 KB
NURSES APPLICATION.doc47 KB
NURSES APPLICATION.pdf94.09 KB
Student Representaive Application.doc36.5 KB
Teacher and Ed Tech III App.pdf98.87 KB
Coaching Application.doc38.5 KB
Coaching App.pdf140.18 KB
Ed Tech I and II App.doc44 KB
Ed Tech I and II App.pdf156.52 KB

M.S.A.D. # 11 Employee Payroll / Human Resource Forms

Payroll / Human Resource Forms for M.S.A.D. # 11 employees. Any questions regarding the forms should be directed to Andrea Disch, Payroll /Human Resources Supervisor.

Health / Dental Insurance Forms

Health / Dental Insurance forms for M.S.A.D. # 11 employees. Any questions regarding the forms should be directed to Andrea Disch, Payroll /Human Resources Supervisor.

Anthem MEA Group Health Insurance Benefit Comparison

Anthem Group Health Insurance Benefit Grid - Plans Effective July 1, 2005

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Anthem Insurance Benefit Comparison.pdf186.78 KB

Anthem MEA Group Health Insurance Enrollment / Change Form

Completed Anthem Group Health Insurance Enrollment/Change Forms should be forwarded to Andrea Disch at the Superintendent's Office.

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Anthem MEA Member Enrollment Form.pdf38.51 KB

MSMA Group Dental Enrollment/Change Form

Completed MSMA Group Dental Enrollment/Change Forms should be forwarded to Andrea Disch at the Superintendent's Office.

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MSMA EnrollmentForm.pdf34.93 KB

W-4 2006 Employee's Federal Withholding

Completed W-4 Forms should be forwarded to Andrea Disch at the Superintendent's Office.

W-4ME State of Maine Employee's Withholding Form

State of Maine Employee Withholding Form

Maine State Retirement System Forms

MSRS forms for members of the Maine State Retirement System

An Overview of MSRS Benefits for Teacher Members

The information in this handbook is intended to give you a general understanding of benefits available to members of the Maine State Retirement System (MSRS).

An Overview of MSRS Disability Benefits

The information in this handbook is intended to give you a general understanding of disability benefits available to members of the Maine State Retirement System (MSRS).

An Overview of MSRS Group Life Insurance Program

The information in this handbook is intended to give you a general understanding of the MSRS Group Life Insurance benefits available to members of the Maine State Retirement System (MSRS).

MSRS Change of Beneficiary Group Life Insurance

Use this form to change your designation of beneficiary(ies) under the Group Life Insurance Program administered by the Maine State Retirement System (MSRS).

After you have completed this form, mail it to the Group Life Insurance Program at the address printed at the top of the form.

If you are a member of the MSRS, please note that this form does not pertain to MSRS pre-retirement death benefits. You must change your beneficiary(ies) for your MSRS pre-retirement death benefits separately.