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.
Teacher and Ed Tech III Application
Non-Teaching Application
Coaching Application
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 for M.S.A.D. # 11 employees. Any questions regarding the forms should be directed to Andrea Disch, Payroll /Human Resources Supervisor.
Anthem Group Health Insurance Benefit Grid - Plans Effective July 1, 2005
Completed Anthem Group Health Insurance Enrollment/Change Forms should be forwarded to Andrea Disch at the Superintendent's Office.
Completed MSMA Group Dental Enrollment/Change Forms should be forwarded to Andrea Disch at the Superintendent's Office.
Completed W-4 Forms should be forwarded to Andrea Disch at the Superintendent's Office.
State of Maine Employee Withholding Form
MSRS forms for members of the Maine State Retirement System
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).
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).
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).
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.
Certification Chairperson Laurie Leavitt: (lleavitt@msad11.org)
Other Links:
Form Links:
The attached forms are to interactive documents in Microsoft Word files or to Acrobat PDF files. If you have Microsoft Word installed then downlaod these, fill out the information required, save your changes and email the changes back to Laurie Leavitt. If you do not have Microsoft Word then you can print the form from the handbooks and send them to Laurie Leavitt at the Gardiner Area High School by inter-office mail.
If you do not have Acrobat Reader installed then you can download it from http://www.adobe.com. Apple's Preview application on a Macintosh computer will open PDF files as well.