Staff Forms

Leave Request Link to Attendance Enterprise.
Purchase Requisition General -Link to AptaWeb. See Directions.
Chase County Schools AMAZON Prime account. See [email protected] for User/Password.
Activity Purchase Order Activity - Like to AAWeb
Pay Stub View or Print First time use will need to choose "Enroll in the Employee Services Portal (ESP)" and proceed through set-up. After initial enrollment, use Login & Password to view and/or print paystubs. Need assistance, see Crystal Peterson @ [email protected]
Maintenance Request Work order requests for maintenance dept.
Transportation Request Please direct form & questions to Troy Hauxwell [email protected]
ELL Progress Please direct form & questions to Terri Meyer [email protected]
Personal Expense Voucher Bus Drivers use for mileage reimbursement . Staff use when personal expenses require reimbursement. DO NOT USE for purchase order expenses. Return to Superintendents Office.
2015-2016 Negotiated Agreement  
Appendix A 2015-2016  
Appendix B 2015-2016  

RTI Referral Form

Promotion and Non-promotion of Students Form  
Speech SAT Form  
Phone Extensions Voicemail Set-up Directions


Benefit Information

Link to PHA (Personal Health Assessment). Please complete by November 21, 2014 in order to receive your $25 Visa gift card in January 2015.

See PHA email or cpeterson@ccscchools for your EHA code. Password: wellness.

BCBS Summary of Benefits

BCBS Customer Service 1-877-721-2583

Online Member Services @ myblue

Vision Summary Plan Benefits & Costs 2014-2015 Ameritas Enrollment/Change/Waiver VSP Provider (Vision Service Providers) Ameritas is the Vision Insurance provider. Questions [email protected]
About LegalShield
LegalShield Application
Representative: Larry Fahrenbruch


Section 125 Forms

2015-2016 Health & Dental Cost Table When completing Section 125 (S125) Forms, this table has the incremental costs for Dental and Vision ratesthat qualify for S125.
Benny Card Information What qualifies as FSA Eligible/Ineligible Expense? Enrollment Guidlines Web link to check Benny Card balance anytime. Login/Set Up directions and contact information if you cannot remember your login to the above site.
FSA/Dependent Care Claim Form Use this form to claim Flexible Savings Account or Dependent Care Expenses from your Section 125.
Representative: Dee Friehe
308-345-8872 (fax)
Representative: Mary Jo Longnecker
[email protected]
308-364-2375 (fax)
403b - Management Trust
Kim Rojewski
Investment Administrator
Almquist, Maltzahn, Galloway & Luth, P.C.
1203 West 2nd Street
PO Box 1407
Grand Island, NE 68802

Telephone: 308-381-1810 / Fax: 308-381-4824

Verizon Employee 18% Discount Find out how here.