Forms
Please use the links below to download the forms as indicated below. All of the forms are in Adobe PDF format. Note: If you cannot access the forms below, you may need to download Adobe Acrobat Reader. Click here to download.
Retirement Plan Forms:
- NYS Teachers' Retirement System Change of Name/Address From
- NYS and Local Retirement System Change of Address Form (Civil Service except for Teaching Assistants)
- NYS and Local Retirement System Change of Name Form
Medical and Dental Forms:
- SWSCHP Enrollment Form
- Coordination of Benefits Form
- SWSCHP Claim Form
- SWSCHP Domestic Partner Form
- SWSCHP Summary of Benefits
- Teachers' Dental Claim Form
- Teachers' Dental Claim Form
- Teachers' DavisVision Claim Form
- Administrative and M&C Delta Dental Claim Form
- CSEA EBF Dental Claim Form
- CSEA EBF Vision Claim Form
- FMLA Certification for Employee - Illness or Maternity Leave
- FMLA Certification for Family Member
Contracts and Applications:
The mission of the White Plains City School District is to educate and inspire all students, while nurturing their dreams, so they learn continually, think critically, pursue their aspirations and contribute to a diverse and dynamic world.