Meriden Board of Education
Meriden Board of Education
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Meriden Board of Education

22 Liberty Street
Meriden, CT 06450
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203.630.4171

Personnel Department Forms Repository

The following forms are provided by the Meriden Public Schools Personnel Department for employees of the Meriden Board of Education.  Please note that these forms are provided in an Adobe Acrobat Reader format that allows you to complete form fields online.  Should the form you are completing require signature, you must still print it, sign it and return it in hard copy to the Personnel Office.  You may also print the forms for completion offline.

GENERAL FORMS & DOCUMENTS:

Employee Information Document                                                                                                                                                                        Change In Name, Address, Telephone Number Form 

 

INSURANCE FORMS:   **

CIGNA Medical/Dental Enrollment Change Form                                                                                                                                             MetLife Insurance Beneficiary Change Form                 

Cafeteria Insurance Premium Share Form 
Clerical (Full-Time) Insurance Premium Share Form                                                                                                                               Custodian & Maintenance Insurance Premium Share Form                                                                                                                        Family-School Liaison Insurance Premium Share Form                                                                                                                               Instructional Technology Insurance Premium Share Form                                                                                                                            Non-Certified Supervisors Insurance Premium Share Form
Paraprofessional Insurance Premium Share Form 
Supervisors, Principals & Central Office Administrators Insurance Premium Share Form
Teachers Insurance Premium Share Form                                                                                                                                                  

** Meriden Board of Education employeesAll changes are due in the Personnel Office by the 25th of the month to be effective for the 1st of the following month. 

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