Please note that additional documents for staff, related to COVID-19, are available in the COVID-19 Info section of the district website. Questions may be directed to your supervisor or Jackie Jackson.
Does not apply to NJEHP or Garden State Plans.
Does not apply to the NJEHP or Garden State Plans.
Glasses & contacts not covered under NJEHP Plan.
You may complete all areas of this form electronically. Submit completed forms to Jackie Jackson at the Board Office.
Submit this form along with a doctor's note for every Family Illness Leave Day Request.
Must save copy of file on your computer before completing.