ESC Employee Forms and Information

• Pickaway County ESC Employee Handbook

• The Families First Coronavirus Response Act (FFCRA) Employee Rights

• United Healthcare Summary of Benefits and Coverage

• Notice of Creditable Coverage - Medicare

• Delta Dental Summary of Dental Plan Benefits

• Application for Certified Salary Change

• Bereavement Request Form

• College Tuition Reimbursement

• Credit Card Policy

• Credit Card Expediture Form

• Direct Deposit Form

• 2021 Federal Tax Form W-4

• Mileage Distance Information

• Ohio IT4 Form

• Purchasing Certificate of Understanding of Purchasing Procedures

• Reimbursement Detail Report

• SERS Membership

• STRS Membership

• VSP Benefit Summary

• Online Requisitions Instructions and/or Help

• Click here to access Strategic Solutions log in for Requisitions Leave and PD

Health and Safety Links

• Transparency in Coverage

  UnitedHealthcare creates and publishes the machine-readable files on behalf of the Pickaway County ESC.

  To link to the machine-readable files, click on the above link, then hit Ctrl-F (Command-F on a Mac) on your keyboard to bring up a search bar. Type in your employer name and the associated MRFs will appear for download.

• American Fidelity Login

• Report an Employee Accident

• Training Log-In

• Get a Safety Data Sheet

• Report Completing a Task

• Report a Safety Hazard

• Submit an IT Service Request

LPDC Forms and Information

• LPDC Handbook

• LPDC IPDP Educator Profile

• Verification of Renewal Requirements

• IPDP Guidelines for Review by the LPDC