HR / Payroll
Forms and Applications

New!!! WSESU BENEFITS PORTAL – Please visit our new website for all benefits information, including:
- Health Insurance
- Dental Insurance
- Life Insurance
- Retirement
- Telehealth
- Much more!
Department of Labor:
State of Vermont:
- Arbitration Award and Resolution of Negotiations – Provisions of 16 V.S.A. Chapter 61
- Health Declaration Form
Madlyn Moore Award:
Credit Equivalency
Credit Equivalency Form
Credit Equivalency Form – Fillable PDF
Payroll Items
Pay Date Schedule 2022-2023
Credit Union Form
Direct Deposit Form
Direct Deposit Form for Substitute Teachers
403 (b) Financial Rep List
403 (b) Salary Reduction Agreement -please choose your employer: WSESD VTSD, WSESU
403b Instructions
Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod
Request for Pay – All Staff
Schedule 403B appointment with Empower Rep.
Expense Items
Expense Reconciliation Form
Funds Advance Request Form
New Mileage Reimburse Form 2023
New Requisition Form 3-9-22
Mileage Matrix
Mileage Matrix ECSE
One Percent Application
Purchasing Manual – 3-9-22
L/RSB Forms (WSESU Re-Licensure forms and links to the Agency of Education (AOE))
Professional Learning Approval Form (as of March 2018)
Self Assessment on Teaching Practice from AOE (as of March 2018)
Self Assessment Verification form from AOE (as of March 2018)
ALIS: VT AOE Online Licensing System for Educators
VT Re-licensure FAQ’s and Tutorials for licensure
VT AOE License Renewal Main Page