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The forms below are used when you have a qualifying status change. Make sure to use the appropriate form based on your Bargaining Unit (union).
This form is a fillable PDF.
1 - Download the form to your computer
2 - Fill it out on your computer, save
3 - Email completed form to janine.cummins@spps.org or benefits@spps.org
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PEIP Qualifying Status Change Form
The PEIP form is for employee's in the following Bargaining Units:
- Educational Assistants
- Teachers
- Teaching Assistants
- School and Community Service Professionals (SCSP)
- SUTR
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Non PEIP Qualifying Status Change Form
The Non-PEIP form is for employee's in the following Bargaining Units:
AFSCME, ASAP, Bus Drivers, Classified Confidential, Custodian, JROTC, Machinists, Manual Maintenance, Nutrition Services, PEA, Principals, Superintendency, Supervisors, and Tri-Council