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 firstname.lastname@example.org or email@example.com
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