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Haverhill Public Schools
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Human Resources Forms

Links to the most commonly used employee forms are provided here.
If a form you need is not listed, please contact
Human Resources at 978-374-3411.

NEW HIRE FORMS:
Application Pkt (full)
Application Pkt (use if applied on PowerSchool/SchoolSpring)
Application (Athletic Coach)
HPS Policy
Annual State & Federal Training
Hire ALICE Training
I-9 Form
I-9 Instructions
CORI Request Form
CORI (Spanish)
Direct-Deposit Form
FY26 Pay Cycle Election Form – Teacher ESP Nurses
FY26 Pay Cycle Election Form – 11 Month
Fingerprinting Process
Fingerprint Acknowledgement

Fingerprint Suitability Request
HPS Emergency Contact Form
Social Security Administration
W4 2025 Federal Withholding
M-4 – State Tax Withholding
State Ethics Commission Training (2 trainings)
BENCOR OBRA Plan (mandatory for part-time and substitutes)
EPIMS Race & Ethnicity Form (optional)

HPS Written Information Security Program

BENEFIT FORMS:
Benefits Cancellation Form
Health Insurance Opt-Out Form – Must be enrolled for a minimum of 2 years for Opt-Out payment 
Pay Schedule FY26
Incident Report Form

EMPLOYEE FORMS:
Change of Information Form
ESP Teacher Differential Form 3.25.2024
Professional Conference Form
Administrators Personal Day Form
Cafeteria Personal Day Form
Custodian Personal Day Form
ESP Personal Day Form
Haverhill Public Schools -Employee Leave Form
Non-Unit Personal Day Form
Nurse Personal Day Form

Secretaries Personal Day Form
Security Specialists Personal Day Form
Teachers Personal Day Form

Travel Reimbursement Form

 

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Haverhill logo Haverhill Public Schools
4 Summer St., Room 104
Haverhill, MA 01830
(978) 374-3400

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