New Prague Area Schools

District Site

410 Central Ave. N
New Prague, MN 56071

phone: 952-758-1700

fax: 952-758-1799

Human Resources Forms

Form W-4

Form W-4
Form W-4MN

Direct Deposit

Employee/Substitute Handbooks

Employee Handbook
Substitute Handbook

403(b) Forms

403(b) Approved Vendors
403(b) Information Sheet
EBC 403(b) Transaction Kit
Fidelity Self Administer Information
Salary Reduction Form

Dental Insurance Forms

Health Partners Dental Change Form
Health Partners Dental Enrollment Form

Flex Forms

Further Dependent Care Claim Form
Further Dependent Care Enrollment Form
Further FSA/Medical Expense Claim Form
Further FSA/Medical Expense Enrollment Form

VEBA Insurance Forms

Further Medical Expense Claim Form
Further VEBA Add Dependent Form
Further VEBA Beneficiary Designation Form

Health Insurance Forms

Medica Instructions and Enrollment-Change Form
Accountable Care Organization Consent Form

Life and AD&D Insurance Forms

MNL LTD Supplemental Life & AD&D Form - Classes 234
MNL LTD Supplemental Life & AD&D Form - Classes 1567
MNL Beneficiary Form
MNL Evidence of Insurability Form
Zurich AD&D Enrollment Form

Waiver Form

Waiver of Benefits Acknowledgement Form