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Hadley-Luzerne Central School District

Home of the Eagles

HR/Payroll Resources

Common Forms

Below please find a set of common forms used by staff for the purpose of leave requests, payroll, benefits, and tax shelters:

Upon hire, an employee must submit a W-4 and a IT-2109 form. These forms inform the payroll staff regarding your federal & state status for the calculation of your paycheck.

Often times, staff will participate in an activity that is not normally part of their regular job duties. In order to be paid for these activities, i.e. proctoring, mileage, sporting events, teacher stipends, you must submit an approved voucher. Please make sure you have prior approval from your supervisor and they have signed your claims form.

Accounts Payable

For accounts payable questions please contact:

Darcey Hastings

  • 518-696-2378 ext 1137
  • HLSD: Accounts Payable
    PO Box 200
    Lake Luzerne, New York, 12846
  • email

Health Insurance Information

Listed below are the forms and/or information that may answer questions you may have regarding your health insurance policy.  If you have any questions that cannot be answered from the attached forms, please contact 518 696 2112 ext 1136.

For questions regarding claims, duplicate cards, plan information, etc.:

  • Blue Cross Blue Shield Customer Service
    • 1-800-544-2583

For help in understanding and resolves claims:

Payroll and Attendance

Employee Attendance / Payroll Clerk:

  • 518-696-2112 ext 1136 or email
  • Hours 8a-12p
  • email

Retirement Information

New York State Teachers’ Retirement System
For Teacher’s – Below please find a link to the TRS website

New York State and Local Retirement System – ERS
For non-instructional staff please find below the link to the ERS Website