Payroll Forms

Direct Deposit Form
22 or 26 Pay Form
W4 Form
M4 Form

Employee Forms

Contact Sheet (Please fill out this form and submit to the Business Office if you have any changes to your address, phone numbers, emergency contacts, etc.)

Reimbursement Forms:
Mileage Reimbursement Form
Employee Expense Reimbursement Form
Tuition Reimbursement Form (Must be submitted to Principal then approved by Assistant Superintendent before start of class)

Request Forms:
Leave Request Form
In Service Credit Request Form
Approval of a Professional Course Form
Request for a Professional Conference or Workshop Form

Other Forms:
Request to Change Lanes Form
Verification of Mentoring Form (Used to begin process of moving to Professional Licensure)

Time Sheets

FY19 Pay and Time Sheet Schedule
Hourly Time Sheet (hourly employees)
Professional Staff Time Sheet (Tutoring, other approved time outside of teaching hours)
Substitute Time Sheet

Employee Benefit Information

Health Insurance:
NEW! Information on 2019-2020 Health Insurance offered to all employees of Ayer Shirley Regional School District.
2019-2020 Benefit Plan Chart

Flexible Spending:
Information on Flexible Spending
Flexible Spending Medical Claim Form
Flexible Spending Dependent Claim Form
FSA Store Flyer ($10 off coupon included!)

Optional Insurance:
Ayer Shirley Regional School District offers optional insurance plans including Life Insurance, Accidental Death and Dismemberment, Long Term Disability, 403B's, and 457 Deferred Compensation Plans.

457 Plan Overview
457 Enrollment Form
457 Plans
Approved 403 List

 MTRS Benefits and Reference Guide
This guide provides you information on retirement planning, eligibility, and benefits.

Employee Discounts

Verizon Wireless offers all employees of ASRSD 15% off your monthly payments. Follow the link below to sign up electronically! (You will need to attach a pay stub as proof of employment) Verizon Wireless Employee Discount Form

Barnes and Noble also offers a rewards program to all school employees. You must sign up in store, and provide a school id and pay stub. Information can be found HERE

141 Washington Street | Phone: 978-772-8600
1 Hospital Rd | Phone: (978) 772-8600
115 Washington Street | Phone: (978) 772-8600
34 Lancaster Road | Phone: (978) 772-8600