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West Side School

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  • Home
  • West Side
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  • Parents
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    • Before and After School Care
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    • After-School Program Session 4
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  • Students
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    • Computer Technology
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  • Community
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    • Adult Education
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    • CSH Fire Department
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    • Huntington Arts Council
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    • Lloyd Harbor Historical Society
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    • West Side School 225th Anniversary Celebration
    • West Side Run 2017
  • Athletics
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    • Directions
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    • Schedules
    • Seahawks Booster Club Scholarship Application 2017
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    • Cold Spring Harbor Athletics Videos
    • More
  • Staff
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    • AESOP Substitute System
    • AESOP Upload Instructions
    • BARS on the web
    • Brainpop
    • Brainpop Password (log into School Website to see)
    • Cast for Education
    • Chromebook - Add a WiFi Network
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    • Classroom Visit Form and Guidelines
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    • Danielson 2011 Rubric
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    • Employee Benefits Form
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    • eSchool Login
    • Faculty E-Mail Pickup
    • FasttMath
    • FlipGrid
    • Google Expeditions
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    • Human Resource Documents
    • IEPDirect Login
    • Kami
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    • Math Resources
    • Microsoft Home Use Program
    • My Learning Plan
    • Nearpod
    • NutriKids Cashier Training
    • Pearson SuccessNet!
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    • Technology
    • Type to Learn
    • Web Page Help
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    • Email
    • Forms - Staff All
  • Contacts
      "
    • Main Contacts
    • E-Mail Guidelines
  • Teacher Websites
      "
    • Arloff, William Mr.
    • Baratta, Mary Ms.
    • Byrne, Michelle Ms.
    • Dopico, Kathryn Ms.
    • Dudek, Melissa Ms.
    • Fritz-Rodriguez, Maria Ms.
    • Gerver, Linda Ms.
    • Glass, Julia Ms. (Science 3 & 4)
    • Latham, Deanna Ms.
    • Library (Mrs. Fraiberg's Website)
    • Manning, Sharon Ms.
    • McLaughlin, Andria Ms.
    • Rivadeneyra, Señorita
    • Ryan, Maureen Lunny Ms.
    • Santoro, Diane Ms.
    • Scanlon, Stephanie Ms.
    • Schoenberg, Karen Ms.
    • Welcome New Families
    • Martin, Leah Ms. (Music)
    • West Side Theater
    • Daniels-Rosenblatt, Heather Ms.
    • Forbes, Steven Mr.
    • Thompson, Ashley Ms.
    • Diehl, Margaret Ms. (Technology)
    • Pina, Jessica Ms.
    • DeRosa, Jane Ms.
    • Kleiner, Susan Ms. (Music & Band)
    • Kotzky, Helen Mrs.
    • West Side School Academic Intervention Services (AIS)
    • Incarnato, Alison Ms. (PE & Health)
  • About Us
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  • Summer Reading
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    • Summer Reading 2020
  • Calendar
  • West Side School
  • Employee Benefits Form

Employee Benefits Form

  • Employee Benefits Form

Employee Benefits Forms

  • Summary of Benefits - HIP Prime 2020

    https://drive.google.com/a/csh.k12.ny.us/file/d/1CF8NP1m_fiyj6GeFihM0Ws04sGG9rZsM/view?usp=sharing
    Comments (-1)
  • Summary of Benefits - HIP Low Cost 2020

    https://drive.google.com/a/csh.k12.ny.us/file/d/1kL9-g4zYpjy8652A-0XvuqzQA9D7OT6X/view?usp=sharing
    Comments (-1)
  • Summary of Benefits - Empire 2020

    https://drive.google.com/a/csh.k12.ny.us/file/d/17cq7_0Xx8Jy0pvTc-3Gh2M1H9085JFqG/view?usp=sharing
    Comments (-1)
  • Change of Beneficiary - Life Insurance

    https://ny02214132.schoolwires.net/cms/lib/NY02214132/Centricity/Domain/196/Change of Beneficiary - Life Insurance.pdf
    Comments (-1)
  • Change of Beneficiary - Life Insurance

    https://www.csh.k12.ny.us/cms/lib/NY02214132/Centricity/Domain/196/Change of Beneficiary - Life Insurance.pdf
    Comments (-1)
  • CVS Caremark Rx Mail Service Order Form

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/CVS Caremark Rx Mail Service Order Form.pdf
    Comments (-1)
  • CVS Caremark Rx Reimbursement Claim Form

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/CVS Caremark Rx Reimbursement Claim Form.pdf
    Comments (-1)
  • Dental Claim Form - Ameritas

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Dental Claim Form - Ameritas.pdf
    Comments (-1)
  • Direct Deposit Cancellation Form

    https://ny02214132.schoolwires.net/cms/lib/NY02214132/Centricity/Domain/196/Direct Deposit Cancellation Form.pdf
    Comments (-1)
  • Empire Claim Form - Inside NYS

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Empire Claim Form - Inside NYS.pdf
    Comments (-1)
  • Empire Claim Form - Outside NYS

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Empire Claim Form - Outside NYS.pdf
    Comments (-1)
  • Excess Major Medical

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/excess major medical.pdf
    Comments (-1)
  • Excess Major Medical - Vision

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/excess major medical - vision - shelterpoint.pdf
    Comments (-1)
  • Fitzharris - Proof of Student Status

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/fitzharris - proof of student status.pdf
    Comments (-1)
  • Flex Benefits Claim Form - BRI

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Flex Benefits Claim Form - BRI.pdf
    Comments (-1)
  • Flex Benefits Educational Brochure - BRI

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Flex Benefits Educational Brochure - BRI.pdf
    Comments (-1)
  • Flex Benefits Login Info - BRI

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Flex Benefits Login Info - BRI.pdf
    Comments (-1)
  • Flex Benefits Plan Highlights - BRI

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/Flex Benefits Plan Highlights - BRI.pdf
    Comments (-1)
  • HIP Medical Claim Form

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/HIP Medical Claim Form.pdf
    Comments (-1)
  • HIP Rx Claim Form

    /cms/lib/NY02214132/Centricity/Shared/Employee Benefits Forms/HIP Rx Claim Form.pdf
    Comments (-1)

Address

1597 Laurel Hollow Road, Syosset, NY 11791

Phone

516-692-7900

Fax

516-692-4845

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Contact Joe Monastero - jmonastero@csh.k12.ny.us with questions
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