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    • Instruction
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  • Schools
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    • Bainbridge Elementary
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    • Bain-Embed
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    • Elk Neck Elementary - EMBED
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    • Chesapeake City Elementary - EMBED
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    • Cecilton Elementary - EMBED
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    • Bo Manor High - EMBED
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Human Resources

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    • Vendor Contact Directory
  • Fraud, Employment, and Safety Concern Reporting (Client Code: CCPS)
  • AETNA Medical Claim Form

    AETNA Medical Claim Form

    Aetna Claim form.pdf 489.29 KB (Last Modified on June 29, 2016)
    Comments (-1)
  • CareFirst BCBS Medical Claim Form

    CareFirst BCBS Medical Claim Form

    CF Claim form.pdf 281.18 KB (Last Modified on June 29, 2016)
    Comments (-1)
  • Delta Dental Claim Form

    Delta Dental Claim Form

    Deltaclaimform_pa.pdf 51.06 KB (Last Modified on June 29, 2016)
    Comments (-1)
  • Employee Incident Report Form & Workers' Comp Guidelines

    Employee Incident Report Form & Workers' Comp Guidelines

    Employee Incident Form 11-6-2018.pdf 271 KB (Last Modified on November 6, 2018)
    Comments (-1)
  • Employee Incident Supervisor Statement

    Employee Incident Supervisor Statement

    Employee Incident Supervisor Report 11-06-18.pdf 264.24 KB (Last Modified on November 6, 2018)
    Comments (-1)
  • Employee Incident Witness Statement

    Employee Incident Witness Statement

    witness statement.pdf 176.53 KB (Last Modified on June 29, 2016)
    Comments (-1)
  • Employee Status Change

    Employee Status Change

    Employee Status Chg Packet W4 2022.pdf 2.43 MB (Last Modified on April 7, 2022)
    Comments (-1)
  • Express Scripts Prescription Drug Reimbursement form

    Express Scripts Prescription Drug Reimbursement form

    Commercial Claim Form.pdf 77.1 KB (Last Modified on March 21, 2019)
    Comments (-1)
  • Express Scripts Prior Authorization form

    Express Scripts Prior Authorization form

    Prior Authorization form.pdf 110.82 KB (Last Modified on April 6, 2022)
    Comments (-1)
  • EyeMed Vision Out-of-Network Claim Form

    EyeMed Vision Out-of-Network Claim Form

    EyeMedOutOfNetworkclaimsform.pdf 75.78 KB (Last Modified on June 29, 2016)
    Comments (-1)
  • Leave Request Form

    Leave Request Form

    Leave Request form 07.19 rev.pdf 46.41 KB (Last Modified on April 9, 2020)
    Comments (-1)
  • Optional 12 Month Pay Plan – Continuous Authorization For: (10-month, 10.5-month and 11-month employ

    Optional 12 Month Pay Plan – Continuous Authorization For: (10-month, 10.5-month and 11-month employ

    Optional 12-month Pay Plan Rev. 5.2020.pdf 429.5 KB (Last Modified on January 31, 2023)
    Comments (-1)
  • Spousal Coordination of Benefits

    Spousal Coordination of Benefits

    CCPS Spouse packet FILLABLE.pdf 1.43 MB (Last Modified on August 29, 2022)
    Comments (-1)
  • Student Certification for Overage Dependent

    Student Certification for Overage Dependent

    Student Verification rvsd 09.2022.pdf 432.75 KB (Last Modified on September 14, 2022)
    Comments (-1)
  • Supplemental Life Evidence of Insurability

    Supplemental Life Evidence of Insurability

    Evidence of Insurability.PDF 951.4 KB (Last Modified on April 9, 2020)
    Comments (-1)
  • Trustmark Claim form - illness

    Trustmark Claim form - illness

    disability-initial-claim-form.pdf 341.68 KB (Last Modified on February 25, 2021)
    Comments (-1)
  • Trustmark Claim form-pregnancy

    Trustmark Claim form-pregnancy

    pregnancy-initial-claim-form.pdf 302.37 KB (Last Modified on February 25, 2021)
    Comments (-1)
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