TO: Prospective Employee

Worcester County Board of Education 6270 Worcester Highway

Newark, MD 21841 www. worcesterkl 2.org

410-632-5000 410-632-1599 Fax

FROM: C. Dwayne Abt, Supervisor of Human Resources

RE: Substitutes and Temporary Employees

Thank you for your interest in our school system. 1n order to be placed on the approved substitute list or become a temporary employee, you must complete the following federal and state forms and be fingerprinted at Worcester County Board of Education office prior to your first day of employment.

A. SUBSTITUTE TEACHERS: Complete Substitute Teacher application. Substitute teachers are paid according to their degree/retired status. You will receive a lower rate of pay pending receipt of documentation of bachelor's degree/retired teacher status/holder of current/expired MD Educator Certificate. Substitute teachers may qualify for differential daily pay (DDP) by attending two workshops in a school or calendar year. Thereafter, substitutes will continue to receive DDP by attending one workshop each year. You will be notified by mail, of these half-day workshops which are offere-d on designated professional days. A schedule of pay rates for substitute teachers is enclosed.

B. SUBSTrTUTE NURSES: Complete Substitute Nurse application. Substitute nurses must bring copy of current nursing license and copy of transcript with posted degree. Pay is based on the first step of the school nurse pay.

C. APPLICATION FOR CRIM INAL HISTORY RECORD CHECK: Complete the Livescan Pre-registration Application. Fingerprinting must be done at the Worcester County Board of Education Human Resources Department. To schedule an appointment to be fingerprinted, please call 410-632-5049. Currently, the State/FBI charge is $31.25 to complete a background investigation. Please be aware there will be a $25 administrative fee for returned checks. Payment in the form of a check or money order made payable to Worcester County Board of Education must be submitted the day of your fingerprinting appointment. Also, required is a current driver's license and social security card. Substitutes and temporary employees are eligible for reimbursement of the $31.25 fee for fingerprinting aft.er working for the Board of Education a minimum of 20 days. Complete the enclosed Criminal Background Check Pavment Verification Form and forward it to Annette Powell at Worcester County Board of Education Human Resources Department after you have worked 20 days.

D. FORM 1-9 - EMPLOYMENT ELJGIBTUTY VERrFTCA TlON: Complete Section I only. Federal law requires that we verify your citizenship status, in person. Please bring your driver's license and social security card.

E. 1) FORM W-4- EMPLOYEE'S WITHHOLDING ALLOWANCE CERTIFICATE

2) FORM MW 507- EMPLOYEE'S MARYLAND WrTHHOLDING EXEMPTION CERTrFlCATE

The payroll department requires that both of these forms be completed in order to issue paychecks. A payroll schedule for the current school year is enclosed for your information.

F. Direct Deposit is mandatory. Directions have been included on how to fill out the direct deposit form.

Please complete all forms before coming to the Human Resources office. All forms need to be turned in on the day of fingerprinting. Aft.er fingerprinting and submitting all forms, you may begin working pending the results of your criminal history check. If, however, this investigation indicates a criminal record, your application will be removed from our files and your employment will be terminated.

Please contact the Human Resources office (410-632-5075) if you have any questions relating to this procedure. Thank you.

CDA:ajp Enclosures 1/20 l 9

GENERAL INFORMATION FOR SUBSTITUTE TEACHERS

Daily Rates of Pay (Effective September I, 20 l 8)

Non-Degree Bachelor's Degree Non-Degree+ Two Workshops* Bachelor's Degree+ Two Workshops* or expired MD Educator Certificate Retired Teacher or current MD Educator Certificate

$82/day $87/day $87/day $92/day $98/day

The Board of Education pays substitute teachers according to their degree, certificate or retired status. Retired teachers, current/expired MD Educator Certificate holders, and those who have earned a bachelor's degree or higher are paid at a higher dai ly rate.

Substitutes with a bachelor's degree or higher will be paid at the lower daily rate pending receipt of documentation regarding earned degrees. Documentation could consist of a transcript which indicates degree earned, a copy of the diploma, or a letter from the college registrar. Once documentatio n is received, you will be paid at the h igher rate.

Retired teache rs (other than those who retired from Worcester County Public Schools) will be paid at the lower d aiJy rate of pay pending receipt of documentation regarding retirement status or a copy of the certificate. Documentation could consist of a letter of retirement from the former employing school system or a copy of a pay stub from the pension/retirement system. Once d ocumentation is received, you will be paid at the higher rate.

Current MD Educator Certificate holders will be paid at the lower daily rate of pay pend ing a copy of the current certificate. Once documentation is received, you will be paid at the higher rate.

Expired MD Educator Certificate holders will be paid at the lower daily rate of pay pending a copy of the certificate. Once documentation is received, you will be paid at the higher rate.

*Differential Daily Pay (DDP): Substitute teacher inservice training is offered several times throughout the school year. To qualify for DDP (an additional $5/day), a substitute must attend two workshops in one school year, and one each year thereafter in order to continue receiving DDP. Pay will revert to the base rate if you do not attend at least one workshop each year. Retired teachers and current and expired MD Certificate holders are encouraged (but not required) to attend school-based and county-wide workshops for professional staff that focus on new and emerging issues in education. Substitutes are not paid a salary to attend these half-day in service workshops.

Long-Term Substitute Teachers: Substitute teachers will receive an additional $ 10/day after working for ten consecutive days in the same assignment. A long-term substitute teacher who is hired to work in the same assignment for a period of at least 25 school days must possess a bachelor's degree and will be paid on the beginning step of the Standard Professional Certificate scale and will receive one day of sick leave per month.

Substitute teachers are covered by workers' compensation. Any injury occurring during the school day should be reported to the school

administration immediately.

If you have questions concerning inservice training, approved substitute lists and applications, or substitute pay, please contact one of the following persons at the Worcester County Board of Education Central Office:

Shirleen Church (Coordinator) is responsible for coordinating substitute teacher inservice training.

Annette Powell (Human Resources) maintains substitute teacher applications and approved substitute lists.

David Kuhn (Payroll) is responsible for substitute pay.

Laurie Kauffman (Payroll) is responsible for direct deposit ofsubstimte pay.

PLEASE NOTE THAT TffiS INFORMATION ONLY APPLIES TO SUBSTITUTE TEACHERS

TO:

FROM:

RE:

Substitutes

Worcester County Board of Education 6270 Worcester Highway

Newark, MD 21841 www.worcesterkl2.com

410-632-5000 410-632-1599 Fax

Shirleen Church, Coordinator of Instruction

Substitute Professional Development

A protocol for enrolling in professional development (PD) has been designed to expand your opportunities to receive PD that is relevant to your needs and to the needs of the schools in which you teach.

It is very important that you become familiar with the protocol, as it is required to enroll in PD workshops to qualify for or to maintain Differential Daily Pay. (DDP is an increase of $5 per day for those who are eligible and qualify.)

To learn about the protocol and to access enrollment forms, you must visit our website. The Professional Development page - which includes the substitute protocol and enrollment form -is found within the "Faculty & Staff' menu by clicking on the "Profess. Develop." link. You may aJso navigate to the page using this URL: http://www.worcesterkl2.com/faculty­staff/professional-development-pd.

You are responsible for understanding the protocol and properly using the enrollment form. The protocol provides contact information should you have a question specific to the protocol, your contact information, pay status, or payroll issues.

Thank you for all you do to ensure that student learning continues when teachers must be out of their classrooms .

• Excellence in Educatlon - In Worcester County, People Make the Difference Serving the Youth of Worcester County Since 1868

Employment Eligibility Verification

Department of Homeland Security U.S. Citizenship and Immigration Services

USCIS Form I-9

0MB No. 1615-0047 Expires 08/3l nol 9

• START HERE: Read instructions carefully before completing this form. The Instructions must be available, e ither in paper or ele~onically, during completion of this form. Employers are l iable for errors in the completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a fu ture expiration date may also constitute illegal discrimination.

Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form /-9 no later than the first day of employment, but not before accepting a job offer.)

Last Name (Family Name) First Name (Given Name) Midd1e Initial Other Last Names Used (i f any)

Address {Slteet Number and Name) Apt Number Crty or Town State ZIP Code

Date of Birth (mmlddlyyyy) U.S Social Security Number Employee's E-mail Address Employee's Telephone Number

[Il]·ITJ·I 111 I I am aware that federal law provides for imprisonment and/or f ines for false statements or use of false documents in connection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following boxes):

D 1. A atizen of the United States

0 2. A noncitizen natJonal of the United States (See instructions)

D 3. A lawful permanent resident (Ahen Registration Number/USCIS Number):

D 4 An alien authorized to work until (expiration date. if applicable mm/dd/yyyy):

Some aliens may write "NIA" in the expiration date field. (See instructions)

Aliens authorized to worlc must provide only one of the following document numbers to complete Fomi 1-9. OR Code • Sect,cn 1

An Alisn Registration Number/USC/S Number OR Form /-94 Admission Number OR Foreign Passport Number. Do Nol WU In Th s Space

1.Alien Reg stration Number/USCIS Number.

OR 2. Form 1-94 Admission Number:

OR 3. Foreign Passport Number:

Country of Issuance

I Signature of Employee I Today's Date (mmlddlyyyy)

Preparer and/or Translator Certification (check one): DI did not use a preparer or translator D A preparer(s) and/or transla'.or(s) ass ~ed ttie emp'oyee in completing Section 1.

(Fielc/s below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to t he best of my knowledge the information is true and correct. Signature of Preparer or Translator I Today's Date (mrrv'd<Vyyyy)

Last Name (Family Name) First Name (Given Name)

Address (Street Number and Name) City or Town State ZIP Code

Employer Complet.•s Next Page

Fonn 1-9 07/17/17 N Page I of 3

··;-:.-,,,!r,

Section 1 Employee Info from

Employment Eligibility Verification Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS Form 1-9

0MB No. 1615.Q0.17 Expires 08/31/2019

List A OR AND List C Employment Authorization Identity and Employment Authorization

Document Title Document Title Document Trtle

Issuing Authority Issuing Authority Issuing Authority

Document Number Document Number Document Number

Expiration Date (if any)(mm/ddlyyyy) Expiration Date (if any)(mm/ddlyyyy) Expiration Date (if any)(mm/ddlyyyy)

Document Trtle

Issuing Authority Additional Information ORCode-Seeuons2&3 Do Not Wile In Ths Space

Document Number

Expiration Date (if any)(mmlddlyyyy)

Document Trtle

Issuing Authority

Document Number

ExpiraLon Date (if any)(mmlddlyyyy)

!1

Certification: I attest, under p enalty o f perjury, that (1) I have examined the document(s) presented by t he above-named employee, (2) the above-listed document(s) appear to b e genuine and to relate to the employee named, and (3} to the best of my knowledge the employee is authorized to work in t he United Sta tes.

The employee's first day o f employment (mm/dd/yyyy): _______ {See instructions for exemptions)

Signature of Employer or Authorized Representative Today's Date (mm/ddlyyyy) Trtle of Employer or Authorized Representative

Benefits Coordinator Last Name ol Employer or Authorized Representative

Bennett First Name of Employer or Authorized Representative

Sheryl Employer's Business or Organization Address (Street Number and Name) City or Town

Newark 6270 Worcester Hi hwa

A. New Name (d applicable}

Last Name (Family Name) First Name (GM1n Name) Middle Initial

Employer's Business or Organization Name

or . Co. Board of Education

C. If the employee's p1evious grant of employment authorization has expired, provide the informafon for the document or receipt that establishes continuing employment authorization in the space provided below.

Document Trtle Document Number Expiration Date (if snj1 (l7lll'VC1dyyyy)

I attest, under penalty of perjury, that to the best o f my knowledge, this employee is authorized to work in t he U nited States, and if the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the Individual.

Signature of Employer or Authorized Representative Today's Date (mmlddlyyw) Name of Employer or Authorized Representative

Form 1-9 07/17/17 N Page2of3

1.

2.

3.

4.

5.

6.

LISTS OF ACCEPTABLE DOCUMENTS All documents must be UNEXPIRED

Employees may present one selection from List A or a combination of one selection from List B and one selection from List C.

LIST A LIST 8 LIST C

Documents that Establish Documents that Establish Documents that Establish Both Identity and Identity Employment Authorization

Employment Authorization OF AND

U.S. Passport or U.S. Passport Card 1. Driver's license or ID card issued by a 1. A Social Security Account Number

Permanent Resident Card or Alien State or outlying possession of the card, unless the card includes one of

Registration Receipt Card (Form 1-551) United States provided it contains a the following restrictions: photograph or information such as (1) NOT VALID FOR EMPLOYMENT

Foreign passport that contains a name, date of birth, gender, height, eye

(2) VALID FOR WORK ONLY WITH color, and address temporary 1-551 stamp or temporary INS AUTHORIZATION 1-551 printed nolation on a machine- 2. ID card issued by federal, state or local (3) VALID FOR WORK ONLY WITH readable immigrant visa government agencies or entities, DHS AUTHORIZATION

provided it contains a photograph or Employment Authorization Document information such as name, date of birth, 2. Certification of report of birth issued that contains a photograph (Form gender, height, eye color, and address by the Department of State (Forms 1-766) DS-1350, FS-545, FS-240)

3. School ID card with a photograph For a nonimmigrant alien authorized 3. Original or certified copy of birth to work for a specific employer 4. Voter's registration card certificate issued by a State, because of his or her status: county, municipal authority, or

5. U.S. Military card or draft record territory of the United States a. Foreign passport; and

b. Form 1-94 or Form l-94A that has 6. Military dependent's ID card bearing an official seal

the following: 7. U.S. Coast Guard Merchant Mariner 4. Native American tribal document

(1) The same name as the passport; Card 5. U.S. Citizen ID Card (Form 1-197) and

8. Native American tribal document (2) An endorsement of the alien's 6. Identification Card for Use of

nonimmigrant status as long as 9. Driver's license issued by a Canadian Resident Citizen in the United

that period of endorsement has government authority States (Form 1-179)

not yet expired and the 7. Employment authorization proposed employment is not in For persons under age 18 who are

conflict with any restrictions or unable to present a document document issued by the

limitations identified on the form. listed above: Department of Homeland Security

Passport from the Federated States of 10. School record or report card

Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form 11. Clinic, doctor, or hospital record 1-94 or Form l-94A indicating nonimmigranl admission under the 12. Day-care or nursery school record

Compact of Free Association Between the United States and the FSM or RMI

Examples of many of these documents appear in Part 13 of the Handbook for Employers (M-274).

Refer to the instructions for more information about acceptable receipts.

Form I-9 07/17/17 N Page 3 of3

AGENCY PRIVACY REQUIREMENTS FOR NONCRIMINAL JUSTICE APPLICANTS

Authorized governmental and non-governmental agencies/officials that conduct a national fingerprint-based criminal history record check on an applicant for a noncriminal justice purpose (such as employment or a license, immigration or natura lization matter, security clearance, or adoption) are obligated to ensure the applicant is provided certain notices and that the results of the check are handled in a mann l"t at prot,cts the applicant's privacy. All notices must be provided in writing.1 T;zes ol>ligati~ns are'pursuant to thf Privacy Act of 1974, Title 5, United States Code (U.S.C.), S tion 552a, and Title 28, Code of Federal Regulations (CFR), Section 50.12,

h h . . " 4 among ot er aut onties. ., r1 ,,.

• Officials ust tns~hat c applicant receives an adequate wtftten FBI Privacy Act Stateme t (dated 2013 o later) when the applicant submits his/her fingerprints and

y associ ted pe,rsonal i ormation.2 ~

• Officials m~ ·advis alLapplicants in writing that procedures for obtainin~ a change, corrJ!tio9;;;; upd te of an FBI criminal 'bi story r ~cord are set forth a t 28 CFR 6.34. Info ation,regar ing his process may be found at

•

•

•

htt ://ww,v.tbi. o /services/c "is/identit - istor -summarv-checks and J J!.

Officials must pro "de the applicayt the opportunity to comple/te or ch3.!!enge tile accuracy of the information in the FBI criminal history record.

Officials should not deny the employment, license,/4>r other benefit based on information in the FBI criminal history record until the applicant has bee afforded areas nable time to correct or complete the record or has declined to do~ "'

Officials must use/the-FBI c~ na) histQry recocd for authorized purp es only and cannot retain or disseminafeJii violation of federal statute, regulation or ex cutive order, or rule, procedure or standard establ'shed by the National Crime Prevention and Privacy Compact Council.3 ., \ \

1

The FBI has no objection to officials providing co Y- Or..the'applicant's FBI criminal history record to the applicant for review and possible challenge when the r ecord was obtained based on positive fingerprint identification. If agency policy permits, this courtesy will save the applicant the time and additional FBI fee to obtain his/her record directly from the FBI by following the procedures found at 28 CFR 16.30 through 16.34. It will also allow the officials to make a more timely determination of the applicant's suitability.

Each agency should establish and document the process/procedures it utilizes for how/when it gives the applicant the FBI Privacy Act Statement, the 28 CFR 50.12 notice, and the opportunity to correct his/her record. Such documentation will assist State and/or FBI auditors during periodic compliance reviews on use of FBI criminal history records for noncriminal justice purposes.

1 Written notificati on includes e lectronic notification, hut excludl!s oral notilication. 2 Sec https://www.tbi.gov/scrviccs/cj is/compact-counci 1/pri vacy-act-slatcmcnt :i See 5 U.S.C. 552a(h); 28 U.S.C. 5)4(b); 34 U.S.C. § 40316 (formerly cited as 42 U.S.C. § 14616), Article IY(c); 28 CFR 20.21 (c), 20.D(d), 50. l 2(b) and 906.2(d).

Updated 11/06/20 19

STATE OF MARYLAND DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

CRIMINAL JUSTICE INFORMATION SYSTEMS - CENTRAL REPOSITORY

, ,~ .. ------~~ ~t~~---· -- --.. LIVE~--~'!:~-r~ ~l~T~tf g~:~PPLICATION

APPUCANT INFORMATION {n..EASE-n'HO/l,,Ulfra£WY} {AU.AaASHUST"MCDNIUTID)

Name: Last ~ Mlddle Malden

Date of birth: l SSN: l Gender. 0 Male D Female ~thto()

Height: It. inches I Weight: lbs. Eye Color: * I Hair COior: * Race: * DA Os 0 1 Ou Ow Place of Birth: Citizenship:

Current address:

I aty: State: I ZIP Code:

Daytime Phone: I Evening Phone: I Driver's License#:

AGENCY INFORMATION

Agency Authorization #: 9000045331

ORI # (if required): Reason fingerprinted? Employment

Position Applied for:

Request Type: l!l Olild care

DISCLOSURE

I, hereby declare or affirm under Penalty of Perjury, Prlnrl!d N~me •

that r • have • have not been convicted, received a probation before judgment, received a not crlm1nally responsible disposition, and that I • am • am not the subject of pending criminal charges. I further declare or affinn that I am the applicant whose signature appears below.

Fingerprints completed by:

Signature: Signature:

Date: Printed Name:

Worcester County Public Schools Date: 6270 Worcester Highway

Newark, MD 21841

• Continuously employed Certification Assistant

See back for list of codes/explanations

Bye Color

~ BLK BW BRO GRY ORN

Bair Color

~ BAL BLK BLN BLU BRO ORN ORY

Race Coclea

..,, Colm: Black Blue Brown Gray Green

B,trCoJor Bald Black Blonde or Strawbeny Blue Brown Green Gray

~ irwt1•

~ HAZ MAR MUL PNK XXX

~ ONG PNK PLE RED SDY WHI XXX

Br,Colm Hazel Maroon Multicolored Pink Unknown

Bt1rCoJor Orange Pink Purple Red or Auburn Sandy White Unknown

A Chinese, Japanese, Filipino, Korean, Polynesian, Indian, Indonesian, Asian tndian .• Samoan, or any other Pacific Islander

B A person having origins in any of the black racial groups of Africa

I American Indian, Eskimo, or Alaskan native, or a person having origins in any of the 48 contiguous states of the United Stat.ea or Alaska who maintains cu1tura1 identification through tribal affiliation or community recognition

U Of indeterminable race

W Caucafrian, Mexican, Puerto Rican, Cuban. Central or South American, or other Spanish culture or origin, regardleaa of race

NEW EMPLOYEE PERSONNEL INFORMATION

NAME: - --- ---- ---- --- --- --- ------------Last Name First Name Middle Name Maiden Name (Birth Name)

SOCIAL SECURITY NUMBER: ___ _ _ ____ DATE OF BIRTH: ___ ___ _

STREET ADDRESS: ____________________ _ _ ____ _

CITY: _ _ ___________ STATE: ______ ___ ZIP: ______ _

HOME PHONE: ( __ ) _______ _ CELL PHONE: (..._ _ __,) _______ _ _

E-MAIL ADDRESS: _ __________ _ TODAY'S DATE: _____ _ _

Ethnicity: Are you Hispanic or Latino: (Check one)

• Yes • No

Race/Sex Coding D Female-White (0)

D Male-AM Indian/Alaska Native (1)

D Female-AM Indian/ Alaska Native (2)

D Male-Asian/Pacific Islander (3)

D Female-Asian/Pacific Islander (4)

• Male-Black (5)

D Female-Black (6)

D Male-Hispanic (7)

D Female-Hispanic (8)

• Male-White (9)

Salutation

• Dr. • Mr. D Miss 0 Mrs.

0 Ms.

Disability 0 Yes • No

Race Identity: (Cluck all that apply)

0 American Indian/Alaska Native

D Asian

0 Black/African-American 0 Native Hawaiian/Pacific Islander

0 White

Military Status D None 0 Veteran

0 Active Reserve 0 Retired Active Duty

D Inactive Reserve 0 Retired Reserve

Marital Status 0 Single (1)

• Married (2)

Generational Suffix (If applicable)

• II • m • IV • Jr. • Sr.

If you have a disability, do you need any special accommodations? If yes, please indicate.

Other Languages 0 Yes D No Please indicate _________________ _

- over -

Health Coverage:

• Spouse's Group health benefit plan or employer-Spouse's employer: Spouse's insurance sponsored plan. carrier:

• Individual Health Benefit Plan Insurance carrier:

• Group health plan offered through another employer

Insurance carrier:

• Other Specify:

Employee Signature Date

Definitions for Ethnicity and Race Categories

ETHNICITY

Hispanic or Latino

RACE

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."

American Indian or Alaskan Native

Asian

A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam

Black or African American A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander

White

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Rev. 4/ 13

TO:

FROM:

RE:

Substitutes

6270 Worcester Highway Newark, Maryland 21841-9746

www. worcesterkl 2.com

Telephone: (410) 632-5000 Fax: (410) 632-1599

David F. Kuhn, Payroll Accountant

Pay Dates, Payroll Schedule, Address/Name Changes, & Direct Deposit

IMPORTANT INFORMATION REGRADING YOUR PAY PLEASE READ

Anendance for substitutes is reported twice a month based on the schedule enclosed. Each attendance period encompasses approximately a two week period; however, this may vary due to holidays creating earlier paydays. Please keep this schedule to compare and verify the accuracy of your pay. Note: the school bookkeepers do their best to report all substitute days worked, but if a day is not reported in error, it will be paid on the next payroll, provided we are notified in a timely manner.

I f you have a change of address or name, you need to fill out a federal Form W-4 to make this change effective for payroll purposes. The address on this form is your official address with the Board of Education and is where your paycheck/direct deposit stub is mailed, in addition to any correspondence from the Board. You also need to fill out a federal Form W-4 if you need to make a change in your withholdings for federal taxes. If you need to change your withholdings for state taxes, you need to fill out a Maryland Form MW-507. These forms can be obtained on the website, or from the school bookkeeper, payroll or human resources department. After completing the change to the appropriate form, please send it to the payroll department at the Board of Education.

Direct Deposit of your pay is mandatory for all substitutes. Enclosed with this infonnation is a Direct Deposit form. Please fill out this form and return it with your substitute application. Due to the fact that your pay varies depending upon the number of days you work each pay period, please use percentage

amounts on this form. and not dollar amounts.

If you have any questions regarding payroll maners, please feel free contact me at 410-632-5066 .

•

Excellence In Education - In Worc:6ster County, People Make the Difference Serving the Youth ofWcrcester County Since 1868

The Board of Education of Worcester County 6270 Worcester Highway Newark, Maryland 21841

Paydays & Attendance Periods 2019-2020

Jul 15, 2019 June 13, 2019 to June 27, 2019 11

Jul 30,2019 June 28, 2019 to Jul 11 2019 7

Au ust15, 2019 Jul 12, 2019 to Jul 25, 2019 8

Au ust29, 2019 Jul 26, 2019~Au . 8, 2019 8

Se tember 13, 2019 Au . 9, 2019 to Au . 23, 2019 10

Se tember 27 2019 Au . 24 2019 to Se t. 13 2019 14

October 15, 2019 Se t. 14, 2019 to Se t. 27, 2019 10

October 30, 2019 Se t. 28, 2019 to Oct. 11, 2019 10

November 15, 2019 Oct. 12, 2019 to Oct. 28, 2019 10/10/11

November 26 2019 Oct. 29, 2019 to Nov. 11 , 2019 10

December 11 , 2019 Nov. 12, 2019toNov. 22, 2019 9

December 20 2019 Nov. 23 2019toDec. 9 2019 8

Janua 10, 2020 * Dec. 10, 2019 to Dec. 20, 2019 * 9*

Janua 30 2020 Dec. 21 , 2020 to Jan. 16, 2020 * 10/10/13/9 *

Februa 14, 2020 Jan. 17, 2020 to Jan. 31, 2020 * 10/9 *

Februa 28 2020 Feb. 1 2020toFeb. 14,2020 10

March 13, 2020 Feb. 15, 2020toFeb. 28, 2020 9

March 27 2020 Feb. 29 2020 to Mar. 13 2020 10

Mar. 14, 2020 to Mar. 27, 2020 10

ril 30, 2020 Mar. 28, 2020 to A r. 16, 2020 9

Ma 15, 2020 A r. 17, 2020 to A r. 30, 2020 10

Ma 29, 2020 Ma 1 2020 to Ma 14, 2020 10

June 12, 2020 Ma 15, 2020 to Ma 29, 2020 10

June 30, 2020 Ma 30 2020 to June 16 2020 12 *Indicates Changes

These dates are subject to change due to revisions in the school calendar.

Employees are paid twice a month, semi-monthly, at the middle and the end of each month. The pay period for each check is listed on the above schedule.

If you have any questions regarding pay periods, please call the payroll department: David Kuhn 410-632-5066 or Laurie Kauffman 410-632-5067.

REV. 01/ 07/2020

WORCESTER COUNTY BOARD OF EDUCATION 6270 Worcester HJgbway

Date: ______ _

To: PA YROIL DEPARTMENT

Newark, Maryland 21841

Criminal Background Check PaymentVeriftcadonFonn

I have completed twenty (20) days of employment u a ___________ _ Please send me the$, ______ which I paid to secure the criminal background check.

Dates Worked Location Worked Substituted For 1. 2. 3. 4. s. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

Name (Print):

Signature:

Address:

Accoundn& Use OnJy Employee# _______ _ Code#66S20-SOQO $, ____ _ Verified by Payroll _____ _ O.1(. to Pay _______ _ fmd 7fl014

WORCESTER COUNTY BOARD OF EDUCATION DIRECT DEPOSIT APPLICATION FORM

DIRECTIONS

1. New Application-do not currently have direct deposit 2. Change In Application-making any type of change to your current account(s),

(notify 10 business days in advance of any change). Examples: changing amount to be deposited, changing percentage to be deposited, changing account number at the same bank. changing to another bank

3. Discontinue Application-Use this box when an employee is discontinuing their current application (notify 10 business days in advance of any cancellation).

4. Name of Bank-write the name of the bank as it appears on your account 5. Amount-use to put a certain amount in an account. Ex: $200.00 6. % of Net Pay-use to put a percentage of your pay into your account. Ex: 100%. It

is important if you have more than one account and you have a dollar amount going into one of those accounts, you should have 100% going into your other account. This means 100% of your remaining pay will go into that account.

7. State-due to many employees using out of state banking it is important to note if the account is a local or out of state bank to prevent money being returned to the BOE.

8. Routing #-th is number tells our computer system which bank your money should be sent to, it is the 9 digit group of numbers at the left hand, bottom corner of your check.

9. Account #-this is the account number the employee wants their money to be deposited into.

10. Use reverse side of the form for a second checking, a second savings, or a second money market account at a different bank.

11 . Allow 2 pay cycles for the direct deposit of new or changed accounts to take effect. 12. For help completing this fem, call David Kuhn, ext. 5066 or Laurie Kauffman, ext.

5067.

Susan C. Smith 111 Laughter Lane Happy, MD 21111

Pay to the

6(,.

2Z!JS21

Date----

388

order of------------------ s .__I __ __,

Dollars

Bank of Sunshine Happy, MD

Memo

:200011112:3888 032000509

Routing Check Account

WORCESTER COUNTY BOARD OF EDUCATION DIRECT DEPOSIT APPLICATION FORM

TO: Payroll Department

FROM: (Please Print Full Name As Shown On Paycheck) (Employee #)

RE: Automatic Payroll Check Deposit Program

D New Application D Change in Application

PRIMARY BANK

D Discontinue Application

(Only complete the Primary Bank if using only one (1) bank. For a second checking, second savings, or a second money market account at a different bank complete the Secondary Bank section on the reverse side of this form.)

Please deposit in my Checking Account:

Name of Bank: ---------------- Amount: --- OR % of Net Pay: --STATE: _______ Routing#: _______ _ Acct.#: ___________ _

Please deposit in my Savings Account:

Name of Bank: _______________ _ Amount: ___ OR % of Net Pay: __

STATE: _______ Routing#: _______ _ Acct.#: ------------

Please deposit in my Money Market:

Name of Bank: _______________ _ Amount: ___ OR % of Net Pay: __

STATE:------- Routing#: _______ _ Acct.#: ------------

I hereby authorize and direct Worcester County Board of Education to deposit my pay in the account shown above at the bank indicated. I understand that this direct deposit will continue until such time as I notify WCBOE in writing to terminate or change this arrangement. I also understand and agree to notify, (by using this form), WCBOE ten (10) days in advance of any change or cancellation. I understand this authorization agreement may also be terminated by the Worcester County Board of Education.

(Signature) (Pay Station/School} (Date)

WORCESTER COUNTY BOARD OF EDUCATION DIRECT DEPOSIT APPLICATION FORM

SECONDARY BANK

Please deposit in my Second Checking Account at a different bank:

Name of Bank: ---------------- Amount: --- OR % of Net Pay: --

STATE: _______ Routing#: _______ _ Acct. #: ________ ___ _

Please deposit in my Second Savings Account at a different bank:

Name of Bank: _______________ _ Amount: ___ OR% of Net Pay: __

STATE: _______ Routing#: _______ _ Acct.#: __________ _

Please deposit in my Second Money Market at a different bank:

Name of Bank: _______________ _ Amount: ___ OR % of Net Pay: __

STATE:------- Routing#: _______ _ Acct. #: ___________ _

I hereby authorize and direct Worcester County Board of Education to deposit my pay in the account shown above at the bank indicated. I understand that this direct deposit will continue until such time as I notify WCBOE in writing to terminate or change this arrangement. I also understand and agree to notify, (by using this form), WCBOE ten (10) days in advance of any change or cancellation. I understand this authorization agreement may also be terminated by the Worcester County Board of Education.

(Signature) (Pay Station/School) (Date)

Form W•4 Employee's Withholding Certificate OMS No. 1545-0J74

• Complete Form W-4 so that your employer can withhold the corTect federal income tax from your pay. ~@20 Department of the Treasury • Give Form W-4 to your employer. • Your withhold ing is subject to review by the IRS. Internal Revenue Service

Step 1: (al First name and middle inmal I Last name

(b) Social security number

Enter Address • Does your name match the Personal name on your social security

Information card? If not, to ensure you get City or town, state, and ZIP C-Ode credit for your earnings, contact

SSA at 800-772-1213 or go to www.ssa.gov.

(c) 0 Single or Manied fil ing separately

0 Married filing jointly (or Qualifying widow(er1)

0 Head of household (Check only if you're oomanied and pay more than half the costs of keeping up a home for yourself and a quaifying individual.)

Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.

Step 2:

Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.

Do only one of the following.

(a) Use the estimator at www.irs.gov/W4App tor most accurate withholding for this step (and Steps 3-4); or

(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below tor roughly accurate withholding; or (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option

is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . • 0

TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have sett-employment income, including as an independent contractor, use the estimator.

Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)

Step 3:

Claim Dependents

Step4 (optionaO:

Other Adjustments

Step 5:

Sign Here

If your income will be $200,000 or less ($400,000 or less if married filing jointly):

Multiply the number of qualifying children under age 17 by $2,000 • ...;:$ _____ _

Multiply the number of other dependents by $500

Add the amounts above and enter the total here

• -'-$ _ ___ _

(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may

3 $

include interest, dividends, and retirement income 4(al $ f-'-'>.::L.+-<-------

(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withhold ing, use the Deduct ions Worksheet on page 3 and enter the result here f-4_,(~b)'--+-$ _____ _

(c) Extra withholding. Enter any addit ional tax you want withheld each pay period 4(c) $

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

• • Employers Employer's name and address

Only

First date of employment

Employer identification number {EIN)

For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cal. No. 102200 Form W-4 (2020)

Form W-4 {2020)

General Instructions Future Developments For the latest information about developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4.

Purpose of Form Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form. For more information on withholding and when you must furnish a new Form W-4, see Pub. 505.

Exemption from withholding. You may c laim exemption from withholding for 2020 if you meet both of the following conditions: you had no federal income tax liability in 2019 and you expect to have no federal income tax liability in 2020. You had no federal income tax liability in 2019 if (1) your total tax on line 16 on your 2019 Form 1040 or 1040-SR is zero (or less than the sum of lines 18a, 18b, and 18c), or (2) you were not required to file a return because your income was below the filing threshold for your correct fil ing status. If you claim exemption, you will have no income tax withheld from your paycheck and may owe taxes and penalties when you file your 2020 tax return. To claim exemption from withholding, certify that you meet both of the conditions above by writing UExempt'' on Form W-4 in the space below Step 4(c). Then, complete Steps 1(a), 1(b), and 5. Do not complete any other steps. You will need to submit a new Form W-4 by February 16, 2021.

Your privacy. If you prefer to limit information provided in Steps 2 through 4, use the online estimator, which will also increase accuracy.

As an alternative to the estimator: if you have concerns with Step 2(c), you may choose Step 2(b); if you have concerns with Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c). If this is the only job in your household, you may instead check the box in Step 2(c), which will increase your withholding and significantly reduce your paycheck (often by thousands of dollars over the year).

When to use the estimator. Consider using the estimator at www.irs.gov/W4App if you:

1. Expect to work only part of the year;

2. Have dividend or capital gain income, or are subject to additional taxes, such as the additional Medicare tax;

3. Have self-employment income (see below); or

4. Prefer the most accurate withholding for multiple job situations.

Sett-employment. Generally, you will owe both income and self-employment taxes on any self-employment income you receive separate from the wages you receive as an employee. If you want to pay these taxes through withholding from your wages, use the estimator at www.irs.gov/W4App to figure the amount to have withheld.

Nonresident alien. If you're a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

Page 2

Specific Instructions Step 1(c). Check your anticipated filing status. This will determine the standard deduction and tax rates used to compute your withholding.

Step 2. Use this step if you (1) have more than one job at the same time, or (2) are married fi ling jointly and you and your spouse both work.

Option (a) most accurately calculates the additional tax you need to have withheld, while option (b) does so with a little less accuracy.

If you (and your spouse) have a total of only two jobs, you may instead check the box in option (c). The box must also be checked on the Form W-4 for the other job. If the box is checked, the standard deduction and tax brackets will be cut in half for each job to calculate withholding. This option is roughly accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld, and this extra amount will be larger the greater the difference in pay is between the two jobs.

IPi'I Multiple jobs. Complete Steps 3 through 4(b) on only mDm one Form W-4. Withholding will be most accurate if

· you do this on the Form W-4 for the highest paying job.

Step 3. Step 3 of Form W-4 provides instructions for determining the amount of the child tax credit and the credit for other dependents that you may be able to claim when you file your tax return. To qualify for the child tax credit, the child must be under age 17 as of December 31, must be your dependent who generally lives with you for more than half the year, and must have the required social security number. You may be able to c laim a credit for other dependents for whom a child tax credit can't be claimed, such as an older child or a qualifying relative. For additional eligibility requirements for these credits, see Pub. 972, Child Tax Credit and Credit for Other Dependents. You can also include other tax credits in this step, such as education tax credits and the foreign tax credit. To do so, add an estimate of the amount for the year to your credits for dependents and enter the total amount in Step 3. Including these credits will increase your paycheck and reduce the amount of any refund you may receive when you file your tax return.

Step 4 (optional).

Step 4(a). Enter in this step the total of your other estimated income for the year, if any. You shouldn't include income from any jobs or self-employment. If you complete Step 4(a), you likely won't have to make estimated tax payments for that income. If you prefer to pay estimated tax rather than having tax on other income withheld from your paycheck, see Form 1040-ES, Estimated Tax for Individuals.

Step 4(b). Enter in this step the amount from the Deductions Worksheet, line 5, if you expect to claim deductions other than the basic standard deduction on your 2020 tax return and want to reduce your withholding to account for these deductions. This includes both itemized deductions and other deductions such as for student loan interest and IRAs.

Step 4(c). Enter in this step any additional tax you want withheld from your pay each pay period, including any amounts from the Multiple Jobs Worksheet, line 4. Entering an amount here will reduce your paycheck and will either increase your refund or reduce any amount of tax that you owe.

FOITll W-4 (2020) Page 3

Step 2{b)-Muttiple Jobs Worksheet (Keep for your records.)

If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Wrthholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job.

Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App.

Two jobs. If you have two jobs or you're married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the "Higher Paying Job" row and the "Lower Paying Job" column, find the value at the intersection of the two household salaries and enter that value on line 1. Then, skip to line 3 .

2 Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3.

a Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the "Higher Paying Job" row and the annual wages for your next highest paying job in the "Lower Paying Job" column. Find the value at the intersection of the two household salaries

1 $ -------

and enter that value on line 2a . 2a $

b Add the annual wages of the two highest paying jobs from line 2a together and use the total as the wages in the "Higher Paying Job" row and use the annual wages for your third job in the "Lower Paying Job" column to find the amount from the appropriate table on page 4 and enter this amount

-------

ooh~ ~ $ - ------

c Add the amounts from lines 2a and 2b and enter the result on line 2c 2c $ -------

3 Enter the number of pay periods per year for the highest paying job. For example, if that job pays weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc. 3

4 Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional amount you want withheld) . 4 $

Step 4(b)-Deductions Worksheet (Keep for your records.)

1 Enter an estimate of your 2020 itemized deductions {from Schedule A (Form 1040 or 1040-SR)). Such deductions may include qualifying home mortgage interest, charitable contribut ions, state and local taxes {up to $10,000), and medical expenses in excess of 7.5% of your income 1 ....:.$ _____ _

I • $24,800 if you're married filing jointly or qualifying widow(er) ) 2 Enter: • $18,650 if you're head of household

• $12,400 if you're single or married filing separately 2 $ -------

3 If line 1 is greater than line 2, subtract line 2 from line 1. If line 2 is greater than line 1, enter "-0-" . 3 $ ..;_ _____ _ 4 Enter an estimate of your student loan interest, deductible IRA contributions, and certain other

adjustments (from Part II of Schedule 1 (Form 1040 or 1040-SR)). See Pub. 505 for more information 4 _$ _____ _

5 Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 • 5 $

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to c:arry out the Internal Revenue laws of the Unijed States. Internal Revenue Code sections 3402(1)(2) and 6109 and their regulations require you to provide this infonnation; yoor employer uses it to determine your federal income tax withholding. Failure to pro\llde a property completed loon will result in your being treated as a single person with no other entries on the form; providing fraudulent informatioro may subject you to peroalties. Routine uses of this irolormation include giving it to the Department of Justic;e for civil and criminal litigabon; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries uroder a tax treaty, to federal and state agenc;ies to enforce federal nontax criminal laws, or lo federal law enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is subject to the Paperworx Reduction Act unless the form displays a valid 0MB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103.

The average time and expenses required to oomplete and file this form will vary depending on individual c:ircumstancas. For estimated averages, see the instructions for your income tax return.

If you have suggestions for making this fonn s.npler, we would be happy to hear from you. See the instructions for your income tax return.

Fonn W-4 (2020) Page4

Married Filing Jointly or Qualifying Widow(er) Higher Paying Job Lower Paying Job Annual Taxable Wage & Salary

Annual Taxable $0- $10,000 - $20,000 - $30,000 - $40,000- $50,000 - $60,000- $70,000- $80,000 - $90,000- $100,000- $110,000-Wage & Salary 9,999 19,999 29,999 39,999 49,999 59,999 69,999 79,999 89,999 99,999 109,999 120,000

$0- 9,999 $0 $220 $850 $900 $1,020 $1,020 $1,020 $1 ,020 $1,020 $1,210 $1,870 $1 ,870 $10,000 - 19,999 220 1,220 1,900 2,100 2,220 2,220 2,220 2,220 2,410 3,410 4,070 4,070 $20,000- 29,999 850 1,900 2,730 2 ,930 3,050 3,050 3,050 3,240 4,240 5,240 5,900 5,900 $30,000 - 39,999 900 2,100 2,930 3,130 3,250 3,250 3,440 4,440 5,440 6,440 7,100 7,100 $40,000 - 49,999 1,020 2,220 3,050 3,250 3,370 3,570 4,570 5,570 6,570 7,570 8,220 8,220 $50,000 - 59,999 1,020 2 ,220 3,050 3,250 3,570 4,570 5,570 6,570 7,570 8,570 9,220 9,220 $60,000 - 69,999 1,020 2,220 3,050 3,440 4,570 5,570 6,570 7,570 8,570 9,570 10,220 10,220 $70,000 - 79,999 1,020 2,220 3,240 4,440 5,570 6,570 7,570 8,570 9 ,570 10,570 11,220 11,240 $80,000 - 99,999 1,060 3,260 5,090 6,290 7,420 8,420 9,420 10,420 11,420 12,420 13,260 13,460

$100,000 - 149,999 1,870 4,070 5,900 7,100 8 ,220 9,320 10,520 11,720 12,920 14,120 14,980 15,180 $150,000 - 239,999 2,040 4,440 6,470 7,870 9 ,190 10,390 11,590 12,790 13,990 15,190 16,050 16,250 $240,000 - 259,999 2,040 4,440 6,470 7,870 9 ,190 10,390 11 ,590 12,790 13,990 15,520 17,170 18,170 $260,000 - 279,999 2,040 4,440 6,470 7,870 9 ,190 10,390 11,590 13,120 15,120 17,120 18,770 19,770 $280,000 - 299,999 2,040 4,440 6,470 7,870 9,190 10,720 12,720 14,720 16,720 18,720 20,370 21,370 $300,000 - 319,999 2,040 4,440 6,470 8,200 10,320 12,320 14,320 16,320 18,320 20,320 21 ,970 22,970 $320,000 - 364,999 2,720 5,920 8,750 10,950 13,070 15,070 17,070 19,070 21 ,290 23,590 25,540 26,840 $365,000 - 524,999 2,970 6,470 9,600 12,100 14,530 16,830 19,130 21,430 23,730 26,030 27,980 29,280 $5.25,000 and over 3,140 6,840 10,170 12,870 15,500 18,000 20,500 23,000 25,500 28,000 30,150 31,650 .. Single or Mamed F1hng Separately Higher Paying Job Lower Paying Job Annual Taxable Wage & Salary

Annual Taxable $0- $10,000- $20,000- $30,000- $40,000 - $50,000 - $60,000 - $70,000- $80,000- $90,000 - $100,000 · $110,000-Wage & Salary 9,999 19,999 29,999 39,999 49,999 59,999 69,999 79,999 89,999 99,999 109,999 120,000

$0- 9,999 $460 $940 $1,020 $1 ,020 $1,470 $1 ,870 $1,870 $1 ,870 $1 ,870 $2,040 $2,040 $2,040 $10,000- 19,999 940 1,530 1,610 2,060 3,060 3,460 3,460 3,460 3,640 3,830 3,830 3 ,830 $20,000- 29,999 1,020 1,610 2,130 3,130 4,130 4,540 4,540 4,720 4,920 5,110 5 ,110 5 ,110 $30,000- 39,999 1,020 2,060 3,130 4 ,130 5,130 5,540 5,720 5,920 6,120 6,310 6 ,310 6,310 $40,000 - 59,999 1,870 3,460 4,540 5,540 6,690 7,290 7,490 7,690 7,890 8,080 8,080 8,080 $60,000 - 79,999 1,870 3,460 4,690 5,890 7,090 7,690 7,890 8,090 8,290 8,480 9 ,260 10,060 $80,000 - 99,999 2,020 3 ,810 5,090 6,290 7,490 8,090 8,290 8,490 9,470 10,460 11,260 12,060

$100,000 -124,999 2,040 3,830 5,110 6,310 7,510 8,430 9,430 10,430 11,430 12,420 13,520 14,620 $125,000 - 149,999 2,040 3,830 5,110 7,030 9,030 10,430 11,430 12,580 13,880 15,170 16,270 17,370 $150,000 - 174,999 2,360 4,950 7,030 9,030 11,030 12,730 14,030 15,330 16,630 17,920 19,020 20,120 $175,000 -199,999 2,720 5,310 7,540 9,840 12,140 13,840 15,140 16,440 17,740 19,030 20,130 21 ,230 $200,000 - 249,999 2,970 5,860 8,240 10,540 12,840 14,540 15,840 17,140 18,440 19,730 20,830 21 ,930

$250,000 - 399,999 2,970 5,860 8,240 10,540 12,840 14,540 15,840 17,140 18,440 19,730 20,830 21 ,930 $400,000 - 449,999 2,970 5,860 8,240 10,540 12,840 14,540 15,840 17,140 18,450 19,940 21,240 22,540 $450,000 and over 3,140 6,230 8,810 11 ,310 13,810 15,710 17,210 18,710 20,210 21 ,700 23,000 24,300

Head of Household Higher Paying Job Lower Paying Job Annual Taxable Wage & Salary

Annual Taxable $0- $10,000- $20,000- $30,000 - $40,000- $50,000- $60,000- $70,000 - $80,000 - $90,000 - $100,000- $110,000 -Wage & Salary 9,999 19,999 29,999 39,999 49,999 59,999 69,999 79,999 89,999 99,999 109,999 120,000

$0- 9,999 $0 $830 $930 $1,020 $1 ,020 $1,020 $1,480 $1,870 $1,870 $1 ,930 $2,040 $2,040

$10,000 • 19,999 830 1,920 2,130 2,220 2 ,220 2,680 3,680 4,070 4,130 4,330 4,440 4 ,440

$20,000- 29,999 930 2,130 2,350 2,430 2,900 3,900 4,900 5,340 5,540 5,740 5,850 5,850

$30,000 - 39,999 1,020 2 ,220 2,430 2,980 3,980 4,980 6,040 6,630 6,830 7,030 7,140 7,140

$40,000- 59,999 1,020 2,530 3,750 4,830 5,860 7,060 8,260 8,850 9,050 9,250 9,360 9 ,360

$60,000 - 79,999 1,870 4,070 5,310 6,600 7,800 9,000 10,200 10,780 10,980 11 ,180 11,580 12,380

$80,000- 99,999 1,900 4,300 5,710 7,000 8,200 9,400 10,600 11,180 11,670 12,670 13,580 14,380

$100,000 -124,999 2,040 4,440 5,850 7,140 8,340 9,540 11 ,360 12,750 13,750 14,750 15,770 16,870

$125,000 • 149,999 2,040 4,440 5,850 7,360 9,360 11,360 13,360 14,750 16,010 17,310 18,520 19,620

$150,000 - 174,999 2,040 5,060 7,280 9,360 11 ,360 13,480 15,780 17,460 18,760 20,060 21 ,270 22,370

$175,000 - 199,999 2,720 5,920 8,130 10,480 12,780 15,080 17,380 19,070 20,370 21 ,670 22,880 23,980

$200,000 • 249,999 2,970 6,470 8,990 11,370 13,670 15,970 18,270 19,960 21,260 22,560 23,770 24,870

$250,000 - 349,999 2,970 6,470 8,990 11,370 13,670 15,970 18,270 19,960 21,260 22,560 23,770 24,870

$350,000 - 449,999 2,970 6,470 8,990 11,370 13,670 15,970 18,270 19,960 21,260 22,560 23,900 25,200 $450,000 and over 3,140 6,840 9 ,560 12,140 14,640 17,140 19,640 21,530 23,030 24,530 25,940 27,240

MARYLAND FORM

MW507 Purpose. Complete Form MW507 so that your employer can withhold the correct Maryland income tax from your pay. Consider completing a new Form MW507 each year and when your personal or financial situation changes. Basic Instructions. Enter on line 1 below, the number of pe.rsonal exemptions you will daim on your tax return. However, if you wish to daim more exemptions, or if your adjusted gross income will be more than $100,000 If you are filing single or married filing separately ($150,000, if you are filing jointly or as head of household), you must complete the Personal Exemption Worksheet on page 2. Complete the Personal Exemption Worksheet on page 2 to further adjust your Maryland withholding based on itemized deductions, and certain other expenses that exceed your standard deduction and are not being daimed at aoother Job or by your spouse. However, you may claim fewer (or zero) exemptions. Additional wit hholding per pay period under agreement wit h employer. If you are not having enough tax withheld, you may ask your employer to withhold more by entering an additional amount on line 2. Exemption from withhold Ing. You may be entitled to claim an exemption from the withholding of Maryland income tax if: a. Last year you did not owe any Maryland Income tax and had a right to a full

refund of any tax withheld; AND, b. This year you do not expect to owe any Maryland income tax and expect to have

a right to a full refund of all income tax withheld. If you are eligible to claim this exemption, complete Line 3 and your employer will not withhold Maryland income tax from your wages. Students and Seasonal Employees whose annual income will be below the mini­mum filing requirements should daim exemption from withholding. This provides more income throughout the year and avoids the necessity of filing a Maryland income tax rerurn. Certification of nonresidence in the State of Maryland. Complete Line 4. This line is to be completed by residents of the District of Columbia, Virginia or West Virginia who are employed in Maryland and who do not maintain a place of abode in Maryland for 183 days or more. Residents of Pennsylvania who are employed in Maryland and who do not maintain a place of abode in Maryland for 183 days or more, should complete line 5 to ex­empt themselves from the state portion of the withholding tax. These employees are still liable for withholding tax at the rate in effect for the Maryland county ,n which they are employed, unless they qualify for an exemption on either line 6 or line 7. Pennsylvania residents of York and Adams counties may claim an exemp­tion from the local withholding tax by completing line 6. Pennsylvania residents living in other local jurisdictions which do not impose an earnings or income tax on Maryland residents may claim an exemption by completing line 7. Employees qualifying for exemption under 6 or 7, should also write "EXEMf'T" on line 4. Line 4 is NOT to be used by residents of other states who are working in Maryland, because such persons are liable for Maryland income tax and withholding from

FORM

their wages is required. If you are domiciled in the District of Columbia, Pennsylvania or Virginia and main­tain a place of abode in Maryland for 183 days or more, you become a statutory resident of Maryland and you are required to file a resident ret\Jm wrth Maryland reporting your total income. You must apply to your domicile state for any tax credit to which you may be entitled under the reciprocal provisions of the law. It you a re domiciled in West Virginia, you are not required to pay Maryland income tax oo wage or salary income, regardless of the length of time you may have spent in Maryland. Under the Servicemembers Civil Relief Act, as amended by the Military Spouses Residency Relief Act, you may be exempt from Maryland income tax on your wages if (i) your spouse is a member of the armed forces present in Maryland in compliance with military orders; (ii) you are present in Maryland solely to be with your spouse; and (iii) you maintain your domicile in another state. If you claim exemption under the SCRA enter your state of domicile {legal residence) on Line 8; enter "EXEMPT" in the box to the right on Line 8; and attach a copy of your spousal military identification card to Form MWS07. In addit ion, you must also complete and attach For m MW 507M. Duties and responsibilities of employer. Retain this certificate with your re­cords. You are required to submit a copy of this certificate and accompanying attachments to tl1e Compliance Division, Compliance Programs Section, 301 West Preston Street, Baltimore, MD 21201-2326, when received If : 1. You have any reason to believe this certificate is incorrect; 2. The employee claims more than 10 exemptions; 3. The employee claims an exemption from withholding because he/she had no

tax liability for the preceding tax year, expects to incur no tax liability this year and the wages are expected to exceed $200 a week;

4. The employee claims an exemption from withholding on the basis of nonresi­dence; or

5. The employee claims an exemption from withholding under the Military Spous-es Residency Relief Act.

Upon receipt of any exemption certificate (Form MW507), the Compliance Division will make a determination and notify you if a change is required. Once a certificate is revoked by the Comptroller, the employer must send any new certificate from the employee to the Comptroller for approval before implementing the new certificate. If an employee claims exemption under 3 above, a new exemption certificate must be filed by February 15th of the following year. Duties and responsibilities of employee. If, on any day during the calendar year, the number of withholding exemptions that the employee is entitled to claim is less than the number of exemptions claimed on the withholding exemption cer· tificate in effect, the employee must file a new withholding exemption certificate with the employer within 10 days a~er the change occurs.

MWS07 Employee's Maryland Withholding Exemption Certificate Pnnt full name Social Security Number

Street Address, City, State, ZIP code +4 County d resid,nce (Nonresidents enter Mar,tand county (or Batlmore Qty) where \QJ are emplD\le:l.)

D Single • Married (surviving spouse or unmarried Head of Household) Rate D Married, but w ithhold at Single rate

1. Total number of exemptions you are claiming not to exceed line f ,n Personal Exemption Worksheet on page 2. . . . . . . . . . . . . . . . . . . . . . . 1. _____ _

2. Additional withholding per pay period under agreement with employer. • • . • . . . . . . . . . . . . . • . . . • • • • • • • • • . . • . . . . . . . . . . . . . . . . . . . 2. _____ _ 3. I daim exemption from withholding because I do riot expect to owe Maryland tax. See instructions above and check boxes that apply.

D a. Last year I did not owe any Maryland income tax and had a tight to a full refund of all income tax Withheld and

D b. This year I do not expect to owe any Maryland income tax and expect to have the right to a full refund of all income tax withheld. (This includes seasonal and student employees whose annual income will be below the minimum filing requirements). If both a and b apply, enter year applicable _____ (year effective) Enter •EXEMPT" here . . . . . . . . . . . . . . . . . • . . . • . . . 3. _ ____ _

4. I daim exemption from withholding because I am domiciled in one of the following states. Oledc. state that applies. D District of COiumbia D Virginia O West Virginia I further certify that I do not maintain a place ot abode in Maryland as desaibed in the instructions above. Enter •EXEMPT"" here. . . . . . . . . . 4. _ _ ___ _

5. I claim exemption from Maryland state Withholding because I am domiciled in the COmmonwealth of Pennsylvania and I do not maintain a place ot abode in Maryland as desaibed in the instructions on Form MWS07. Enter "EXEMPT" here. . . . . . . . . . . . . . . . . . . . . . . . 5. _____ _

6. I claim exemption from Maryland local tax because I live in a local Pennysylvania jurisdiction within Yori< or Adams counties. Enter •EXEMf'T" here and on line 4 of Form MW507 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . . . . . . . . . . . . . . . . . . . . . • • . . . . . . . 6. _____ _

7. I claim exemption from Maryland local tax because I live in a local Pennsylvania Jurisdiction that does not impose an earnings or income tax on Maryland residents. Enter"EXEMf'T"here and on line 4 of Form MW507. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • . . . • . . . . . . 7. _____ _

8. I certify that I am a legal resident of the state of_--,-___ and am not subject to Maryland withholding because I meet the require-ments set forth under the Setvicemembers Ovil Relief Act, as amended by the Military Spouses Residency Relief Act. Enter •EXEMPT" here.. . . 8. _____ _

Under the penalty of perjury, I further certJfy that I am entitled to the number of withholding allowances daimed on line 1 above, or if claiming exemption from withholding, that I am entitled to claim the exempt status on whichever line(s) I completed.

Employee's signature Date

Employer's name and address induding ZIP cede +4 (For employer use only) Federal Employer Identification Number

COM/RA0-036 19-49

MARYLAND FORM

MW507

line 1

page 2

Personal Exemptions Worksheet

a. Multiply the number of your personal exemptions by the value of each exemption from the table below. (Generally the value of your exemption will be $3,200; however, if your federal adjusted gross income is expected to be over $100,000, the value of your exemption may be reduced. Do not claim any personal exemptions you currently claim at another job, or any exemptions being claimed by your spouse, To qualify as your dependent, you must be entitled to the dependent on your federal income tax return for the corresponding tax year. NOTE: Dependent taxpayers may not claim themselves as an exemption ..... a.

b. Multiply the number of additional exemptions you are claiming for dependents age 65 or over by the value of each exemption from the table below ...... . ...... .. ...... .. ...... .. ....... . .. .... ..... b.

c. Enter the estimated amount of your itemized deductions (excluding state and local income taxes) that exceed the amount of your standard deduction, alimony payments, allowable childcare expenses, qualified retirement contributions, business losses and employee business expenses for the year. Do not claim any additional amounts you currently claim at another job or any amounts being claimed by your spouse. NOTE: Standard deduction allowance is 15% of Maryland adjusted gross income with a minimum of $1,500 and a maximum of $2,250 .. ... ....... . . . ..... . ....... .. ...... . ...... .. .. .. ......... c.

d. Enter $1,000 for additional exemptions for taxpayer and/or spouse age 65 or over and/or blind .......... d.

e . Add total of lines a through d . . . ....... .. ..... .. ....... . ...... . ....... .. ... . ....... .. e.

f. Divide the amount on line e by $3,200. Drop any fraction. Do not round up. This is the maximum number of exemptions you may claim for withholding tax purposes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . f.

If you will file your tax return If your federal AGI is

Single or Married Filing Separately Joint, Head of Household Your Exemption is or Qualifying Widow(er)

Your Exemption is

$100,000 or less $3,200 $3,200

Over But not over

$100,000 $125, 000 $1,600 $3,200

$125,000 $150,000 $800 $3,200

$150,000 $175,000 $0 $1,600

$175,000 $200,000 $0 $800

In excess of $200,000 $0 $0

FEDERAL PRIVACY ACT INFORMATION

Social Security numbers must be included. The mandatory disclosure of your Social Security number is authorized by the provisions set forth in the Tax-General Article of the Annotated Code of Maryland. Such numbers are used primarily to administer and enforce the individual income tax laws and to exchange income tax informat ion with the Internal Revenue Service, other states and other tax officials of this state. Information furnished to other agencies or persons shall be used solely for the purpose of administering tax laws or the specific laws administered by the person having statutory right to obtain it.

COWRAD--036 19-49

Substitute QuickStart Guide I 1

1~l)se11ce 1\/ta11age111e11t

SIGNING IN

Sign In

l>otUHfNffllt

' Sign In

Type aesoponline.com in your web browser's address bar or go to

app.frontlineeducation.com if you have a Frontline Account.

The Sign In page will appear. Enter your 1D/ username and

PIN/ password and click Sign In.

RECOV ERING CREDENTIALS

If you cannot recall your credentials, use the recovery options or click the "Having trouble signing in?" link for more details.

SEARCHING FOR AVAILABLE JOBS

You can review available jobs directly on the homepage. These potential jobs appear in green on t he

calendar and in list form under the "Available Jobs" tab.

To accept a job, click t he Accept button beside the absence (or click Reject to remove a job from the list).

Aprll 2018 May2018

SU- M0Pf ruE WED THU FR.I SAT SUN~ T\JE WED

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• 8 9 10 11 12 13 14 6 7 8 9

15 16 17 18 19 20 21 13 14 15 16

22 23 24 25 G 27 28 20 21 22 23

29 11 27 28 29 30

2 Avallable Jobs 1 Scheduled Jobs

Date ...

Barker, Bob

Mon, 4r.30l201 B

Time

11:00AM · 6:00 PM

© 2018 Frontline Education

Duratlon

(!) Ful llay

June 2018

n.u FRI SAT ~ I.ION TUE

3 a s 10 11 12 3 4 5

17 18 19 10 11 12

24 25 26 17 18 19

31 24 25 26

2 PastJobs

Location

VIC1ona County School Olstnct VICtoria County Comm.my Schools

WED THU FR SAT

1 2

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20 21 22 23

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o Non Wortc Days

0 :b I.lull• Onl•Kt ••~W

@ Frontt.ne SUppon

Substitute QuickStart Guide I 2

GETTING HELP AND TRAINING

If you have questions, want to learn more about a certain feature, or want more information about a specific topic, click Help Resources and select Frontline Support. This opens a knowledge base of help and training materials.

ACCESSING ABSENCE MANAGEMENT ON THE PHONE

In addition to web-based, system accessibility, you can also find and accept available jobs, manage personal information, change your PIN number, and more, all on the phone.

When You Call into Absence Management

To call, dial 1-800-942-3767. You'll be prompted to enter your ID number (followed by the# sign), then your PIN number (followed by the# sign).

When ca lling the Absence Management system, you can: • Find available jobs - Press 1 • Review or cancel upcoming jobs - Press 2 • Review or cancel a specific job - Press 3 • Review or change your personal information - Press 4

When the Absence Management System Calls You

If an available job has not been f illed by another substitute two days before the absence is scheduled to start, the system will automatically begin to call substitutes and try to fi ll the job.

Keep in mind, when the system calls you, it will call about one job at a t ime, even if you're eligible for other jobs. You can always call in (see "When You Call into Absence Management" section above) to hear a list of all available jobs.

Note: When the system calls, be sure to say a loud and clear "Hello" after answering the

call. This will ensure that the system knows you picked up the call.

When you receive a call, you can: • Listen to available jobs - Press 1 • Prevent Absence Management from calling again today - Press 2 • Prevent Absence Management from ever calling again - Press 9

If you are interested in the available job, Press 1. You will be asked to enter your PIN number (followed by the# sign). The Absence Management system will list the job details, and you will have the opportunity to accept or reject the job.

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