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  you are here:   District Home  >>  Business & Accounting  >>  Accounting  >>  Payroll
Payroll

Donna Hagen
Payroll Clerk
701-323-4064

Michelle Schwarz
Payroll Clerk
701-323-4063



Payroll Forms


Change of Address Form (pdf document)
File Size: 82.66 kb

For change of address or phone number.

Direct Deposit Authorization Form (pdf document)
File Size: 154 kb

Bismarck Public Schools offers direct deposit of employee paychecks. As an added feature the check may be deposited into more than one account (checking, savings or any combination). To enroll, simply sign the authorization form; staple a blank deposit slip for EACH account to the upper right corner of this form and return it to the Payroll office.

Payroll Change Form (pdf document)
File Size: 125.36 kb

Please complete the information on the form to make any payroll changes and submit the completed form to the payroll office by the payroll cutoff dates. Payroll changes will only be made if the change is submitted in writing.

Support Staff Absence/Substitute Card (pdf document)
File Size: 103.88 kb

One copy to be attached to absent employee's time sheet and one copy to be attached to substitute's time sheet. This form does not replace the time sheet; it is supporting documentation to it.

Support Staff Time Sheets (pdf document)
File Size: 359.08 kb

Document contains forms for all 26 pay periods.

Teacher Time Sheets (pdf document)
File Size: 258.42 kb

Document contains forms for all 12 pay periods.

YMCA Membership Agreement (pdf document)
File Size: 129.38 kb

This form must be completed each year to authorize payroll to automatically deduct the membership fees from your paycheck. Corporations receive a 15% discount (apply to adult and family, exclude Life Center). For more information, contact Heather Nelsen at 255-1525.

Pay Day Schedule (pdf document)
File Size: 376.66 kb

List of scheduled pay days.


ND TFFR Retirement


TFFR Change of Name/Address (link)

SFN 50070 (pdf). ND TFFR Retirement & Investment Form for change of personal information.

TFFR Designation of Beneficiary (link)

SFN 10341 (pdf). ND TFFR Retirement & Investment Form for designation of beneficiary. TFFR members should designate a beneficiary(ies) in writing for the purpose of directing payment of a claim due to a member's death.

TFFR Member Action Form (link)

SFN 50981 (pdf). New and returning TFFR members are required to complete and sign a Member Action Form to properly enroll in the TFFR plan. Active, inactive and retired members who have TFFR service credit on July 1, 2008 are Tier 1 members. New members and returning refunded members employed on or after July 1, 2008 are Tier 2 members

TFFR Notice of Termination (link)

SFN 17144 (pdf). ND TFFR Retirement & Investment Form for notice of termination of employment.

TFFR Retired Member Employment Notification (link)

SFN 52161 (pdf). A retiree may return to TFFR covered employment under certain employment limitations. The limits apply to TFFR covered employment which includes teaching, supervisory, and administrative services in a ND public school or state institution covered by TFFR except for extracurricular duties and professional development. The employer and retiree are required to notify TFFR in writing within 30 days of the retiree's employment. Notification must be made each year the retiree is employed. Failure to notify TFFR will result in the loss of one month's annuity benefit for the retiree and $250 penalty to the employer.


ND PERS Retirement Forms


Designation of Beneficiary for Group Retirement (link)

This "Designation of Beneficiary" is for the group Retirement Plan only. To designate beneficiary (ies) for the group Life Insurance Plan, please complete a "Life Designation of Beneficiary Change SFN 53855".

PERS Notice of Change (link)

ND PERS Retirement form for change of personal information.


Benefit Plans


Dental Benefit Plan 224 (pdf document)
File Size: 239.82 kb

Dental benefit plan for teachers, support staff and professional support staff.

Dental Benefit Plan 7 (pdf document)
File Size: 240.13 kb

Dental benefit plan for administrators.

Health Care Coverage (pdf document)
File Size: 521.69 kb

Vision Benefit Plan (pdf document)
File Size: 201.5 kb


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