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Congratulations!
Let Personnel Services assist you and make sure that your
Maternity/Adoption Leave is successfully planned.
Choose the following link to visit the
Blue Cross and Blue Shield of Texas Special Beginnings® program
Step 1
Inform your Campus Principal and Secretary
Step 2
Notify Personnel Services
Notify Personnel Services of your upcoming adoption or pregnancy by submitting the following form:
Maternity/Adoption Notification Form
[pdf document]
Please submit your completed form(s) to:
Gretta Bacon via inter-campus mail or
fax them to Gretta in Personnel Services at: 817.831.5762.

Step 3
Access Additional Maternity/Adoption Information Online
Click the links below to access and print additional
Maternity/Adoption information:
Memo to Employee from Personnel Services
[pdf document]
Health and Disability Insurance Information
[pdf document]
FAQ's Regarding Maternity/Adoption Leave
[pdf document]
Current District Calendar
[pdf document]

Step 4
Complete the Salary Refigure Authorization
and Maternity/Adoption Forms 1 - 5
listed below:
Check-Off List of Procedures
[for employee's records]
Salary Refigure Authorization
[Submit to Payroll Office]
FMLA for Maternity/Adoption
[Submit with Form 1 below]
Form 1
[Sumbit with FMLA Form above]
Form 2
[Due to Personnel Services by end of 7th month]
Form 3
[Submit 30 days prior to maternity leave]
Form 4
[Submit 15 days after the birth of your child]
Form 5
[Due to Personnel Services prior to returning to duty]

Questions?
Contact: Gretta Bacon
at 817.547.5855 or
email Gretta
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