Skip to Main Content
District Home
Select a School...
Select a School
  • A. G. Wright Middle
  • Anne E. Moncure Elementary
  • Anthony Burns Elementary
  • Brooke Point High
  • Colonial Forge High School
  • Conway Elementary
  • Dixon-Smith Middle
  • Edward E. Drew Middle
  • Falmouth Elementary
  • Ferry Farm Elementary
  • Garrisonville Elementary
  • Grafton Village Elementary
  • H. H. Poole Middle
  • Hampton Oaks Elementary
  • Hartwood Elementary
  • Early Childhood Education Centers: North Star & Rising Star
  • Kate Waller Barrett Elementary
  • Margaret Brent Elementary
  • Mountain View High School
  • North Stafford High
  • Park Ridge Elementary
  • Rockhill Elementary
  • Rocky Run Elementary
  • Rodney E. Thompson Middle
  • Shirley C. Heim Middle
  • Stafford Elementary
  • Stafford High
  • Stafford Middle
  • T. Benton Gayle Middle
  • Widewater Elementary
  • Winding Creek Elementary
Sign In
Search

Stafford County Public Schools

Inspire. Empower. Excel.

  • Home
  • About Us
      "
    • About Us
    • 2017-2022 Strategic Plan
    • Our Schools
    • Military Family Resources
    • Staff Directory
    • FAQs
  • Administration
      "
    • Instruction Technology and Information Services
    • Superintendent
    • Administrative and Legal Services
    • Equity and Accountability
    • Financial Services
    • Human Resources
    • Instructional Technology and Information Services
    • Learning and Organizational Development
    • Operations
    • Program Evaluation & Special Projects
    • Strategic Communication & Community Engagement
    • Student Services and Special Education
  • School Board
      "
    • Your School Board at Work
    • Redistricting
    • School Board Home
    • Meet the School Board Members
    • Contact the School Board
    • School Board Calendar
    • Meeting Agendas & Minutes
    • Watch Meetings (Live & Recorded)
    • SB Advisory Committees
    • SB Standing Committees
    • District Map & Attendance Zone Maps
    • Policies & Regulations
    • Commonly Requested Documents
  • Academics
      "
    • Specialty Programs
    • Career & Technical Education
    • Curriculum
    • Driver Education
    • Elementary
    • English & Literacy
    • English for Speakers of Other Languages (ESOL)
    • Family Life
    • Fine & Performing Arts
    • Graduation Requirements
    • Health & Physical Education
    • High
    • History and Social Science
    • Kindergarten
    • Libraries
    • Mathematics
    • Middle
    • Online Learning Opportunities
    • Science
    • Science Technology Engineering Mathematics (STEM)
    • Textbooks
    • World Language
    • Program of Studies
    • Gifted Education
    • JROTC Program
    • Learning Outcomes/Expectations
    • Service Learning
  • Programs
      "
    • Advanced Placement (AP)
    • Advanced Placement Programs of Excellence (APPX)
    • Athletics and Actitivies
    • Attendance Services
    • Career & Technical Education (CTE)
    • Commonwealth Governor's School (CGS)
    • Dual Enrollment (DE)
    • Fine & Performing Arts
    • Gifted & Secondary Programs
    • Homebound Services
    • International Baccalaureate World School (IB)
    • Junior Reserve Officer Training Corp (JROTC)
    • McKinney-Vento Program
    • Phoenix Center for Innovative Learning
    • Secondary Specialty Programs
    • Service-Learning
    • Stafford Academy for Technology (STAT)
    • Stafford Education Foundation
    • Summer School
    • YES Program
    • Agents of Change (AOC)
    • Behind the Wheel
  • Employment
      "
    • Employment Process
  • Information
      "
    • Adaptive PE
    • Athletics and Activities Code of Conduct
    • Benefits
    • Budget & Planning
    • Calendars
    • Capital Improvement Program
    • Child Find Services
    • Code of Conduct
    • Community and Business Partnerships
    • Community Use of Facilities
    • Counseling
    • Deaf, Hard of Hearing Services
    • Early Childhood Special Education (ECSE)
    • Educational Specifications
    • Efficiency Study
    • Emergency Procedures
    • Enrollment
    • Facilities and Demographic Planning
    • Facility Planning, Design & Construction
    • Fees (Student)
    • Finance and Accounting
    • Find Your School
    • Fleet Services
    • Forms (Parents/Students)
    • Forms (Staff)
    • Fraud, Waste and Reporting Abuse
    • Health Services
    • Hearing or Visually Impaired Services
    • Heather Empfield Day School
    • Home Instruction
    • Homebound Services
    • Inclement Weather
    • Inspire 10
    • ITRT
    • Lynda Resources
    • McKinney-Vento
    • Membership Forecast and Reports
    • Military Family Resources
    • News Releases
    • Nondiscrimination Policy
    • Nutrition Services
    • OT/PT Services
    • Parent Resource Center
    • Payroll and Benefits
    • Program of Studies
    • Purchasing Department
    • Redistricting
    • Report Cards & Grading Scale
    • Retirees
    • Retirement/Resignations
    • Safety, Security & Risk Management
    • Salary Information
    • School Listing 2019-2020
    • School News Blog
    • SCPS Operation Warm Coats for Kids
    • Section 504
    • Sensory Friendly
    • Social Work Services
    • Special Education & Related Services
    • Speech and Language Services
    • Staffing Standards
    • Stafford Education Foundation
    • Stafford Education Television (SETV)
    • Student Clinical Placement Requests
    • Student Transfers
    • Summer Camps
    • Summer Programs
    • Title I - ESSA
    • Transportation
  • Staff
      "
    • Health & Dental Plans
    • Automated Sub Calling System
    • Employee Self Service
    • Flexible Benefits
    • Forms
    • Professional Learning
    • Staff Information
    • Technology Resources
    • Transfer Process
    • Web Access Tools
Translate
Staff Login
    • Stafford County Public Schools
    • Retiree Information
    • Forms - HEALTH, DENTAL AND VRS FORMS

    Retirees

    • Retiree Information
      • Forms - HEALTH, DENTAL AND VRS FORMS
      • Health and Dental Insurance
      • Prescription Drug Program
    • HEALTH AND DENTAL INSURANCE PLANS

    Forms - HEALTH, DENTAL AND VRS FORMS

    • HEALTH AND DENTAL INSURANCE INFORMATION AND FORMS FOR RETIREE'S ELIGIBLE FOR MEDICARE B

      The Hartford Life & Accident Insurance Company & Express Scripts, Inc.

      • Group Retiree Insurance Plan Summary of Coverage (AGP-3844)
      • Senior Medical Insurance Plan Summary of Coverage (AGP-3189)
      • Stafford County Public Schools - Medicare Part D Prescription Drug Benefits Provided by Express Scripts - January 1, 2015 - December 31, 2015


      Enrollment Forms

      • Group Retiree Health Insurance Plan Enrollment Form (AGP-3844)
      • Medicare Prescription Drug Plan Individual Enrollment Form
      • Anthem Dental Insurance Application
      • Dominion Dental 707X Plan Application

       


      HEALTH AND DENTAL INSURANCE FORMS FOR RETIREES NOT YET ELIGIBLE FOR MEDICARE B

      • Anthem Health Insurance Application (Rev. 2013)
      • Anthem Dental Insurance Application
      • Dominion Dental 707X Plan Application
      • Anthem Address/Name Change

      VIRGINIA RETIREMENTS SYSTEM (VRS) DOCUMENTS AND FORMS

      • VRS Handbook/Publications
      • VRS 2 Designation of Beneficiary
      • VRS 2A Designation of Beneficiary - Continuation
      • VRS 15 Request for Income Tax Withholding
      • VRS 45 Request for Health Insurance Credit
      • VRS 57 Authorization for Direct Deposit of Monthly Benefit
      • VRS 58 Name/Address Declaration for Retirees
      • VRS 78 Authorization to Deduct Insurance Premiums and Application for Health Insurance Credit
      • VRS 900 Authorization to Discuss VRS Account Information
      • VRS 901 VRS Durable Power of Attorney

    Visit Us

    31 Stafford Avenue

    Stafford, VA 22554

    MAP IT

    Get in Touch

    Phone: 540-658-6000

    Fax: 540-658-4065

    webmaster@staffordschools.net

    Helpful Links

      Site Map
      The Stafford County School Board does not unlawfully discriminate against any person on the basis of race, color, national origin, political affiliation, religion, sex, pregnancy, childbirth or related medical conditions, marital status, mental or physical disability, age, genetic information, sexual orientation, gender identity, or any other characteristic prohibited by state and/or federal law.
      • Questions or Feedback? |
      • Blackboard Web Community Manager Privacy Policy (Updated) |
      • Terms of Use
      Copyright © 2002-2019 Blackboard, Inc. All rights reserved.
      Blackboard, Inc. All rights reserved.
      CLOSE
      CLOSE