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Surry County Public Schools

Building Excellence One Student At A Time

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  • Surry County Public Schools
  • Current Employees
  • Forms For Current Employees

    Please click on the desired form or information sheet, fill out the form, print, sign, and return it to Human Resources (print a copy for yourself)

    • Name/Address Change Form
    • Employee Rights and Responsibilities under FMLA
    • Family Medical Leave Form (FMLA)
    • Request For Termination Of Employment
    • Qualifying Events - Insurance Changes
    • TLC Personal Data Change Form
    • Vacation Leave Approval
    • Personal Leave Request
    • Exit Interview Form 

    Please Note: The above documents are links or PDF's.  To obtain the free version of Adobe Reader please click on the link http://www.adobe.com/products/acrobat/readstep2.html to download now. 

PO Box 317
45 School St.
, Surry, VA 23883

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p: 757-294-5229

f: 757-294-3534

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p: 757-294-5229

f: 757-294-3534

The Surry County School Board is committed to nondiscrimination with regard to sex, gender, race, color, national origin, disability, religion, ancestry, age, marital status, genetic information or any other characteristic protected by law. This commitment will prevail in all of its policies and practices concerning staff, students, educational programs and services, and individuals and entities with whom the Board does business.
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