Forms
Benefit Forms
- Blue Cross/Blue Shield Enrollment/Change Form (PDF 132.77 KB Help )
- Delta Dental Enrollment/Change Form (PDF)
- Flexible Spending Account - Medical Expense Reimbursement Form (PDF 517.07 KB Help )
- Flexible Spending Account - Dependent Care Reimbursement Form (PDF 481.52 KB Help )
- Health Savings Account – Direct Deposit Reimbursement Form (PDF 27.06 KB Help )
- Change in Status Election Form (due to qualifying event)6 (PDF 14.92 KB Help )
- Request for Family or Medical Leave (PDF 10.29 KB Help )
- Change in 403(b) Contribution (notify Office of Human Resources)
Payroll Forms
- W-4 (PDF 236.86 KB Help )
- K-4 (PDF 68.06 KB Help )
- Direct Deposit Authorization Form (PDF 19.45 KB Help )
- Payroll Deduction Authorization Form (PDF 6.52 KB Help )
- Report of Absence (for Salaried Employees) (XLS 20 KB Help )
- New Hire/Changes/Resignation and Termination Form (for Managers) (PDF 13.88 KB Help )
- Change of Address (PDF 6.39 KB Help )
- On-the-Job Employee Injury Form (PDF 15.25 KB Help )
Training Tools
- Job Description Template (DOC 35 KB Help )
- Performance Goal Template (XLS 16.5 KB Help )
