Below is a list of forms to be used by employees to process varied employee personnel and benefit needs. In some cases forms are provided under both MS Word/ MS Excel and PDF. The majority of PDF format forms are form-fill meaning you can complete the form electronically before printing. The Word form is provided so you can save an electronic copy for your records.
Please contact the Human Resources office you can't find the appropriate form.
Address/Phone/Emergency Contact Form (online form)
- Health Insurance Enrollment/Change Form (open enrollment is in May)
- Health Insurance Opt Out Waiver
- Medco By Mail Order form (Rx)
- VISION Insurance Enrollment/Change Form (open enrollment is in May)
FMLA and other Medical or Personal Leaves
- Birth/Adoption Leave Request Form
- Medical Leave Request Form
- Leave to Care For Medical Need of Family Member Request Form
- Military Leave Request Form
- Flex Spending Account Enrollment Form (open enrollment period is in November)
- Reimbursement Forms (no longer a combined daycare and medical form)
Tax Withholding Forms
Workplace Injury (Please inform HR the day of injury/incident)