Human Resources Forms
Employment Forms
- Federal Tax Form
- State Tax Form
- City Tax Form
- Direct Deposit Form*
- Final Pay Beneficiary Designation Form*
- Employee Information Change Form*
Health Insurance Forms
- BCBS Plans*
- HAP Plans*
- Delta Dental*
- Heritage*
Family and Medical Leave Act Forms
- Family and Medical Leave Request*
- Rights and Responsibilities*
- Medical Certification for FMLA – Employee*
- Medical Certification for FMLA – Family Member*
- Medical Certification for FMLA – Maternity*
- Medical Certification for FMLA – Injured Service Member*
- Certification for Disabled Individuals over the age of 18 for Coverage under
FMLA* - Certification for a Qualifying Exigency*
Life Insurance, Short Term Disability, Long Term Disability, Accidental Death Forms
- Enrollment Form*
- Change Form*
Tuition Reimbursement Forms
- Prior Approval Form*
- Reimbursement Request Form*
Voluntary Life Insurance Form
- Voluntary Life Insurance Form*
Remote Work Authorization Forms
Request For Prior Approval To Present Form
Professional Development Summary Report Form
