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    Employee Forms

     

    Payroll Forms

    Direct Deposit Form make changes to your direct deposit

    Federal Tax Withholding Form change your federal tax withholding

    State Tax Withholding Form change your state tax withholding

    Benefits Forms

    Benefits Enrollment Form enroll self into medical, dental, and vision insurance if new or previously waived coverage

    Benefits Change Form add, remove dependent(s) from medical, dental, and vision insurance

    Claim Form file a medical claim

    Medical / Dependent Care/Parking FSA Enrollment Form to enroll in healthcare, dependent care, and/or parking FSA

    Optional Life Insurance apply for optional life insurance coverage

    Evidence of Insurability Form enroll or increase amount of optional life coverage after initial enrollment period

    Deferred Comp Employee Enrollment Form enroll in the deferred compensation plan for the first time

    Deferred Comp Simplified Change Form change amount of deferred compensation deduction only

    Application for VRS Service Retirement apply for VRS retirement benefits

    VRS Beneficiary Form designate a beneficiary for Group Life, Optional Life & VRS retirement benefit

    VRS Request for Refund Request for Refund You MUST read the IRS 402(f) Special Tax Notice pdf icon before filling out this form.

    Tuition Assistance apply for tuition assistance (must register for class prior to submission of application)

    Grade Submission Form submit grades once class is completed 

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