Forms
Employment
- Authorization to Release Information
- Code of Ethics Signature Form
- Computer Access Security Agreement
- Conflict of Interest Signature Form
- Request for Approval of Secondary Employment
- Exit Interview Questionnaire
- Personnel Action Form
- Policies & Procedures Receipt Acknowledgement
- Voluntary Resignation Form
Payroll
- Change in Payroll Deductions Form
- Christmas Club Application & Instructions
- Direct Deposit
- Direct Deposit Agreement (for employees hired on or after June 1, 2006)
- Federal Withholding Tax Form (W-4) Form
- I-9 Form
- Time Sheet
FMLA Forms
- FMLA Notice of Eligibility, Rights & Responsibilities
- FMLA Certification of Health Care Provider for Employee's Serious Health Condition
- FMLA Certification of Health Care Provider for Family Member's Serious Health Condition
- Certification of Qualifying Exigency for Military Family Leave
- Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave
- FMLA Fitness for Duty Certification
- FMLA Request for Family and Medical Leave of Absence
Flexible Spending Account
- Beyond Benefits Claim Form
- Flexible Spending Account Brochure
- Dependent Care Enrollment Form
- Health Care Enrollment Form
- Flexible Spending Account PowerPoint Presentation
- Direct Deposit Authorization Form
- Beyond Benefits, Inc. website
Risk Management and On the Job Injury
- Choice of Physician Agreement Between Employer/Employee
- Employee Injury Statement
- Medical Release Form
- OJI Procedures for Injured Employees
- OJI Report of Injury Form
- Sick-Annual Leave Authorization
- Witness Statement
