Forms

Please download any of the following forms that are also available in the Human Resources office:

• Application for Education Benefits


• Applicant Survey Form


• Bank Deduction Authorization (to be used to put a partial amount of pay deposit in separate bank account)


• Bank Deposit Authorization (to be used to update payroll deposit information)


• Conflict of Interest Questionnaire (to be submitted to the Purchasing Department)


• Deferred Compensation Election Form


• Dental Insurance Enrollment/Change Form (pdf)


• Diversity Report Form


• Employee Appraisal (2008 Hourly)


• Employee Appraisal (2008 Administrative)


• Employee Self-Evaluation Form


• Employee Reference Release Form


• Candidate Evaluation Form


• FLEX Spending Enrollment Form 2010


• FLEX Medical and Dependent Care Reimbursement Form


• FMLA Leave Form (must be first submitted to HR to request a Leave of Absence)


• Health Insurance Enrollment/Change Form (pdf)


• Incident Report


• Life Insurance Enrollment Form (pdf)


• Salary Reduction Agreement TIAA-CREF


• Sick Leave Pool Contribution Form


• Sick Leave Pool Request Form


• Vacation Request Form (pdf)


• Vision Insurance Enrollment/Change Form

Tax Forms:

• 2010 Federal Form W4 (pdf)


• 2010 Indiana Form WH4 (pdf)


• 2010 Michigan Form MI-W4 (pdf)