Resources

The forms below are in Adobe Acrobat PDF Format
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Forms

• Direct Deposit
• Enrollment: Dental (Delta)
• Enrollment: Life (Unum Provident)
• Enrollment: Medical (Anthem PPO)
• Enrollment: STD (Lincoln National)
• Enrollment: Vision (EyeMed)
• Expense and Mileage Reimbursement
• HRA/FSA Reimbursement
• I-9 Employee Eligibility Verification
• Injury Incident Report
• Timesheet - Standard
• Timesheet - BCBS
• W4 Employee Withholding

Guidelines

• iPay Instructions
• Payroll Guidelines
• Reimbursement Guidelines

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