FREQUENTLY REQUESTED FORMS
The forms below marked pdf fill-in may be filled in (click on the area where you want to type) before printing out.
Most of these forms require your signature and date before you turn them in to the HR department. (Campus mail is fine.)
- Direct Deposit Agreement [.pdf]
- Employee Community Service Program [.pdf]
- Health Cancellation or Qualifying Event (.pdf fill-in form)
- Health Insurance Enrollment (.pdf fill-in form)
- Highmark Blue Cross/Blue Shield Claim Form [.pdf]
- RFC Membership Enrollment [.pdf]
- Section 125 Dependent Care Reimbursement (.pdf fill-in form)
- Section 125 Health Care Reimbursement (.pdf fill-in form)
- Section 125 Annual Enrollment (.pdf fill-in form)
- State Tax withholding [.pdf]
- TIAA-CREF forms [on their website]
- W-4 Federal withholding [.pdf fill-in form]
