Forms

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

• Application for Education Benefits
• 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)
• Candidate Evaluation Form
• Conflict of Interest Questionnaire (Please return to the Purchasing Department)
• Deferred Compensation Election Form
• Dental Insurance Enrollment/Change Form 
• Employee Self-Evaluation Form
• Employee Reference Release Form
• FLEX Spending Enrollment Form 2017
• 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:

• 2016 Federal Form W4 (pdf)
• 2016 Indiana Form WH4 (pdf)
• 2016 Michigan Form MI-W4 (pdf)