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 
• Deferred Compensation Election Form
• Dental Insurance Enrollment/Change Form 
• Employee Self-Evaluation Form
• Employee Reference Release Form
• FLEX Spending Enrollment Form
• FLEX Spending Enrollment Guide
• 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 
• Incident Report
• Life Insurance Enrollment Form
• Salary Reduction Agreement TIAA-CREF
• Sick Leave Pool Contribution Form
• Sick Leave Pool Request Form
• Vacation Request Form
• Vision Insurance Enrollment/Change Form 

Tax Forms:

• Federal Form W4 
• Indiana Form WH4 
• Michigan Form MI-W4