Personnel Forms

THE BELOW LISTED FORMS ARE AVAILABLE FOR YOUR CONVENIENCE.  

 

MEDICAL INSURANCE

Health Insurance Change Form

Health Insurance Enrollment Form

LIFE INSURANCE

Life Insurance Enrollment Form

FLEXIBLE SPENDING ACCOUNT

FSA Enrollment Form

 DEFERRED COMPENSATION

Cal-PERS 457 Enrollment Form

Nationwide Enrollment Form

RETIREMENT

Cal-PERS Beneficiary Designation Form

PAYROLL

Change of Name or Address Form

Direct Deposit

Paycheck Designation

WORKER'S COMPENSATION

Physician's Pre-designation

CATASTROPHIC LEAVE

Catastrophic Leave Application