ANNUAL NOTICES

HELPFUL LINKS

American Fidelity Assurance Company

Plan with Ease

SERS

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Cigna

EMPLOYEE FORMS

AMERICAN UNITED LIFE INSURANCE ENROLLMENT FORM

AMERICAN UNITED LIFE INSURANCE BENEFICIARY DESIGNATION FORM

APPLICATION FOR FAMILY MEDICAL LEAVE OR CHILD-REARING LEAVE

AULTCARE ENROLLMENT/CHANGE FORM

DENTAL CLAIM FORM

DENTAL INSURANCE RECORD CHANGE FORM

DENTAL INSURANCE ENROLLMENT FORM FOR ADMINISTRATORS

DENTAL INSURANCE ENROLLMENT FORM FOR CERTIFIED STAFF

DENTAL INSURANCE ENROLLMENT FORM FOR CLASSIFIED STAFF

DIRECT DEPOSIT AUTHORIZATION FORM

EYE MED ENROLLMENT FORM

HEALTH REIMBURSEMENT PLAN FORM

LIST OF 403(B) AND 457 PROVIDERS

MET LIFE SUPPLEMENTAL INSURANCE APPLICATION

MET LIFE BENEFICIARY DESIGNATION FORM FOR SUPPLEMENTAL INSURANCE

MILEAGE EXPENSE REPORT - ADMINISTRATORS & ATHLETICS ONLY

PROFESSIONAL MEETING LEAVE PROCEDURES & EXPENSE REPORT (UPDATED 1/2023)

REQUEST TO WORK OVERTIME

SICK LEAVE DONATION FORM

TAX - FEDERAL FORM FOR EMPLOYEE WITHHOLDING EXEMPTION CERTIFICATE

TAX - OHIO FORM FOR EMPLOYEE WITHHOLDING EXEMPTION CERTIFICATE

TAX - WEST VIRGINIA STATE WITHHOLDING FORM

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