Human Resources Forms

Life Insurance Forms

• Please visit www.vbas.com/sutter for more information.
  

403(b) Forms

• Fidelity Beneficiary Form
• Fidelity Enrollment Form
  
• Fidelity Investment Election Form
• Fidelity Alternate Beneficiary-Spousal Consent Form
• TIAA CREF- Enrollment /Beneficiary Designation Form
• TIAA-CREF -Group Supplemental Retirement Annuity Certificates
• 403(b) Catch Up Contributions
• 403(b) Salary Reduction Form
• 403(b) Non Participation Form
• 403 Match Maximizer Worksheet
  

Flexible Spending Account

• FSA Claims Form
• FSA Dependent Care Form
• FSA Direct Deposit Form
• FSA Helpful Hints

Worker's Compensation

• Worker's Compensation Claim Form DWC1
• Supervisor's Report of the Accident Form
• Employer's Report of Occupaional Injury or Illness (Form DLSR 5020)
• Medical Provider Notification 
• Occupational Injury Protocol
  

Other Forms

• Address Change Form
• Automatic Deposit of Paycheck
• Education Reimbursement Form
• Employee's Withholding Allowance Certificate - Form DE-4
• Leave of Absence Form
• Parking-Access Card Application
• Parking - Payroll Deduction Form
• Personnel Requisition Form
• Spot Recognition Award
• Vacation Buy Out
• W-4 Form
• Workforce Confidentiality Agreement
• Domestic Partner Affidavit 
• Disciplinary Action form
• 2009 Holiday Schedule
  
• 2009 Payroll Schedule 
• Health Plan Comparison Chart
• Wellness Guide
• Benefits @ Work 
• Verification of Employment
• Salary Structure