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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
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