Published on Samuel Merritt College (http://www.samuelmerritt.edu)
Human Resources Forms

Life Insurance Forms

· Sun Life -- Insurance Beneficiary Designation Form [1]

· [2]Sun Life - Basic Life/AD&D, LTD and Optional Life/AD&D Insurance Enrollment Form [3]

· Sun Life - Evidence of Insurability [4]

· Sun Life - Group Life Claim Packet [5]

· Sun Life - Group Voluntary Accidental Death & Dismemberment Claim Packet [6]

403(b) Forms

· Fidelity - Enrollment / Beneficiary Designation Form [7]

· Fidelity Investment Election Form [8]

· Fidelity Alternate Beneficiary-Spousal Consent Form [9]

· TIAA CREF- Enrollment /Beneficiary Designation Form [10]

· TIAA-CREF -Group Supplemental Retirement Annuity Certificates [11]

· 403(b) Catch Up Contributions [12]

· 403(b) Salary Reduction Form [13]

403(b) Non Participation Form [14]

Flexible Spending Account

FSA Claims Form [15]

FSA Dependent Care Form [16]

FSA Direct Deposit Form [17]

FSA Helpful Hints [18]

Medical Forms

2007 Medical / Dental / Vision - Enrollment Form [19]

Medical Benefits Waiver Form [20]

Workmen's Compensation

Worker's Compensation Claim Form [21]DWC1

Supervisor's Report of the Accident Form. [22]

Employer's Report of Occupaional Injury or Illness (Form DLSR 5020). [23]

Other Forms

Address Change Form [24]

· Automatic Deposit of Paycheck [25]

· Education Reimbursement Form [26]

Employee's Withholding Allowance Certificate - Form DE-4 [27]

Leave of Absence Form [28]

Parking-Access Card Application [29]

· Parking - Payroll Deduction Form [30]

· Personnel Requisition Form [31]

· Spot Recognition Award [32]

· Vacation Buy Out [33]

 W-4 Form [34]

Workforce Confidentiality Agreement [35]

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Source URL: http://www.samuelmerritt.edu/human_resources/forms

Links:
[1] http://www.samuelmerritt.edu/files/sun_life_beneficiary_designation_form_2006.pdf
[2] http://www.samuelmerritt.edu/files/sun_life_beneficiary_designation_form_2006.pdf
[3] http://www.samuelmerritt.edu/files/sun_life_basic_lifeaddoptional_life_form2006.pdf
[4] http://www.samuelmerritt.edu/files/sunlife_evidence_of_insurability.pdf
[5] http://www.samuelmerritt.edu/files/sun_life__group_life_claim_packet.pdf
[6] http://www.samuelmerritt.edu/files/sun_lifeadd_life_claim_packet.pdf
[7] http://www.samuelmerritt.edu/files/403b_fidelityenrollmentbeneficiary_form_2006.pdf
[8] http://www.samuelmerritt.edu/files/403b_fidelity__investment_election_form.pdf
[9] http://www.samuelmerritt.edu/files/403b_fidelityalternate_beneficiaryspousal_consent.pdf
[10] http://www.samuelmerritt.edu/files/403b_tiaa_crefenrollmentbeneficiary_form_2006.pdf
[11] http://www.samuelmerritt.edu/files/tiaa_cref_group__annuity__certificates.pdf
[12] http://www.samuelmerritt.edu/files/403b_catchup_contribution.pdf
[13] http://www.samuelmerritt.edu/files/403b_salary_reduction_form.pdf
[14] http://www.samuelmerritt.edu/files/403b_non_participation.pdf
[15] http://www.samuelmerritt.edu/files/FSA Claims Form_0.pdf
[16] http://www.samuelmerritt.edu/files/FSA Claims Form.pdf
[17] http://www.samuelmerritt.edu/files/FSA Direct Deposit Form.pdf
[18] http://www.samuelmerritt.edu/files/FSA Helpful Hints.pdf
[19] http://www.samuelmerritt.edu/files/2007__medical_benefits_form.pdf
[20] http://www.samuelmerritt.edu/files/benefit_waiver_form.pdf
[21] http://www.samuelmerritt.edu/files/workers_comp_claim_form.pdf
[22] http://www.samuelmerritt.edu/files/supervisors_report_of_injury.pdf
[23] http://www.samuelmerritt.edu/files/employers_report_of_injury_form5020.pdf
[24] http://www.samuelmerritt.edu/files/employee_address_change_form.pdf
[25] http://www.samuelmerritt.edu/files/automatic_deposit.pdf
[26] http://www.samuelmerritt.edu/files/education__reimbursement__form.pdf
[27] http://www.samuelmerritt.edu/files/de4.pdf
[28] http://www.samuelmerritt.edu/files/loa_form_2006.pdf
[29] http://www.samuelmerritt.edu/files/parking_access_card_application.pdf
[30] http://www.samuelmerritt.edu/files/payroll_deduction_for_parking.pdf
[31] http://www.samuelmerritt.edu/files/personnel_req1.pdf
[32] http://www.samuelmerritt.edu/files/spot_recognition_award.pdf
[33] http://www.samuelmerritt.edu/files/vacation_buy_out.pdf
[34] http://www.samuelmerritt.edu/files/form_w4_2007.pdf
[35] http://www.samuelmerritt.edu/files/workforce_confidentiality_agreement.pdf