HR Forms

This is the place for human resource and employee benefit forms.
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Procedure for filing dental and vision claims  32k v. 3 Jul 11, 2012, 4:38 AM maroneys@stel.org
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Dental claim form.  39k v. 6 Aug 5, 2011, 7:22 AM maroneys@stel.org
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Summary Plan Description for Dental & Vision  593k v. 5 Aug 8, 2011, 8:40 AM maroneys@stel.org
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Vision Claim form.  27k v. 5 Aug 5, 2011, 7:22 AM maroneys@stel.org
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  Jan 27, 2017, 12:13 PM Wasiewicz, Mark
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Employee Information Change Form   16k v. 3 Jul 29, 2011, 10:41 AM maroneys@stel.org
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  105k v. 2 Apr 23, 2014, 7:48 AM maroneys@stel.org
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Lincoln Life Enrollment Form for Group Life Insurance   59k v. 4 Aug 8, 2011, 8:21 AM maroneys@stel.org
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Evidence of Insurability Information Form   173k v. 3 Aug 8, 2011, 8:43 AM maroneys@stel.org
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Lincoln Life Change Request Form   51k v. 3 Aug 8, 2011, 8:40 AM maroneys@stel.org
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Summary of Benefits for Voluntary Life and AD&D  127k v. 3 Aug 8, 2011, 8:41 AM maroneys@stel.org
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  919k v. 2 Oct 6, 2011, 12:48 PM maroneys@stel.org
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Designation of beneficiary for STEL Employer Contribution Form   45k v. 3 Aug 19, 2011, 7:55 AM maroneys@stel.org
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Enrollment form for STEL Employer Contribution Plan   23k v. 4 Aug 19, 2011, 7:54 AM maroneys@stel.org
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Instructions to rollover an existing retirement plan or IRA to the STEL Employer Contribution Plan.   16k v. 3 Aug 19, 2011, 8:00 AM maroneys@stel.org
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Summary of plan provisions for STEL Employer Contribution Plan   55k v. 5 Aug 19, 2011, 7:54 AM maroneys@stel.org
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Salary reduction agreement for the 403(b) plan.  58k v. 3 Aug 19, 2011, 8:05 AM maroneys@stel.org
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Summary booklet for the STEL 403(b)Plan.  417k v. 3 Aug 19, 2011, 8:06 AM maroneys@stel.org
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  501k v. 2 Apr 7, 2014, 9:53 AM Wasiewicz, Mark
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Establish a 403(b)(7) account with Vanguard  417k v. 3 Aug 8, 2011, 9:42 AM Wasiewicz, Mark
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Vanguard 403(b)(7)Beneficiary Designation Form  133k v. 2 Aug 8, 2011, 9:49 AM Wasiewicz, Mark
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Vanguard 403(b)(7) Installment Distribution Form   408k v. 2 Aug 8, 2011, 9:49 AM Wasiewicz, Mark
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Vanguard Salary Reduction Agreement for 403(b)(7) Custodial Accounts  48k v. 4 Aug 8, 2011, 9:39 AM Wasiewicz, Mark
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Vanguard Single Distribution Form  691k v. 4 Aug 8, 2011, 9:42 AM Wasiewicz, Mark
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Disability & Life Insurance Quote Sheet  11k v. 2 Jun 16, 2017, 8:14 AM Wasiewicz, Mark
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Unum Disability Claim Form  224k v. 2 Jan 18, 2016, 11:37 AM Wasiewicz, Mark
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First Unum's Voluntary Short-Term Disability Insurance Highlights  13k v. 3 Aug 8, 2011, 8:25 AM maroneys@stel.org
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Unum Monthly Expenses Worksheet   91k v. 3 Aug 8, 2011, 8:29 AM maroneys@stel.org
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Memo regarding use of sick leave credits  304k v. 3 Aug 8, 2011, 8:54 AM maroneys@stel.org
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STEL207A Form to be Completed by Health Care Provider   94k v. 4 Aug 8, 2011, 8:52 AM maroneys@stel.org
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  24k v. 2 Jan 3, 2017, 12:28 PM Wasiewicz, Mark
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W-4 Federal Tax Withholding form 2017  113k v. 2 Apr 3, 2017, 6:27 AM Wasiewicz, Mark
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New York State Tax Withholding Form 2017  468k v. 2 Apr 3, 2017, 6:27 AM Wasiewicz, Mark
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STEL 199 Advance on Wages form  11k v. 6 Jan 15, 2013, 2:13 PM Wasiewicz, Mark