This is the place for human resource and employee benefit forms. |
HR Forms
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Dental & Vision Documents & Forms | Selection | File type icon | File name | Description | Size | Revision | Time | User |
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Procedure for filing dental and vision claims | 32k | v. 3 | Jul 11, 2012, 4:38 AM | Unknown user | |
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Dental claim form. | 39k | v. 6 | Aug 5, 2011, 7:22 AM | Unknown user | |
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Summary Plan Description for Dental & Vision | 593k | v. 5 | Aug 8, 2011, 8:40 AM | Unknown user | |
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Vision Claim form. | 27k | v. 5 | Aug 5, 2011, 7:22 AM | Unknown user |
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Aug 23, 2021, 5:32 AM | Wasiewicz, Mark |
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EAP Total Care Summary | 651k | v. 2 | Jan 30, 2019, 8:13 AM | Wasiewicz, Mark | |
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EAP Total Training Center Summary | 1241k | v. 2 | Jan 30, 2019, 8:15 AM | Wasiewicz, Mark | |
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EAP Total Wellness Information | 659k | v. 2 | Jan 30, 2019, 8:15 AM | Wasiewicz, Mark |
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Employee Information Change Form | 16k | v. 3 | Jul 29, 2011, 10:41 AM | Unknown user |
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105k | v. 2 | Apr 23, 2014, 7:48 AM | Unknown user |
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Lincoln Life Enrollment Form for Group Life Insurance | 59k | v. 4 | Aug 8, 2011, 8:21 AM | Unknown user | |
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Evidence of Insurability Information Form | 173k | v. 3 | Aug 8, 2011, 8:43 AM | Unknown user | |
| Ċ | View Download |
Lincoln Life Change Request Form | 51k | v. 3 | Aug 8, 2011, 8:40 AM | Unknown user | |
| Ċ | View Download |
Summary of Benefits for Voluntary Life and AD&D | 127k | v. 3 | Aug 8, 2011, 8:41 AM | Unknown user |
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| Ċ | View Download |
919k | v. 2 | Oct 6, 2011, 12:48 PM | Unknown user |
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Designation of beneficiary for STEL Employer Contribution Form | 45k | v. 3 | Aug 19, 2011, 7:55 AM | Unknown user | |
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Enrollment form for STEL Employer Contribution Plan | 23k | v. 4 | Aug 19, 2011, 7:54 AM | Unknown user | |
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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 | Unknown user | |
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Summary of plan provisions for STEL Employer Contribution Plan | 55k | v. 5 | Aug 19, 2011, 7:54 AM | Unknown user |
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Salary reduction agreement for the 403(b) plan. | 58k | v. 3 | Aug 19, 2011, 8:05 AM | Unknown user | |
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Summary booklet for the STEL 403(b)Plan. | 417k | v. 3 | Aug 19, 2011, 8:06 AM | Unknown user |
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Establish a 403(b)(7) account with P&A Administrative Services | 501k | v. 2 | Jan 30, 2019, 8:17 AM | Wasiewicz, Mark |
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| Ċ | View Download |
Establish a 403(b)(7) account with Vanguard | 417k | v. 3 | Aug 8, 2011, 9:42 AM | Wasiewicz, Mark | |
| Ċ | View Download |
Vanguard 403(b)(7)Beneficiary Designation Form | 133k | v. 2 | Aug 8, 2011, 9:49 AM | Wasiewicz, Mark | |
| Ċ | View Download |
Vanguard 403(b)(7) Installment Distribution Form | 408k | v. 2 | Aug 8, 2011, 9:49 AM | Wasiewicz, Mark | |
| Ċ | View Download |
Vanguard Salary Reduction Agreement for 403(b)(7) Custodial Accounts | 48k | v. 4 | Aug 8, 2011, 9:39 AM | Wasiewicz, Mark | |
| Ċ | View Download |
Vanguard Single Distribution Form | 691k | v. 4 | Aug 8, 2011, 9:42 AM | Wasiewicz, Mark |
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| Ċ | View Download |
Disability & Life Insurance Quote Sheet | 11k | v. 2 | Jun 16, 2017, 8:14 AM | Wasiewicz, Mark | |
| Ċ | View Download |
Unum Disability Claim Form | 224k | v. 2 | Jan 18, 2016, 11:37 AM | Wasiewicz, Mark | |
| Ċ | View Download |
First Unum's Voluntary Short-Term Disability Insurance Highlights | 13k | v. 3 | Aug 8, 2011, 8:25 AM | Unknown user | |
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Unum Monthly Expenses Worksheet | 91k | v. 3 | Aug 8, 2011, 8:29 AM | Unknown user |
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Memo regarding use of sick leave credits | 304k | v. 3 | Aug 8, 2011, 8:54 AM | Unknown user | |
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STEL207A Form to be Completed by Health Care Provider | 94k | v. 4 | Aug 8, 2011, 8:52 AM | Unknown user |
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| Ċ | View Download |
STELLAR Benefit Hotline List | 24k | v. 2 | Jan 6, 2020, 11:20 AM | Wasiewicz, Mark |
| Selection | File type icon | File name | Description | Size | Revision | Time | User |
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| Ċ | View Download |
W-4 Federal Tax Withholding form 2017 | 113k | v. 2 | Apr 3, 2017, 6:27 AM | Wasiewicz, Mark | |
| Ċ | View Download |
2018 NYS Tax Withholding From | 514k | v. 2 | Jan 30, 2018, 1:53 PM | Wasiewicz, Mark |
