Employee Forms

IRS Forms

• 2011 W4 Employee Withholding Allowance Certificate - IRS

Flex Benefit

• Enrollment

• 2011 Healthcare Claim

• Healthcare Claim

• Dependant Claim

Healthcare

• Dental Claim

• Dental Dependant Certification

• Avesis CA Provider Directory

• Vision Claim

Life Insurance

• Beneficiary Designation Form

Validyne Forms

• Vacation Request (Fill-able PDF Document)

• Vacation Request (Word Document)

• Time Card for Salaried Employee (Fill-able PDF Document)

• Expense Report (Excel Document)

• Employee Phone Directory

Please contact Personnel at x102 or Email for any questions.

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