Forms

 
Beneficiary Designations 
Beneficiary Forms: Links and Information

Family and Medical Leave Forms 
Family Medical Information Form 
FMLA Intermittent Parental Leave Form - EPD 
FMLA Intermittent Parental Leave Form - FIRE

Flexible Spending Account / Transportation
Reimbursement Account 
FSA ONLINE Enrollment
FSA Claim Form
Flexible Spending Account (FSA).
TRA Claim Form 
Transportation Reimbursement Account (TRA).
FSA/TRA Enrollment Form 
FSA Direct Deposit Enrollment Form 
Flexible Spending Account (FSA).

 Health Plan Forms
Electronic Health Plan Enrollment Form
Quick Claim Form 
Wellpartner Mail Order Prescription Form 
Caremark Mail Order Prescription Form

Domestic Partnership Forms 
Declaration of Domestic Partnership 
Termination of Domestic Partnership 
Declaration of Dependent Tax Status 
Domestic Partner Benefits 
Termination of Dependent Tax Status 
Domestic Partner Benefits

Leave Donation Program Forms 
Leave Donation - Donor Form

Life Insurance Forms 
COE Life Insurance Enrollment/Beneficiary Change Form 
Standard Insurance Co.
Portable Term Life - Beneficiary Change Form 
ING/ReliaStar Life Insurance Co.
Portable Term Life - Name/Coverage Change Form 
ING/ReliaStar Life Insurance Co.
Portable Term Life Application 
ING/ReliaStar Life Insurance Co. 

Retirement Benefits Forms 
Deferred Compensation Contribution Change Form 
Voya Deferred Compensation Beneficiary Form 
PERS Beneficiary Form (Tier 1/2)
PERS/OPSRP IAP Beneficiary Form 
Individual Account Program (IAP)

Terminating / Retiring Employee Forms 
Terminating Employee Information 
Retiring Employee Information
COBRA/Retiree Health Plan Open Enrollment Form