
Forms and Policies
MEDICAL RETIREMENT
Enrollment/Change Form-Submit to Human Resources Retirement Application
Medical Claim Form Retiree Insurance/Bank Forms
Dental Claim Form Beneficiary/Change Form
Other Coverage Form Refund/Rollover Form
FLEX and COMMUTER EMPLOYMENT
Mileage rate for 2013 is 24 cents per mile. Position Description Questionaire Form
Flex Worksheet Personnel Requisition Form
Flex Enrollment Form Record of Interview
Dependent Claim Form Interview and Selection Summary Form
LIFE INSURANCE
Fort Dearborn Life Beneficiary Change Form
FMLA FORMS
Employee Rights & Responsibilities Under FMLA NM Tech Leave Request Form
FMLA for Employee Sick Leave Buy Back Form
FMLA for Family Member Tuition Waiver Form
Certificate of Qualifying Exigency for Military Family Leave Tuition Waiver Form CC
Certificate for Serious Injury or Illness of a Current Service Member Property Clearance Form
WORKERS' COMPENSATION


