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Forms and Policies

Employee Handbook

 

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

Medical Claim Form                                                                                                

Commuter Claim 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

                                                                                                                                         Change of Address Form

WORKERS' COMPENSATION                                                                                 

Workers' Compensation

First Report of Injury of Illness

Doctor Visit Form

HIPAA Release Form

Claim Explanation Form

Notice of Accident

Pharmacy List

Guidance to Complete Worker's Compenation Forms