Forms
Benefits
- Blue Cross Active Employees Group Enrollment Form
- Blue Cross Retirees Group Enrollment Form
- Designation of Beneficiary, Basic and Supplemental Life Insurance
- Designation of Beneficiary Form for Minors, UTMA
- Direct Deposit Form
- Domestic Partner Declaration Form
- Fee Reduction Authorization Form
- Flexible Spending Account Reimbursement Form
- FMLA Physician Statement Form (for Employee)
- FMLA Physician Statement Form (for Family Member)
- FMLA Leave Request Form
- IDeal College Savings Program, Information/Enrollment Site
- Leave Receipt Request Form
- NCPERS Enrollment/Change of Beneficiary Form with Brochure
- Shared Leave, Transfer to Bank Form
- Shared Leave, Transfer of Vacation Hours (EIS-180)
- Vision Services Plan Out-of-Network Reimbursement Form
- Weight Loss Program Reimbursement Form
Employment
- Address Change Form
- Affirmative Action 1-75 - Position Announcement
- Affirmative Action 1a-75 - Selection Criteria
- Affirmative Action 2-75 - Applicant Identification
- Affirmative Action 3-75 - Position Vacancy Record/Report
- Emergency Contact Form
- Exiting Employee Checklist
- Optional Exit Survey
- I-9 Form
- Limited Service Agreement
- Moving Service Agreement
- Moving Reimbursement Policy Summary
- New Hire Packet, Temp/Student Employees
- Offer Letter Templates
- Performance Evaluation Form - Non-Classified Employee
- Performance Evaluation Form - Classified Employee
- Position Description Questionnaire (PDQ) for Classified Employees
- Request for Secondary Assignment/Overtime
- Salary Adjustment Request
- Temporary
Change In Payroll Account Distribution
- Voluntary Probation Agreement Form
- Volunteer Policy
- Volunteer
Services Agreement
- W-4 Form
Retirement
- 403(b) Salary Reduction Agreement Form
- 457(b) Salary Reduction Agreement Form
- Idaho Optional Retirement Plan Election Form
- PERSI Additional Payment Agreement Form
- PERSI Beneficiary Designation Form
- PERSI Certification of Employment of a Retired Member Form
- PERSI Choice Plan 401(k) Enrollment Form/Salary Reduction Agreement
- PERSI Membership Application Form
- PERSI Request for Base Plan Account Withdrawal Form (upon separation)
- TIAA-CREF On-Line Enrollment Form, ORP, 403(b), and 457(b) plans
Version 3/6/2008