Forms
Important Note: Personal information that is recorded in a writable form from your computer may not be deleted by closing your browser or clicking the "back" button. To completely erase personal information from the temporary file stored on your computer, whenever available, be sure to click on the "Clear Form" button after the form is printed.

Benefit Forms

Employment Forms

BAC (Benefit Administration Company) Flexible Spending Account (FSA) reimbursement forms -

For health and dependent care expenses

Forms may be printed or filled-in online

BAC Healthcare Form - revised

BAC Dependent Care Form - revised

BAC Benny Card Enrollment Form

BAC Benny Card Receipt Submittal Form

BAC Reimbursement Direct Deposit Authorization

Premera Medical Expense Claim Form

Premera RX Claim Form

WDS Claim Form

VSP Claim Form

Long Term Care - Evidence of Insurability

Employment Application

Exempt Insert

Nonexempt Insert

Safety & Security Insert

Trades Insert

Classification/Salary Review Request -
complete Position Revision Proposal Form (below)

I-9 Form

Job Description - Sample

Job Description - Form (Word)

PAF - Regular Employee

PAF - Temporary Employee

Position Revision Proposal Form

Recruiting Requisition

Search Questionnaire

Staff Offer Letter

Staff Handbook Receipt
Retirement Savings Forms
Performance Evaluation Forms
Other Forms

Salary Reduction Agreement - 403(b)(7)

Performance Evaluation Form

Business & Planning Employee Evaluation Form

Business & Planning Peer Evaluation Form

Name/Address Change Form

Leave Absence Request