Business Forms

I9 with required ID

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  • I-9 Form

    Name Description Status Source
    I-9-Form Required FY24 I-9 with SF and MTC.pdf Edit I-9-Form Delete I-9-Form
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Dental & Vision Insurance

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  • Dental

    Delta Dental
    Required
    FY23 Delta Dental Enrollment Change Form.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Vision

    Vision Insurance Description
    Required
    FY23 Vision Insurance Description.pdf
    Vision Insurance Directory
    Required
    FY23 Vision Insurance Directory - Mitchell.pdf
    Vision Insurance Enrollment
    Required
    FY24 Ameritas Vision Enrollment Form.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Disability Insurance

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  • Disability

    Disability Insurance
    Required
    FY23 Disability Insurance Handout.pdf
    Disablity Form One
    Required
    2024 LTD Enrollment Form One.pdf
    Disability Form Two
    Required
    2024 LTD Enrollment Form Two.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

W4

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  • IRS W4

    W4
    Required
    2024 Form W-4.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Health Insurance

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  • Health Insurance

    Name Description Status Source
    Health Insurance Enrollment Required FY23 Health Insurance Enrollment Form.pdf Edit Health Insurance Enrollment Delete Health Insurance Enrollment
    $1500 Deductible Summary Required 2024 ASBSD_SBC-Plan 2 $1500.pdf Edit $1500 Deductible Summary Delete $1500 Deductible Summary
    $2000 Deductible Summary Required 2024 ASBSD_SBC-Plan 3 $2000.pdf Edit $2000 Deductible Summary Delete $2000 Deductible Summary
    $2500 Deductible Summary Required 2024 ASBSD_SBC-Plan 4 $2500.pdf Edit $2500 Deductible Summary Delete $2500 Deductible Summary
    Health Insurance Plan Design Required FY23 Health Insurance Plan Design.pdf Edit Health Insurance Plan Design Delete Health Insurance Plan Design
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Flex Spending

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  • Flex Spending

    Flexible Spending Account Enrollment
    Required
    2024 FSA Enrollment Form.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Additional Retirement Information

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  • Additional Retirement Info

    403b Information
    Required
    FY23 403b Information.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Direct Deposit

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  • Payroll Direct Deposit

    Name Description Status Source
    Payroll Direct Deposit Required FY23 MTC Payroll Direct Deposit Form .pdf Edit Payroll Direct Deposit Delete Payroll Direct Deposit
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

Life Insurance

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  • Life Insurance

    Name Description Status Source
    Summary with Rates Required FY23 Life Plan Summary with Rates.pdf Edit Summary with Rates Delete Summary with Rates
    Life Insurance Benefits Required FY23 Securian Life Insurance Benefits.pdf Edit Life Insurance Benefits Delete Life Insurance Benefits
    Life Insurance Beneficiary Required FY23 Securian Life Insurance Beneficiary Form.pdf Edit Life Insurance Beneficiary Delete Life Insurance Beneficiary
    Life Insurance Enrollment Required FY23 Securian-Life Insurance Enrollment Form.pdf Edit Life Insurance Enrollment Delete Life Insurance Enrollment
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

SDRS

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  • SDRS

    Name Description Status Source
    Beneficiary Form Required E5.pdf Edit Beneficiary Form Delete Beneficiary Form
    Enrollment Required E1.pdf Edit Enrollment Delete Enrollment
    Generational Class A Handbook Required FY23 SDRS Generaltional Class A Handbook.pdf Edit Generational Class A Handbook Delete Generational Class A Handbook
    Notice of Enrollment Change Required FY23 SDRS Notice of Enrollment Change E2.pdf Edit Notice of Enrollment Change Delete Notice of Enrollment Change
    Supplemental Retirement Information Required FY23 SDRS Supplemental Retirement Information.pdf Edit Supplemental Retirement Information Delete Supplemental Retirement Information
    Transfer to Minor Required E5a.pdf Edit Transfer to Minor Delete Transfer to Minor
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.