Tuition Reimbursement Form

This form should be completed and submitted to your immediate supervisor prior to attending educational classes at an accredited college or school. Please refer to the employee handbook for the full tuition reimbursement policy.

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Employee Expense Report

You may open this file in Adobe Acrobat or Microsoft Excel. However, you need to have these applications installed on your Computer in order to open them.

Expense report in Acrobat. Expense Report in Excel.

Employee Withholding Certificate (Form W-4)

The Form current in 2002. You will get this form from the IRS Website at http://www.irs.gov/pub/irs-fill/fw4_02.pdf

Direct Deposit Authorization

Complete this form if you would like to have part or all of your paycheck directly deposited in to a bank account (savings or checking). Submit the completed form to the payroll department. Please note that it may take up to two weeks for the direct deposit to take affect.

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Vision Claim Form

Complete this form when you have received vision services and are requesting a reimbursement. You must currently be enrolled in the Lifestyles Vision Plan in order to receive reimbursement. See Human Resources for information about open enrollment periods.

Coming Soon

Dental Claim Form

Complete this form and take it with you to the dental office so that your claim can be processed more accurately, or if you have received dental services and need to submit the claim for reimbursement. Send the form directly to the address listed on the form.

Coming Soon

Form I-9

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