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2016-17 Open Enrollment Information


1Payroll Cuttoff Dates 2017 18Payroll Cuttoff Dates 2017 1833.5 KB240 times
2Payroll Cutoff DatesPayroll Cutoff Dates33.5 KB655 times
3Insurance Premiums 2016Insurance Premiums 201618.77 KB605 times
4Employee Online InstructionsEmployee Online Instructions124.02 KB613 times
5Benefit Guide 2016Benefit Guide 20168.62 MB1075 times

Payroll Information

Payroll InformationPayroll Information

1Payroll Cutoff DatesPayroll Cutoff Dates33.5 KB472 times
2Eo 110729Eo 110729124.02 KB440 times
3Employee Online InstructionsEmployee Online Instructions124.02 KB389 times

New Employee/ Change Forms

New Employment Change FormsNew Employment Change Forms

1W-4 FormW-4 Form102.66 KB385 times
2Statement of IneligibilityStatement of Ineligibility1.27 MB342 times
3I-9 - Employment Eligibility VerificationI-9 - Employment Eligibility Verification71.96 KB385 times
4Employee Online InstructionsEmployee Online Instructions21.3 KB377 times
5Employee Disclosure StatementEmployee Disclosure Statement15.09 MB328 times

Employee Separation Forms

Employment Separation FormsEmployment Separation Forms

1Separation form 100203Separation form 100203638.91 KB351 times
2Separation FormSeparation Form638.91 KB410 times
3General Employee Notification Regarding COBRAGeneral Employee Notification Regarding COBRA21.91 KB341 times
4Employee  Benefits NotificationEmployee Benefits Notification209.08 KB346 times
5Emp ben 090715Emp ben 090715209.08 KB384 times
6Cobra note 071217Cobra note 07121721.91 KB368 times
7Cobra Election FormCobra Election Form50.59 KB374 times
8Cef 100325Cef 10032550.59 KB365 times

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