Human Resources

Forms

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Benefits
  
    Anthem Fitness Reimbursement Request Form
    Anthem Life Beneficiary Form
    Benefits Enrollment Form
    Benefits Payroll Deduction Form
    Flexible Spending Account (FSA) Claim Form 
    TIAA-CREF Payroll Form 

Time-Off Benefits
   
FMLA Poster
    Employee Request for Leave
    Certification of Health Care Provider for Employee's Health Condition
    Certification of Health Care Provider for Family Member's Health Condition 

Tuition Remission
     Tuition Waiver for Employee 
     Tuition Waiver for Spouse
     Tuition Waiver for Dependent
     Tuition Exchange Request Form (NHCUC/CIC-TEP)   

Health & Safety 
     Accident and Incident Reporting Packet 

Employment 
    New Personnel Requisition Form 
    Employee Information Update Form 

New Hire Orientation 
    Form W-4 
    Form M4 *for Massachusetts residents ONLY
    Form I9 

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