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Order form for purchasing American Legion merchandise and uniform caps with shipping and payment details.
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City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
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Long Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
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UWG FacultyStaff Gift By Payroll Deduction Form
PDF template
A form allowing University of West Georgia employees to make charitable contributions through automatic payroll deductions.
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Employee Timesheet
PDF template
A timesheet document for tracking employee work hours and certifying time worked for staffing and payroll purposes.
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Student Direct Deposit
PDF template
A form for students to set up direct deposit for financial transactions with Florida Institute of Technology.
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Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form allowing employees to request calculation of additional retirement contributions with specific authorization and salary assumptions.
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Calendar For Filing Nebraska Income Tax Withholding Forms
PDF template
A comprehensive guide detailing deadlines and requirements for filing Nebraska income tax withholding forms and returns.
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Flexible Spending Account (FSA) Enrollment Form
PDF template
A form for employees to elect and contribute to Flexible Spending Accounts for health care and dependent care expenses
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Form 941 SS For 2023
PDF template
Quarterly tax reporting form for employers in U.S. territories covering employee wages, social security, and Medicare taxes.
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LSCU FedPAC Payroll Deduction Authorization Form
PDF template
A voluntary form for employees to authorize recurring payroll deductions for political action committee contributions at different contribution levels.
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Flexible Spending Account Agreement Form
PDF template
A form for employees to elect and set up Flexible Spending Accounts for healthcare and dependent care expenses.
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Fulton County Government Authorization For Payroll DeductionHealth Savings Account Contribution
PDF template
A form for Fulton County employees to authorize health savings account (HSA) contributions through payroll deductions for the 2023 plan year.
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City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
PDF template
A form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
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2023 HSA Voluntary Salary Reduction Form
PDF template
Form for employees to start, change, or cancel pre-tax contributions to a Health Savings Account (HSA) through payroll deduction
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SupervisorS Incident Investigation Form
PDF template
A two-part form for documenting workplace incidents and potential worker injuries for the NEWESD 101 Workers' Compensation Cooperative.
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Form LG03 Local Government Health Insurance Program Cancellation Form
PDF template
A form for cancelling local government health insurance coverage with multiple termination reason options
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New Hire Active Employee Enrollment Form
PDF template
A comprehensive form for new employees to enroll in health, dental, vision, and life insurance benefits with Fulton County, Georgia.
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Nomination Form Leonard W. Sandridge Outstanding Contribution Award
PDF template
A form for nominating an individual for the Leonard W. Sandridge Outstanding Contribution Award within an organization.
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UWG FacultyStaff Gift By Payroll Deduction Form
PDF template
A form for UWG employees to authorize charitable donations through payroll deduction, supporting university funds like Annual Fund or HelpWest.
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PA Schedule E Rents And Royalty Income (Loss)
PDF template
Tax form for reporting rental property income, royalties, and related expenses for Pennsylvania taxpayers.
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DEPARTMENT OF JUVENILE JUSTICE OPS ATTENDANCE FORM
PDF template
Official time tracking and hours worked documentation form for Department of Juvenile Justice employees.
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Department Of Juvenile Justice Attendance And Leave Form
PDF template
Official form for tracking employee work hours, leave, and compensation for Department of Juvenile Justice personnel
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NEMSIS Annual V3 Implementation Meeting Refund Payment By Check FAQ
PDF template
Detailed FAQ document outlining refund policies, cancellation procedures, and payment methods for the NEMSIS Annual v3 Implementation Meeting.
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W 2 Tax Form Documents
PDF template
Guide for University of Wyoming employees to access their 2023 W-2 tax documents electronically or via paper mail.
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Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of funds into a bank account by Cook Inlet Region, Inc. shareholders.
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2024 2025 Benefits Enrollment Form
PDF template
Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
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Group Medical Plan Waiver Form
PDF template
A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
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MISD Employee Giving Campaign Payroll Deduction Form
PDF template
Payroll deduction authorization form for employees to donate to the McKinney Education Foundation
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Deputy Sheriffs Association Commemorative Album Payroll Deduction Form
PDF template
A form allowing law enforcement personnel to purchase a commemorative album through payroll deduction with specific purchase and payment terms.
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Deputy Sheriffs Association Commemorative Album Payroll Deduction Form
PDF template
A form for purchasing a commemorative album through payroll deduction for Deputy Sheriffs' Association members
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REQUEST FOR CONSTRUCTION DEPOSIT REFUND
PDF template
A form used by property owners or builders to request the return of a construction deposit after completing building and landscaping work in compliance with local regulations.
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Student Accounts Company Reimbursement Form
PDF template
A form for students to document employer tuition reimbursement and defer university payment accordingly.
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2024 Pastoral Agreement Form (PAF)
PDF template
A comprehensive form detailing compensation, benefits, and service terms for pastoral staff in the Eastern Regional Conference of Churches of God.
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Payroll Deduct Roth IRA Contribution Form
PDF template
A form for employees to authorize automatic Roth IRA contributions from their paycheck, with special provisions for age 50 and over.
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Credit Card Authorization Form
PDF template
A form for authorizing credit card payments for the Department of Planning, used to collect payment details and provide payment authorization.
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Credit Card Authorization Form
PDF template
A form for processing credit card payments for the Nebraska State Fair using VISA or MasterCard.
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DIRECT DEPOSIT CANCELLATION FORM
PDF template
Form for canceling direct deposit of retirement benefit payments for Hanford Employee Welfare Trust retirees.
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FULL TIME DOMESTIC PARTNERSHIP AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE Y
PDF template
Authorization form for employees to select health insurance coverage options and allow payroll deductions for Essex County health insurance plans
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FULL TIME AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE YEAR 2024
PDF template
A form for employees to authorize payroll deductions for health insurance coverage with Essex County for the year 2024.
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2024 Guardian Dental Cancellation Form
PDF template
A form to request cancellation of Guardian Dental insurance coverage by an employee.
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Health Savings Account (HSA) Contribution Form
PDF template
Form for state and local government employees to authorize HSA payroll contributions and select health plan details.
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HSA Payroll Deduction Form 2024
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A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
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Circular EN Instructions
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Instructions for employers regarding income tax withholding responsibilities in Nebraska, including requirements, forms, and procedures.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Enrollment form for New York City employees to participate in or terminate health benefits buy-out waiver program for plan year 2024.
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PART TIME AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE YEAR 2024
PDF template
A form for part-time employees to authorize health insurance premium deductions with Essex County for the 2024 benefit year.
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MRTF Member Benefit 2024
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Comprehensive overview of membership types, benefits, and pricing for the Michigan Roof & Turf Foundation (MRTF) organization.
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Stone X Spade, Inc. Blanket Rental Agreement
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Comprehensive rental agreement for equipment rental services with detailed payment, insurance, and service terms.
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Disability Insurance Claim Packet Instructions
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Instructions for filing a disability insurance claim with Standard Insurance Company, detailing the application process and required documentation.
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Conference RequestTravel Reimbursement Form
PDF template
Form for employees to request and document travel expenses and reimbursement for conference or training activities.
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VADA Termination Or Voluntary Cancellation Form
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Form for employees to cancel or terminate their employment benefits including medical, dental, vision, disability, and life insurance.
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2024 Vanderbilt Payroll Deduction Form
PDF template
A form allowing Vanderbilt University employees to purchase season tickets via payroll deduction with specific eligibility rules and conditions.
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Benefits Cancellation Form
PDF template
Form for employees to remove dependents from their healthcare or insurance benefits plan.
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University Of Michigan Benefits Enrollment Form
PDF template
Comprehensive guide for employees to elect University of Michigan benefits, explaining enrollment procedures and deadlines.
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Combined Giving, Contribution Election Agreement
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A form for employees to authorize charitable contributions through payroll deductions for selected agencies.
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Flexible Spending Accounts (FSA) Program Direct Deposit EnrollmentChangeCancellation Form
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A form for enrolling in or changing direct deposit details for Health Care Flexible Spending Account (HCFSA) and Dependent Care Assistance Program (DeCAP)
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ET 1 Payroll Expense Tax Form
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A tax form for employers, sole proprietors, partners, and contractors to calculate and report payroll expense tax to the City of Pittsburgh.
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Disability Insurance Claim Packet Instructions
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Comprehensive guide for applying for disability insurance benefits through Standard Insurance Company, detailing claim submission process and requirements.
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Form 205 Payroll Direct Deposit
PDF template
A form for employees to set up automatic payroll contributions to my529 education savings accounts.
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Employee HSA Payroll Deduction Form
PDF template
A form for employees to authorize payroll deductions for their Health Savings Account contributions with annual contribution limit details.
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Benefits Administration Letter 21 303
PDF template
Guidelines for federal agencies seeking reimbursement for emergency paid leave under the American Rescue Plan Act of 2021.
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Timesheet Submission Paperless
PDF template
Policy detailing the procedure for submitting and processing employee timesheets electronically within the City of Redlands.
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MyFitRx And Kids On The Move Reimbursement Form
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A reimbursement form for members participating in MyFitRx or Kids on the Move fitness programs, offering up to $50 per benefit year.
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Final Expense Frequently Asked Questions
PDF template
Comprehensive guide detailing payment methods, billing options, and administrative procedures for final expense insurance policies.
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Progressive Discipline Action Form
PDF template
A structured document for documenting employee performance issues, corrective actions, and disciplinary consequences.
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Monthly Grant Funding (MGF) Payment Inquiry Form
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Form for community partner clinics to inquire about missing grant funding payments for enrolled participants.
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LEAVE REQUEST FORM
PDF template
A form for employees to request various types of leave from work, including documentation of absence type, duration, and required approvals.
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Retiree Benefits Enrollment Form
PDF template
Form for retirees or surviving spouses to enroll or modify health and dental benefits coverage options.
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Direct Deposit Enrollment
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A form for VA beneficiaries to enroll in direct deposit for receiving government payments electronically.
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AALS Publications Order Form
PDF template
Order form for purchasing publications from the Association of American Law Schools with payment and shipping information collection.
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Payroll Expense Tax Form ET 1 2024
PDF template
City of Pittsburgh tax form for employers, sole proprietors, partners, and contractors to report and calculate payroll expense tax.
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Garnishments And Wage Assignments
PDF template
Comprehensive policy governing garnishments, levies, and wage assignments for Washington state agencies, detailing procedures for capturing earnings or personal property.
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Massachusetts Collaborative CTCTAMRIMRA Prior Authorization Form
PDF template
A comprehensive form for requesting prior authorization for medical imaging studies including CT, MRI, CTA, and MRA scans.
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Use Of PCC Van (OP P 262)
PDF template
Establishes criteria and process for reservation and use of PCC vans by authorized employees for official college activities.
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Corporate Personal Pension Employee Application Form
PDF template
An employee application form for a corporate personal pension plan with Professional Provident Society Investments.
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Rental Agreement
PDF template
A rental agreement outlining terms of tenancy, rent payment, and security deposit for a storage unit or rental property.
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Change Of Address Form For Housing Benefit And Council Tax Benefit
PDF template
A form for updating residential address details for housing and council tax benefit purposes by Bridgend County Borough Council.
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Payment Form
PDF template
Payment authorization form for monthly childcare program fees with options for bank account or credit card payment.
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Flexible Spending Account Enrollment Form
PDF template
A form for employees to enroll in flexible spending account benefits and set up direct deposit for reimbursements.
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Initial Interview Form
PDF template
A comprehensive form for veterans or their family members to collect information needed to apply for veterans' benefits.
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Enrollment Form
PDF template
An enrollment form for collecting personal and dependent information for insurance or benefits enrollment with Lincoln Financial Group.
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Direct DepositInformation And Instructions
PDF template
A form for setting up electronic payments from Wespath Benefits and Investments for retirement distributions and protection plan payments.
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Request For Payments To Trust TrusteeS Acknowledgment
PDF template
A form for directing State Employees' Retirement System benefit payments to a trust for a minor or legally disabled individual.
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303 Employee Compensation And Leave Time
PDF template
A policy outlining paid time off procedures, compensation, and leave time guidelines for full-time salaried employees at St. George Academy.
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State Employees Charitable Campaign Contribution Form
PDF template
A form for Michigan state employees to make charitable contributions through payroll deduction, check, credit card, or direct bill.
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UC ANR Leave Request Form
PDF template
Form for employees to request and document a leave of absence, including details of leave type, dates, and signatures.
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Payroll Set Up Policy
PDF template
Policy detailing how employees of Lewis-Clark State College are paid through the state payroll system with guidelines for payroll processing and documentation.
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IRIS Travel Policy And Procedures
PDF template
Comprehensive guidelines and procedures for travel by IRIS employees, covering authorization, costs, transportation, lodging, and reimbursement.
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Management Directive 315.17 Amended Direct Deposit Of Pay And Travel Reimbursements
PDF template
Policy establishing procedures for direct deposit of pay and travel reimbursements for Pennsylvania state agencies using SAP HR and Payroll systems.
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LDSS 3151 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM
PDF template
A form for reporting changes in circumstances that may affect Supplemental Nutrition Assistance Program (SNAP) benefits.
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UCPATH DIRECT RETRO REQUEST
PDF template
A form for processing salary expense transfers for UC employees, replacing the previous UCCE Salary Expense Transfer Request form.
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Payroll Deduction Form For HSA Contribution
PDF template
A form for employees to designate pre-tax payroll contributions to their Health Savings Account for the plan year.
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Payroll Deduction Form For HSA Contribution
PDF template
A form for employees to elect pre-tax payroll contributions to a Health Savings Account (HSA)
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Election For Online W 2 Delivery Form
PDF template
Form for Texas State University employees to consent to or withdraw from electronic W-2 delivery via online portal
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Administrative Procedure 323 SEPARATION
PDF template
Procedures for nonacademic, administrative, and academic employees terminating employment with the University, including handling of benefits and exit process.
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Employee Performance Review Form Appendix 324A
PDF template
A comprehensive form for evaluating employee performance, goals, and professional development
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Pension Application Form
PDF template
Comprehensive application form for pension insurance covering employer and employee details for individual or group policies.
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Performance Review
PDF template
Comprehensive guide detailing the systematic process for conducting employee performance reviews within the Unified Government organization.
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3.4.1p. Employee Access To Facilities
PDF template
Procedure detailing key fob and access control for employees at Ogeechee Technical College, including how access is granted and managed.
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Form 3503 FR.03 Termination Checklist
PDF template
A comprehensive checklist for HR specialists and departments to follow when processing an employee's termination, covering administrative and equipment-related tasks.
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Title 38 United States Code Section 3679(E) School Compliance Form
PDF template
A compliance form for educational institutions to confirm adherence to veterans' educational benefits requirements under the Veterans Benefits and Transition Act of 2018.
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DSS Form 37113 Contribution Form
PDF template
A form used by the South Carolina Department of Social Services to document financial contributions to a household or benefit group.
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
PDF template
A form used for enrolling in Automated Clearing House (ACH) electronic payments through the Vendor Express Program.
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Petitioning For Superior Court Review When You Disagree With A DSHSHCA Benefits Administrative Heari
PDF template
A step-by-step guide for individuals seeking to appeal administrative orders related to DSHS/HCA benefits through Superior Court review process.
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Cerritos College FORMS
PDF template
Comprehensive collection of human resources forms for Cerritos College employees covering various administrative and personnel processes.
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Vendor Direct Deposit Agreement
PDF template
Form for registering vendors to receive electronic payments from the County of San Bernardino via direct deposit.
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UNC Hurricane Matthew Special Leave Request Form
PDF template
Form for UNC employees to request paid leave due to substantial damage from Hurricane Matthew
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TOWN OF MILLIS EMERGENCY CONTACT FORM
PDF template
A form for employees to provide personal contact information and emergency contact details for workplace safety purposes.
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3 Month Probationary Review
PDF template
Policy and procedure for conducting a 3-month performance review for new employees during their 6-month probationary period.
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WVUF Request For Payment
PDF template
A form used by West Virginia University employees to request vendor payments and document business expenses.
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Change Of Address Request Form (For Retirees Beneficiaries)
PDF template
A form for retirees and beneficiaries to update their mailing address with the Employees' and Elected Officials' Retirement Systems.
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The 3 RS To Retirement
PDF template
A comprehensive guide for employees planning to retire, covering the steps of retiring, resigning, and managing retiree health benefits.
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401(K) Contribution Authorization Form
PDF template
Form for employees to authorize 401(k) retirement plan contributions through payroll deduction, including pre-tax and Roth options.
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403(B) Participant EnrollmentPayroll Deduction Form
PDF template
A form for employees to enroll in or update contributions to a traditional or Roth 403(B) retirement plan with payroll deduction authorization.
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Waiver Of Service Period For Retirement Plan Participation
PDF template
A form allowing employees to waive the one-year service requirement for retirement plan participation based on previous employment at eligible organizations.
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Receipt And Waiver Of MechanicS Lien Rights
PDF template
A legal document used to waive mechanic's lien rights upon receipt of payment for labor, materials, or services provided to a property.
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Procedure 410 19 Employee Volunteer And Education Leave
PDF template
A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
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Official Form 410 Proof Of Claim
PDF template
A standardized form used to file a claim for payment in a bankruptcy case, detailing creditor information and claim specifics.
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MIP Invoice Template
PDF template
Detailed instructions for completing and submitting quarterly invoices for grant deliverables and reimbursements.
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Direct Deposit Guide
PDF template
A comprehensive guide explaining how to set up direct deposit for receiving payments electronically into a Mechanics Bank account.
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Revenue Form K 4
PDF template
State tax form for employees to claim withholding exemptions and determine tax deduction status in Kentucky.
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Electronic Funds Transfer (EFT) Waiver Request Form
PDF template
Form for requesting exemption from electronic funds transfer payments by providing specific justification to the Federal Aviation Administration.
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Employee Benefit Plan Enrollment
PDF template
Montgomery County Public Schools form for new employees and those with qualifying life events to enroll in benefit plans
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North Carolina Supplemental Retirement Plans One Time Contribution Form
PDF template
A form for state employees to defer additional compensation or one-time payments into retirement plans through a single contribution.
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Direct Deposit Request Form
PDF template
A form to request automatic deposit of paycheck into a bank account by an employer.
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Direct Deposit
PDF template
Procedure for processing employee direct deposit forms, including enrollment, changes, and verification steps.
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HealthFlex Mandatory Premium And Coverage Waiver Form
PDF template
A form for enrolled participants or new hires to decline HealthFlex health plan coverage and declare their reason for doing so.
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Payroll Exit Interview Policy
PDF template
Outlines the process for employee termination and exit interview requirements at the University.
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Personnel Maintenance Request Form
PDF template
A form used by East Lake Tarpon Special Fire Control District to manage employee system access, including new user setup, security changes, and employee deactivation.
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DWS ESD 475 Change Report Form
PDF template
A form for reporting changes in various state assistance programs including financial aid, Medicaid, SNAP, and child care benefits.
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SI 2047 Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
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Volume No. 1Policies Procedures TOPIC NO. 50445 Cardinal Section No. 50400Deductions
PDF template
Comprehensive policy document outlining direct deposit procedures, mandates, and administration for Virginia state employees.
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Staff Movement Register
PDF template
A record-keeping tool for tracking staff movements, arrivals, departures, and visits within an organization
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LDSS 5067 NYS OTDA State Supplement Program Direct Deposit Cancellation Form
PDF template
Form for cancelling direct deposit for New York State Supplement Program benefits
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Authorization Form For RIPTA Wave Pass Payroll Deduction
PDF template
A form allowing state employees to authorize payroll deductions for purchasing Rhode Island Public Transit Authority (RIPTA) commuter passes.
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Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of flexible spending account (FSA) or health reimbursement account (HRA) reimbursements.
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Performance Expectations Feedback Form
PDF template
A formal document for documenting performance deficiencies and required corrective actions for employees.
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DART Annual Pass Enrollment Payroll Deduction Form Calendar Year 2024
PDF template
Form for Dallas County employees to enroll in DART annual pass program with payroll deduction for local or regional transit passes.
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Arbitration Award In Dane County (Public Health) Labor Dispute
PDF template
Arbitration hearing regarding salary continuation benefits dispute between Dane County and District 1199W union
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Employee Emergency Contact Form
PDF template
A document for collecting employee emergency contact information and personal details for workplace safety and communication purposes.
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LEAVE REQUEST FORM
PDF template
A form for employees to request and track various types of leave including annual, sick, personal, and unpaid leave.
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DULA Leave Request Form
PDF template
A form for employees to request various types of leave including sick, vacation, and unpaid leave at Dongguk University Los Angeles.
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Leave Program Procedures
PDF template
Detailed procedures for vacation leave accrual and usage for employees at Owens Community College.
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Employee Estimated Expense Approval Form
PDF template
A form for employees to request approval and reimbursement for estimated travel and business expenses.
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Check Cancellation Form
PDF template
A form used to request cancellation of a check and specify reissue or stop payment actions for accounts payable or payroll purposes.
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F.249 (6 18) Funds Transfer Request Form
PDF template
A form for requesting fund transfers by commercial, non-commercial, and third-party organizations through the United Nations payment system.
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Household Report Form
PDF template
A form for reporting household information to maintain public assistance benefits in Minnesota.
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Substitute Invoice For Honoraria Fees
PDF template
A form used to document payment for services rendered by an individual without a formal invoice.
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
A form for children and spouses of veterans to establish residency eligibility for Wisconsin educational benefits
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Career Personnel Performance Review
PDF template
A comprehensive performance review document for assessing an employee's job performance, knowledge, quality, and quantity of work.
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EMPLOYEE LEAVE REQUEST FORM
PDF template
Official state form for employees to request various types of leave from work, including vacation, sick leave, and other time-off categories.
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Employee Time Off Request Form
PDF template
A form for employees to request time off for various reasons, subject to employer approval.
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Authorization For Direct Deposit (Form 6186)
PDF template
Form for authorizing direct deposit of retirement payments for Sacramento County Employees' Retirement System members.
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Administrative Approval Form And Checklist
PDF template
A mandatory form for administrative approval of payments, contracts, and services under USAID agreements.
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TIME OFF REQUEST FORM
PDF template
Detailed guidelines for employees requesting time off and supervisors documenting vacation time
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TD Bank Direct Deposit Authorization Form
PDF template
A form used to authorize direct deposit of payroll or compensation into a TD Bank customer's account, enabling instant electronic fund transfers.
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Tier 2 Retirement Checklist
PDF template
Comprehensive checklist for Tier 2 retirement application process, detailing required forms and documentation for pension and benefits
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Procedure 4.4.3p. (III.M.I.) Employee Complaint Resolution
PDF template
A formal process for resolving work-related employee complaints within the Technical College System of Georgia, ensuring fair treatment and open communication.
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Application For Group Insurance CHEIBA Trust
PDF template
A comprehensive insurance application form for employee group insurance coverage with options for various types of insurance benefits.
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Electronic Funds Transfer Authorization Form
PDF template
A form for healthcare providers to set up electronic funds transfer for payments from the New York Medicaid system.
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Union Dues Payroll Deduction Form
PDF template
A form for employees to authorize payroll deduction of union dues or agency service fees for various union locals.
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Incident Investigation Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, and required follow-up actions.
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Employee Name Change Form
PDF template
A form for employees to update their name in university payroll and HR systems with required documentation.
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MIAMI DADE COUNTY PUBLIC SCHOOLS PARTIAL PAYMENT AGREEMENT
PDF template
A financial agreement form for students to make partial payments for vocational course fees and related expenses.
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Vehicle Parking Registration
PDF template
Form for employees to register their vehicles for parking at UWSA (University of Wisconsin System Administration) location.
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Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
PDF template
A comprehensive guide to benefits for employees under the Bargained Cash Balance Program #2, detailing pension plan provisions and eligibility.
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GROUP PLANS ENROLLMENT FORM
PDF template
Comprehensive form for employees to select and enroll in group insurance and benefit plans covering life, disability, medical, and supplemental insurance options.
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Security Incident Report
PDF template
Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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Employer Affidavit Of Income And Benefits
PDF template
Legal document providing instructions for employers to report an employee's income, benefits, and financial records to assist court proceedings.
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Form 941 For 2020
PDF template
Quarterly tax form for employers to report wages, tips, and federal tax withholdings to the Internal Revenue Service.
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Administrative Policy And Procedures Manual 901 REIMBURSABLE BUSINESS RELATED EXPENSES
PDF template
Policy outlining the Judicial Branch's guidelines for employee reimbursement of job-related expenses and travel.
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Emergency Contact Form
PDF template
A document for collecting emergency contact information for employees to ensure quick communication during urgent situations.
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Wage Rate And Payroll Reporting
PDF template
Document explaining prevailing wage requirements and compliance processes for municipal construction contracts based on the Davis-Bacon Act.
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Direct Deposit Authorization Form
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Form for Slippery Rock University students to authorize direct deposit of financial aid refunds into a personal bank account.
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Comprehensive instructions for churches and employers on completing the Employer's Quarterly Federal Tax Return (Form 941)
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Group Benefits EnrolmentChange Form
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Benefits Administration Letter 99 101
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Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
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Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
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Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
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Financial terms and conditions for student enrollment and tuition payment at Andrews Academy for the 2022-2023 school year.
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Financial Agreement Details
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A financial agreement outlining tuition charges, payment terms, and enrollment conditions for Andrews Academy students for the 2024-2025 school year.
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Veterans Administration Aid And Attendance Claim Checklist
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Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
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Timesheet Portal User Guide For Temps
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Alberta Accident Benefits Initial Claims Process
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PA ABLE Savings Program Workplace Guide
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Payroll Deduction Form
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Payroll Deduction Guide
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Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
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Direct Deposit Form For NYS Employees
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Academic Affairs Personnel LEAVE REQUEST FORM
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Fee Payment Methods Jan 2022
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Key Electronic Access Request Form
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Report Of Accident Incident
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Accident Injury Report
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Accident Report Form
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Waubun Ogema White Earth AccidentIncident Report Form
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AccidentIncident Report Form
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City Of Kirkland Accident Report Form
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Accident Wellness Benefit Claim Form
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Payroll Cancellation Form ACC PYB001
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Direct Deposit Form ACC PYD001
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Form for employees to set up, change, or cancel direct deposit for payroll with the Government of Guam.
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Multi Location Travel Expense Reimbursement Request
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ACH PAYMENT AUTHORIZATION FORM
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Vendor ACHDirect Deposit Authorization Form
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ACH Recurring Payment Cancellation Form
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Request To Cancel Automated Clearing House (ACH) Origination
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Bank Draft Cancellation Form
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Retirement Contribution Form
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Authorization Agreement For Automatic Deposits (ACH Credits)
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Direct Deposit Via ACH (ACH Credit)
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Direct Deposit Form
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
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Direct Deposit ACH ActivationCancellation For AP Refunds
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Request For Automatic Loan ACH Payment
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ACH Enrollment Form
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ACH Pre Authorization Form
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ACH PAYMENTREFUND REQUEST FORM
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Form for students to request electronic payment or refund through their bank account at Moody Bible Institute.
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Automated Clearing House (ACH) Request Form
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ACH VendorMiscellaneous Payment Enrollment Form
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
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ACSA Santa Clara County Region 8 Expense Voucher
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Employee Application For Reimbursement Of Expenses Incurred Upon Sale Or Purchase (Or Both) Of Resid
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Flexible Spending Account Direct Deposit Authorization Form
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Documentary Materials RemovalNon Removal Certification And Non Disclosure Agreement
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Addendum No. 4 To The Payroll Banking And Related Services RFP
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Additional State Tax Withholding
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Employee form for specifying additional state tax withholding amounts for payroll processing
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Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
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Change Of Address Form
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NAMEADDRESSEMERGENCY CONTACT FORM
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Address Changes
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PSC CUNY Welfare Fund Adjunct Enrollment Form
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Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
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Daemen College Employee Evaluation Instruction
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Discrimination Or Harassment Incident Report
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Administrative Waiver How To Request Waiver For An Overpayment Under 1000
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Employee Direct Deposit Enrollment Form
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Advanced Illness Benefit Application Form
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Advanced Illness Benefit Application Form
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APPLICATION FOR ADVANCED LEAVE
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Army Emergency Relief Application For Financial Assistance
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
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Photo ID Application Form
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Initial Disability Claim Form
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AFSCME Local 127 PPO Benefits Matrix
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Agency Payment Instructions
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Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
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Benefits Committee Meeting Agenda
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Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
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Request For Payment
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AGS Incident Near Miss Hazard Report Form FRM067 010519
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Form for AHN employees to set up charitable contributions through automatic payroll deductions
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Global Direct Deposit And Payroll Distribution Authorization
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Alcon EFCU December 2023 Loan Skip A Payment Request Form
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Alabama EWIC Vendor Kickoff Meeting
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LEAVE REQUEST FORM COVID Related
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Accident Coverage Claim Form
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Blue Cross Medical Travel Benefit Claim
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Alternate Check Delivery Form
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Alternate Work Arrangement Agreement Form
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AWL Safety Checklist
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Enrollment Form
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Enrollment Form
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ENROLLMENT FORM VISION ONLY
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Form allowing security personnel to choose alternative holiday compensation options for Memorial Day, Veterans' Day, and Independence Day 2023
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AME Reimbursement Request Form
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AM Club And Extra Innings Payment Agreement
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Payment agreement for school year programs offered by Homewood-Flossmoor Park District, covering AM Club and Extra Innings programs.
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Direct Deposit Authorization
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Authorization form for Otoe-Missouria Tribe members to receive per capita and TAP reimbursement deposits directly into their bank account.
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Direct Deposit Form
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Form for authorizing direct deposit of flexible spending account reimbursements into an employee's checking account.
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Enrollment Change Waiver Group Insurance Form
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Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
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Hearing Insurance Enrollment Form
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Multiple Jurisdiction Tax Exemption Form
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Form for rail carrier employees to claim tax exemptions for work performed in multiple jurisdictions under federal law.
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Authorize.Net Payment Gateway Merchant Service Agreement
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Legal contract defining terms for using Authorize.Net's payment gateway transaction services for merchants in North America.
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UA Performance Evaluation Comprehensive Form
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Faculty And Staff Payroll Deduction Form
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Cancellation Form Annualized Salary Spread Agreement
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Employee Special Tax Exemption Annual Declaration
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Annual tax declaration form for employees providing domestic services, focusing on potential tax exemptions based on residential status and caregiver relationships.
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I.B.E.W. LOCAL UNION 363 MONEY PURCHASE PENSION PLAN Annuity Benefit Application Form
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Question Set G
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Survey for current and former Financial Conduct Authority employees seeking input and evidence on organizational matters.
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Anthem Blue Cross Enrollment Form
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Comprehensive enrollment form for selecting medical and dental insurance coverage through Anthem Blue Cross for employers and employees.
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PPO Dental Blue Complete
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Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
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Short Term Disability Claim Form
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Out Of Network Vision Services Claim Form
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A claim form for submitting vision care expenses to Blue View Vision when receiving services from out-of-network providers.
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Museum Store Order Form
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Order form for purchasing items from the Anthracite Heritage Museum store, accepting payment by check, money order, or credit card.
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Administrative Order No. 3
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Administrative order revising procedures for employee discipline processing in the police department, focusing on telecommunications advances.
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AP 9 Student Organization Account Payment Request
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Make A Difference Volunteer Form
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AP Payment Compliance Form IRS Substitute W 9
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Authorization Agreement For Direct Deposit
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Employee Expense Direct Deposit Form
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Form for employees to set up or modify bank account information for expense reimbursement direct deposits at Carnegie Mellon University.
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Administrative Form AP F002 STAFF TRAVEL EXPENSE CLAIM FORM
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SF 270 Request For Advance Or Reimbursement
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Instructions for completing the Standard Form 270 to request grant funds through advance or reimbursement.
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Scholarship Fund Contribution Form
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DUES DEDUCTION CANCELLATION FORM
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Phased Retirement Application And Reemployment Agreement
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A voluntary program allowing faculty to transition to half-time employment while beginning retirement benefits and maintaining institutional connection.
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Application For Member Survivor Allowance
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Form for survivors to apply for allowance benefits under Massachusetts General Laws, Chapter 32, Section 12A, pending approval of accidental death benefits.
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Application Form For Extra Increase Single Pensioners
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A form for single pensioners in the Caribbean Netherlands to apply for an additional pension increase based on specific eligibility criteria.
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Pension Application Form
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Comprehensive form for individuals applying for pension benefits, collecting personal, marital, and employment information.
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Service Request Form
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How To Apply For An SVF Plan Retirement Benefit Or Survivor Benefit
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Detailed instructions for volunteer firefighters applying for retirement or survivor benefits through the PERA Statewide Volunteer Firefighter Plan.
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ABC SoCal Apprentice Training Contribution Form
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Form for reporting and contributing apprentice training hours and fees for various trades in Southern California.
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APPROVAL FORM FOR EMPLOYEE REIMBURSEMENT
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A form used by supervisors to approve and document employee expense reimbursements.
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APPLICATIONS Service Request Form
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Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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APTA Technology Terms And Conditions White Paper
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Refund Direct Deposit Form ARDD 100
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Payroll Donation Form
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Artist Invoice Form
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Invoice form for artists participating in the Northern Tier Partnership for Arts in Education Residency Program
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Employee Handbook
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Comprehensive guide outlining employment policies, employee conduct, compensation, and workplace guidelines for ASF employees.
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Direct Deposit And Notification Enrollment Form
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Form for signing up for electronic account notifications and direct deposit reimbursements through ASIFlex.
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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How To Submit An Ad To The Forum
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Instructions and details for submitting advertisements to a publication called the Forum
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Accessible Technology Purchase Form
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Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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Administrative Regulation 95.91 Employee Rewards And Recognition Program ATTACHMENT 2 Employee Of T
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Form FMS PY1 Direct PaymentInvoice Form
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Fund Eligibility And Membership
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Document detailing eligibility requirements, enrollment procedures, and membership conditions for a health benefits fund.
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Direct Deposit Instructions For Federal Employee Payments
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Form for federal employees to set up or modify direct deposit and allotment payment information for salary and related payments.
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MILES COLLEGE ATTENDANCE FORM
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A monthly form for tracking employee work hours and attendance at Miles College, to be submitted to Human Resources by the 25th of each month.
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Miles College Attendance Form
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A monthly form for tracking employee work hours and attendance at Miles College with spaces for detailed time tracking and signatures.
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AUGUSTA UNIVERSITY FFCRA LEAVE REQUEST FORM
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Form for employees to request leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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Payment Authorization Form
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Form allowing students to authorize or decline using Title IV financial aid funds for additional educational charges beyond tuition and standard fees.
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Authorization And Driving History Form
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Authorization For Direct Deposit Form Upload
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A form for authorizing direct deposit of disbursement payments to a bank account for the Foundation for Indiana University of Pennsylvania.
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AUTHORIZATION FOR DIRECT DEPOSIT
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Form for employees to set up direct deposit of wages with their employer using their bank account details.
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Authorization For Direct Deposit Via ACH
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A form authorizing the Queen Anne's County Board of Education to electronically deposit wages into one or two bank accounts.
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Authorization Form For Payroll Check(S) To Be Mailed
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Authorization To Receive Compensatory TimeOvertime
PDF template
A university form for employees to request and obtain approval for overtime work or compensatory time
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Direct Deposit Authorization
PDF template
A form to authorize direct deposit of funds from various sources into a First Federal Community Bank account.
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AutoDraft Cancellation Form
PDF template
Form for members to cancel participation in the New York City Bar Association's AutoDraft Payment Plan.
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Automatic Bank Draft Cancellation Form
PDF template
Form to cancel automatic bank draft for utility service account with St. Lucie West Services District
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Automatic Withdrawal Cancellation Form
PDF template
Form for residents to cancel automatic rent withdrawal payments with the Minneapolis Public Housing Authority.
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Automatic Withdrawal Payment Agreement
PDF template
Authorization form for parents to set up automatic tuition payments for Canton Montessori School via bank account withdrawal.
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Auto Pay Agreement Form
PDF template
A form authorizing automatic monthly withdrawals for payment to the City of Bowling Green from a personal bank account.
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Auto Pay Cancellation Form
PDF template
Form to cancel automatic payment for a Rockwood Water utility account
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AutoPay Cancellation Form
PDF template
Form for customers to cancel automatic utility bill payments through North Port Utilities Department.
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Nomination Form
PDF template
A form for nominating an individual for recognition within an organization, capturing details about the nominee and nominator.
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Award Agreement (Agreement To Pay Benefits)
PDF template
Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
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Premium And Billing Change Request
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A form for changing insurance premium payment methods, including pre-authorized check plan and billing modifications for American Heritage Life Insurance Company policies.
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Credit Application
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A credit application form for business credit with Atlantic Window & Door, outlining credit terms, payment conditions, and authorization for credit investigation.
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Request For Leave
PDF template
A comprehensive form for school employees to request various types of leave, including sick, vacation, personal, and special leaves.
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Payment Request And Direct Deposit Form (Bucks For Buckeyes Program)
PDF template
Form for receiving state incentive payments through direct deposit for Ohio National Guard members.
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Benefit Application Form (BA1)
PDF template
Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
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OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
PDF template
Operational policy detailing the process for Fire and Police Pension Plan members to apply for retirement using the Backward Deferred Retirement Option Plan.
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Badger Bucks Account Agreement
PDF template
Terms of service for Badger Bucks account, detailing refund policies, inactivity fees, and account management for Snow College.
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Balance Transfer Request Form
PDF template
A form for transferring credit card balances to Dow Credit Union Visa, designed to help members consolidate and potentially lower monthly payments.
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Direct Deposit Form
PDF template
A form for setting up direct deposit of payroll funds into a Bank5 Connect account with banking details and authorization.
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Bank Draft Cancellation Form
PDF template
A form used to request cancellation of an existing bank draft payment for a specific account.
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Banking Information Change Request WaterWastewater Billing
PDF template
Form for changing banking information for water and wastewater utility bill payments in the City of Owen Sound.
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Chronic Appliance Benefit Application Form
PDF template
Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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Bank Withdrawal Pre Authorization Form
PDF template
Form for authorizing monthly bank draft for premium payment to Farm Bureau Advantage HMO health plan
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Banner System Access Request Form
PDF template
A form for employees or individuals requesting new or modified access to the Banner system with specific access level details.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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BASIC PENSION APPLICATION
PDF template
A comprehensive pension application form for members of the Southern California Pipe Trades Retirement Fund seeking to apply for retirement benefits.
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Entering Time For Astrix Benefit Hours An EmployeeS Quick Reference Guide
PDF template
A guide for employees on how to enter benefit hours including PTO, holiday, and sick leave using the online timesheet application.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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2024 2025 Faculty Staff Campaign Payroll Deduction Form
PDF template
A form for Broward College employees to authorize charitable contributions via payroll deduction to support scholarships.
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My Benefit Plan Summary
PDF template
Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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BCS Fellow (FBCS) Application Guidance For OMs
PDF template
Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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Credit Application And Agreement
PDF template
Comprehensive fuel and oil service credit application form for business customers seeking fuel delivery and cardlock services.
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Self Service Employee Business Expenses
PDF template
A comprehensive guide for employees to submit and track business expense reimbursements through a self-service system, including instructions and IRS compliance details.
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Bendigo Payment Facilities Terms And Conditions
PDF template
Comprehensive document outlining terms and conditions for various payment facilities and banking services offered by Bendigo Bank.
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BENEFIT APPLICATION FORM
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Application form for pension fund withdrawal with personal and employment details
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Benefit Application Form
PDF template
A form for youth members of the Sipekne'katik First Nation to apply for benefits from their trust.
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Direct Deposit Form
PDF template
Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Benefits Billing Form
PDF template
A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
PDF template
Form used to remove dependents from an employee's benefits plan and modify coverage options.
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Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
PDF template
Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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ENERGY BENEFIT TRANSFER REQUEST FORM
PDF template
A form for transferring energy benefits between utility vendors and documenting account changes.
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BEREAVEMENT LEAVE APPROVAL REQUEST
PDF template
A form for employees to request bereavement leave following the death of an immediate family member with specific guidelines on leave duration and eligibility.
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Bereavement Leave Request Form
PDF template
A form for employees to request paid leave following the death of an immediate family member, with specific provisions for leave duration based on funeral location.
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Bereavement Leave Request Form
PDF template
A form for employees to request paid leave following the death of an immediate family member at Northwest University.
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Bereavement Leave Request Form
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A form for employees to request time off following the death of a family member or household member, with provisions for up to ten working days of leave.
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Butterfly Club Opportunity Drawing Ticket Deduction Form
PDF template
Employee authorization form for purchasing Butterfly Club event tickets via payroll deduction
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Benefits 2 Work Enrollment Form
PDF template
A comprehensive form for San Francisco residents seeking employment benefits and counseling, particularly targeting seniors, disabled individuals, and those with limited employment prospects.
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Direct Deposit Enrollment For Stipends From The Ben Hudnall Memorial Trust (BHMT) Education Program
PDF template
A form for Kaiser Permanente employees to enroll, change, or terminate direct deposit of stipend payments through the Ben Hudnall Memorial Trust education program.
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Billing Form For Government Camp Sanitary District
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A billing form detailing sewer use fee payment options and billing cycles for the Government Camp Sanitary District in Oregon.
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Billing FormResearch
PDF template
Form for requesting payment and invoicing for research-related expenses from a funding organization.
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BILLING INQUIRY FORM
PDF template
A form for submitting billing inquiries related to financial aid payments for child services or programs.
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Update Personal Information
PDF template
A form for employees to update their personal contact details and emergency contact information.
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Post DocTrainee Billing Form
PDF template
A form for managing billing and payment details for post-doctoral trainees and their associated departments at the University of Utah.
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We CanT Wait Act Of 2023
PDF template
A bill to allow disabled individuals to elect to receive disability insurance benefits during the mandatory waiting period.
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We CanT Wait Act Of 2024
PDF template
A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
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Snow College Business Cards Order Form
PDF template
A form for Snow College employees to order personalized business cards with various printing options.
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Credit Card Pre Authorization Form
PDF template
A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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Employee Time Off Request Form
PDF template
A standardized form for employees to request various types of leave and obtain manager approval.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
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Performance Review Form
PDF template
A comprehensive document for assessing employee job performance, setting future goals, and providing overall performance ratings.
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PAYROLL DEDUCTION AUTHORIZATION FORM
PDF template
A form for Boise State University employees to authorize recurring charitable donations through payroll deduction
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Foreign Status For Federal Tax Withholding Form
PDF template
A form for foreign individuals to provide tax and immigration information for payment processing at South Texas College
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Bond Agreement Between Employee And Employer
PDF template
A legal document outlining the terms of employment, including potential financial obligations and restrictions for employees.
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F0008 BOOKING FORM
PDF template
A comprehensive form for registering participants for a training course, including individual and employer details, payment information, and terms and conditions.
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Booking Form FESSH Advanced
PDF template
A hotel booking form for the FESSH Advanced event in Budapest, requiring guest and payment details for room reservation.
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Unemployment Insurance Benefit Payment Guidance
PDF template
Instructions for employers on preventing improper unemployment insurance benefit payments and reducing potential tax impacts.
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Payroll Deduction Form
PDF template
A form for faculty and staff to authorize monthly or one-time payroll deductions for charitable donations to the Northeast State Foundation.
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Pension Plan Benefit Application Form
PDF template
A comprehensive form for union members to apply for pension benefits, covering member information, reason for benefit request, and required certifications.
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Bravo Award Nomination Form
PDF template
A multi-section form for nominating employees for performance awards with various approval levels and award amounts.
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Bright Directions Payroll Deduction Form
PDF template
Form for initiating, changing, or stopping payroll deductions for Bright Directions College Savings Program accounts.
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Brightline Employee Special Offers
PDF template
Transportation pass details for employees with special pricing between Miami, Fort Lauderdale, and West Palm Beach stations.
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Budget Billing Form
PDF template
A utility billing program that averages monthly utility charges to provide consistent monthly payments for residential customers.
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Village Of Bull Valley Permit Payment Agreement
PDF template
A document outlining payment terms and responsibilities for obtaining a building permit in the Village of Bull Valley.
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BursarS Office Form 15A Application For Staff Fee Remission When Auditing A Course
PDF template
A form for qualified university staff to apply for fee-free course auditing without receiving academic credit.
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Bursar Payroll Deduction Authorization
PDF template
A form allowing employees to authorize or cancel payroll deductions for their bursar account at Xavier University.
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Agreement Form WV 48
PDF template
A multi-purpose form for simple service agreements at Glenville State College, used for various services like entertainment, workshops, and training.
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Business Card Order Form
PDF template
A form for employees to request and order personalized business cards through an online ordering system.
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Payroll Time And Attendance Form Preparation
PDF template
Procedure manual detailing the process for completing payroll time and attendance forms at County College of Morris.
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Employee Requisition Form
PDF template
Formal document for requesting and approving new or replacement employee positions within the university's organizational structure.
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Bus Rider INVOICE (One Form Per Student)
PDF template
Invoice for school bus transportation services for the 2024-2025 academic year, detailing payment requirements and transportation policies.
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Buhler Wellness Center Membership Form
PDF template
Membership registration form for Buhler Wellness Center with various membership options and payment details.
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Form SSA 634 Request For Change In Overpayment Recovery Rate
PDF template
A form for individuals to request adjustment of Social Security overpayment recovery based on financial hardship and inability to meet necessary living expenses.
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Installment Payment Request
PDF template
A form for requesting an installment payment plan for tax liabilities with the Alabama Department of Revenue
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Opinion Of Trustees ROD Case No. CA 0097
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A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
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Payroll Check Direct Deposit Authorization
PDF template
A form for employees to authorize electronic transfer of payroll funds to one or multiple bank accounts.
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CAH Termination Policy
PDF template
Comprehensive policy detailing exit procedures for employees leaving the University of Central Florida's College of Arts and Humanities.
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CalPERS 1008 Direct Payment Authorization
PDF template
A form for California Public Employees' Retirement System members to authorize direct premium payments for health insurance coverage.
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Special Power Of Attorney
PDF template
A legal document allowing individuals to designate representatives for retirement-related decisions within CalPERS, LRS, and JRS systems.
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Camp Cash Bracelet Order Form Church
PDF template
An order form for purchasing camp cash bracelets for church groups, allowing parents to prepay spending money for children at camp.
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Campus Living Deposit Refund Request Form Cancellation Form
PDF template
Form for university students to request a housing deposit refund and cancel campus housing applications after moving out.
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Payroll Deduction Form For Parking Registration
PDF template
A form for university employees to register vehicles and authorize payroll deductions for parking fees based on salary level.
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Payroll Deduction Authorization
PDF template
Authorization form for North Carolina A&T State University employees to deduct recreation center fees from payroll
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Canada Manitoba Housing Benefit Homelessness Stream Application
PDF template
Application for financial housing support for individuals at risk of or experiencing homelessness in Manitoba.
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Parking Permit Cancellation Form
PDF template
A form for cancelling parking permits and associated payroll deductions at the University of California, Berkeley.
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Cancellation Form For Direct Payments (ACH Debits)
PDF template
A form to revoke authorization for automatic loan payment debits from a bank account.
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Request To Cancel Coverage Form
PDF template
A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
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Payroll Deduction Credit Card Stop Form
PDF template
Form for cancelling University of Alabama at Birmingham (UAB) Recreation Center membership with payroll deduction or credit card stop options.
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Payment Cancellation Form
PDF template
A form used to request cancellation of a payment made to a US court, providing details about the original payment and reason for cancellation.
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Miscellaneous Deductions And Insurances Cancellation Form
PDF template
Form for cancelling optional insurance plans and miscellaneous deductions not subject to pre-tax restrictions.
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CLAIM FORM AND INSTRUCTIONS
PDF template
A comprehensive insurance claim form for filing wellness exam benefits with instructions for submission and processing.
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Central Authority Payment (CAP) Service State Contact Form
PDF template
Form for collecting contact information for state child support agency representatives to enroll in the CAP Service.
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Staff Council CARE Award Nomination Form
PDF template
A form to nominate University of Texas at Dallas staff members for recognition of outstanding performance and service.
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Direct Deposit Form
PDF template
A form for employees to provide bank account details for direct deposit of reimbursements from Consolidated Admin Services.
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Cash2Card Deposit Inquiry Form
PDF template
Form for researching and responding to deposit inquiries related to the University of San Francisco's Cash2Card machine service.
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Check Cash Request Form
PDF template
A document for requesting cash or check payments, with options for mailing, direct deposit, and reimbursement details.
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Cash Sale Order Request Form
PDF template
A form for placing cash sales orders with payment options via e-transfer or credit card.
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Sales Order Form
PDF template
A sales order form for purchasing sinks and faucets, requiring credit card payment authorization.
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Catholic Charities Contribution Form
PDF template
A payroll form allowing University of Portland employees to initiate or terminate recurring charitable contributions to Catholic Charities.
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SAP Payroll Time Management Time Entry
PDF template
Documentation for recording employee timesheet data in SAP time management system for University of Mississippi departments.
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Community Benefit Application Form
PDF template
An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
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Psychological Assessment Payment Agreement
PDF template
Payment agreement for psychological assessment services, including deposit, cancellation policy, and fee structure.
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CarerS Credit Application Form
PDF template
An application form for individuals providing care to claim Carer's Credit, a National Insurance credit for carers.
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CCAP 5 Direct Deposit Form
PDF template
A form for child care providers to authorize direct deposit of payments from the Rhode Island Department of Human Services.
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Credit Card Authorization Form For Film Costs
PDF template
A form allowing credit card charges for film-related costs by the City of Moreno Valley.
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Credit Card Authorization Form
PDF template
A form for authorizing a one-time credit card payment for specific invoices with processing details and authorization terms.
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Client Credit Card Pre Authorization Form
PDF template
A legal document allowing clients to authorize credit card charges for legal services by providing payment details and consent.
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Client Credit Card Pre Authorization Form
PDF template
Legal service payment authorization form allowing clients to set up credit card billing for legal services
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One Time Credit Card Payment Authorization Form
PDF template
A form allowing one-time credit card payments to the Monroe County Department of Public Health for various services and permits.
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CCC Time Off Request Form
PDF template
A form for employees to request time off, including vacation, sick leave, or day-for-day leave for exempt employees.
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Cultural Competency Professional Development (CCPD) Credit By Attendance Form
PDF template
A form for employees to document and request credit for professional development activities related to cultural competency and equity training.
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LEAVE REQUEST CERTIFIED
PDF template
A comprehensive form for employees to request various types of leave, including sick leave, personal leave, and FMLA/OFLA.
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CHECK REQUISITION FORM
PDF template
A financial document used to request and authorize the issuance of a check with mandatory supporting documentation requirements.
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Safety Committee Policy
PDF template
Policy establishing the formation, membership, and purpose of a safety committee for the Deschutes County Adult Jail to promote workplace safety and health.
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Safety Committee Policy
PDF template
Policy establishing a workplace safety committee for the Deschutes County Adult Jail to promote workplace safety and health through cooperative efforts.
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Cell Phone Allowance Cancellation Form
PDF template
A form to cancel cell phone reimbursement for employees of the University of Utah's Payroll Department.
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CEM Employee Travel Authorization Form
PDF template
A form for obtaining departmental approval and documenting travel expenses for employee business trips.
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Referral Form
PDF template
Medical referral form for psychiatric treatment at the Center for Neuromodulation, specifically for Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).
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APPLICATION FOR DISABILITY BENEFIT
PDF template
Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
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Central States Pension Fund Retirement Declaration
PDF template
A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
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Classified Employee Of The Month Nomination Form
PDF template
A form for nominating exceptional classified employees at the College of Southern Nevada for monthly recognition and awards.
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College Of Southern Nevada Classified Employee Of The Month Nomination Form
PDF template
A form to recognize and nominate exceptional classified employees at the College of Southern Nevada for monthly recognition.
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California Employers Retiree Benefit Trust Sub Account Contribution Form
PDF template
A form for making contributions to multiple California Employers' Retiree Benefit Trust sub-accounts for different employee bargaining units.
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Certificated Employee Resignation Form
PDF template
A form for certificated employees of Vacaville Unified School District to resign from their position and document retirement benefits election.
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CERTIFICATION AGREEMENT
PDF template
A certification form for veterans and dependents seeking educational benefits through VA programs at Santa Monica College.
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Oregon Sick Time Request Form
PDF template
A form for employees to request and document use of Oregon sick time hours for payroll processing.
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FacultyStaff Payroll Deduction Gift Authorization (UFF R)
PDF template
A form allowing University of Florida employees to authorize recurring charitable donations through payroll deductions to the University of Florida Foundation.
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PAYROLL DEDUCTION FORM
PDF template
Form for employees to update or initiate payroll deductions for Cat PowerInvestment note investments.
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EMPLOYEE PAID TIME OFF REQUEST FORM
PDF template
A form for CFS SDS employees to request and track paid time-off hours, requiring employee and HR signatures.
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WV Income Maintenance Manual Chapter 2
PDF template
Guidelines for reporting changes and maintaining SNAP (Supplemental Nutrition Assistance Program) case eligibility in West Virginia.
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Change Direct Deposit
PDF template
Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
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STANDARD CHANGE FORM
PDF template
A form used for updating employee payroll information, deductions, and status for existing employees or new hires.
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GROUP POLICY CHANGE FORM
PDF template
A form for employees to request changes to their group insurance policy details and dependent status.
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Change Of Address Form
PDF template
Form for updating personal contact information for 1199SEIU Benefit Funds members.
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NEW ADDRESS CHECKLIST (ACTIVE RETIRED)
PDF template
Guide for active and retired members of the Uniformed Firefighters Association to update their contact information and address.
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Address Change Request
PDF template
Form for employees to update their contact information in the company's HR system (PeopleSoft)
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Change Of Address Form
PDF template
Official form for employees to update personal contact information and address details with the City University of New York (CUNY) Office of Human Resources.
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Employee Change Of Address Form
PDF template
A form for employees to update their personal contact and address information with their employer.
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CHANGE OF ADDRESS FORM
PDF template
A form for employees to update their mailing address with the Office of Human Resources.
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Employee Change Of Address Form
PDF template
A form for Puyallup Tribe of Indians employees to update their personal contact and address information with Human Resources.
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Change Of Name And Address Policy
PDF template
Policy outlining the process for employees to update their personal information with the university's Human Resources department within 30 days of changes.
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Change Of Name Policy
PDF template
Policy outlining the process for employees to update their legal name in university records within 30 days of a name change.
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Chapter 8 ALLOTMENTS AND TAXES
PDF template
A comprehensive guide for military personnel on managing pay allotments, tax status, and financial deductions.
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VA Form 22 1990 Application For VA Education Benefits
PDF template
Official application form for veterans seeking educational assistance benefits through VA programs like Montgomery GI Bill.
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2024 FSA Enrollment Form
PDF template
Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
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SUNY Charitable Giving Campaign Deduction Form
PDF template
Form for employees to authorize charitable contributions to SUNY campuses through payroll deductions
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ChartField Request Form
PDF template
A form for requesting changes or modifications to chartfield accounting information within an organization's financial system.
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Credit Card PolicyPre Authorization Form
PDF template
A form authorizing Calm Harbors Counseling to charge client credit cards for session fees, missed appointments, and outstanding balances.
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PAYROLL CHECK CANCELLATION FORM
PDF template
A form used by employees to request cancellation of a payroll check at Florida Atlantic University.
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Direct Deposit Transfer Request Form
PDF template
A form to transfer direct deposit information from an existing account to a new Altra checking account.
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CHECK INQUIRY REQUEST FORM
PDF template
A form for requesting stop payments, voiding checks, or requesting check copies from the bank's accounts payable department.
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Retirement Checklist
PDF template
Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
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Checklist To Enroll In Retiree Health Insurance
PDF template
Step-by-step instructions for Dutchess County employees enrolling in retiree health insurance and Medicare
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MUHLENBERG COLLEGE CHECK REQUISITION FORM
PDF template
A form used to request and process check payments for various institutional expenses at Muhlenberg College.
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Check Request And Payment Approval Form
PDF template
A form used to request and approve payments to third parties within a division's financial process.
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CHECK REQUEST REIMBURSEMENT FORM
PDF template
A form used to request a check payment or request reimbursement for expenses with supporting documentation.
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Check Request Form
PDF template
A form used to request check payments with details about payee, amount, and delivery instructions.
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Check Request Form
PDF template
A form for requesting financial checks within the Langford Area School District, requiring detailed payment information and approval signatures.
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Check Request Form
PDF template
A standard form used to request and process financial payments within an organization.
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NACCS Check Requisition 2010
PDF template
A form for requesting and documenting check issuance within the NACCS organization, including details about the payee, amount, and funding source.
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Check Request Instructions
PDF template
Guidelines for submitting check requests to vendors, companies, and individuals for various payments with specific documentation requirements.
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Check Request Reimbursement Form
PDF template
A form for requesting reimbursement checks, allowing individuals to submit details for financial compensation.
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Check Requisition Form
PDF template
A form used to request and document the processing of a check payment with supporting information and approvals.
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Check Requisition Form
PDF template
A form used to request and document the issuance of a check for business expenses or purchases.
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CHECK REQUISITION FORM
PDF template
A form used to request and document check payments or reimbursements for business expenses.
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Requisition Form University
PDF template
A financial form used to request and approve check payments within the university foundation's financial system.
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Cheque Requisition Form
PDF template
A financial document used to request and authorize payment processing within an organization.
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Cheque Requisition Form
PDF template
A form used to request and process payment by cheque, detailing recipient and payment information.
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COPERS Change Of Address Form
PDF template
A form for retired city employees to update their contact information with the City of Phoenix Employees' Retirement System.
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Group And Family Day Care Home Provider Billing Form
PDF template
A billing form for documenting child care services, hours, and payments from the Department of Human Services
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Child Care Payment Agreement
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Registration and payment agreement for child care services with pre-authorized credit card payment terms and conditions.
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Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
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Form for UAW-represented student employees to request reimbursement of eligible childcare expenses at the University of California.
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Choice PCA Paid Time Off Request Form
PDF template
A form for Choice PCA employees to request paid time-off from their client, requiring approval and submission to payroll.
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Chronic Illness Benefit Application Form
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An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Student Loan Repayment Program
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Official instruction establishing Coast Guard policy for student loan repayment benefits for civilian employees.
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Countermeasures Injury Compensation Program Request For Benefits Form
PDF template
Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
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Enrollment Change Form (Consolidated)
PDF template
A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
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CIMERLI Solutions Enrollment Form
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Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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FAMILY FIRST CORONAVIRUS RESPONSE ACT (FFCRA) OREGON FAMILY LEAVE ACT (OFLA) LEAVE REQUEST FORM
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A form for employees to request leave under FFCRA and OFLA due to COVID-19 related reasons.
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Military Connected New Student Checklist
PDF template
A comprehensive guide for military-connected students transitioning to Northern Arizona University (NAU), covering benefit applications and campus resources.
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Virginia Workers Compensation Commission Claim Form
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Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
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Claremont School Registration Agreement
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Comprehensive agreement outlining tuition fees, payment schedules, and financial obligations for students at Claremont School for the 2022-23 academic year.
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Conference Attendance Report Form
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Form for classified employees to document conference attendance, learnings, and key insights from professional development events.
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Leave Request Form (5 Days)
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A form for employees to request extended leave of 5 or more days, to be submitted to Human Resources with supporting documentation.
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LOWER COLUMBIA COLLEGE CLASSIFIED PPE FOOTWEAR PURCHASE FORM
PDF template
A form for employees to request reimbursement or purchase of personal protective equipment (PPE) footwear up to $200 every two years.
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Payroll Deduction Form
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Form for employees to set up or modify payroll deductions for the Chaffey College Auxiliary Classified Senate account.
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Classified TransferPromotion Request Form
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A form for employees of Cutler-Orosi Joint Unified School District to request an internal job transfer or promotion.
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CCLLA Classified Leave Application
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A comprehensive form for employees to request various types of leave, including vacation, sick, FMLA, and flex time adjustments.
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Classified Employee Appraisal Process
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A comprehensive workflow for conducting performance evaluations for Administrative & Professional and Classified Employees at UTRGV.
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Account Holder Authorization And Consent Form
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A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
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Client Payment Agreement
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A legal agreement outlining payment terms, fees, and financial responsibilities for counseling services with Don Baker, MA, LMHC.
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2024 2025 Nomination Of Classified Professional
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Nomination form for classified professionals to participate in a leadership development program within the Chabot - Las Positas Community College District.
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HEALTH INSURANCE CLAIM FORM
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Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
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Medicare Redetermination Request Form 1st Level Of Appeal
PDF template
Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
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Medicare Reconsideration Request Form 2nd Level Of Appeal
PDF template
A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
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Privacy Impact Assessment Benefits Coordination And Recovery Center
PDF template
Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
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CMSP 215 Supplemental Application
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Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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Instructions For Ordering A Mortgage Form
PDF template
Detailed guide for ordering a mortgage form, including payment processing and submission requirements.
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COBRADirect Billing Participant Use ONLY ACH Agreement Form
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Form for authorizing automatic health insurance premium payments via bank account deduction.
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COG Stipend Authorization Form
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A form for requesting and authorizing employee stipends, detailing payment terms, responsibilities, and associated costs.
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Employee Flexible Spending Account (FSA) Enrollment Form
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Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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Account Information Tax Advantage Wellness Programs
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Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
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Employee Leave Request Form
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A comprehensive form for employees to request various types of leave, including annual, sick, FMLA, and other leave types, requiring supervisor and HR approval.
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CONTRIBUTION FORM
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Form for making charitable donations through payroll deduction in Washington State's Combined Fund Drive (CFD)
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Commercial Electric Customer Deferred Payment Agreement
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A utility agreement allowing commercial customers to defer electric service payments during the COVID-19 public health emergency
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Commission Inquiry Form
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Form for agents to submit inquiries about commission payments for L.A. Care Covered health insurance policies.
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School District Of Philadelphia Community Training Reimbursement Form
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Form for employees to request reimbursement for educational training expenses and transportation costs within the School District of Philadelphia.
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Company Reimbursement Form
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A form for students with employer tuition reimbursement allowing deferred payment of educational expenses with specific conditions.
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Complaint Documentation Form
PDF template
A comprehensive form for documenting and investigating employee complaints, including initial reporting, meeting details, and investigation procedures.
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COQUILLE SCHOOL DIST. COMPENSATION PRE AUTHORIZATION
PDF template
A form for employees to request and receive pre-authorization for extra work hours and compensation
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Conference Registration Agreement Form
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Registration form for conference participation with delegate and payment details.
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IEEE Conference Expense Reimbursement Guidelines
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Guidelines for managing conference-related expenses, payment options, and reimbursement procedures for IEEE conference organizers.
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ConferenceTravel Pre Approval Form
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A form for employees to request pre-approval for conference or travel expenses with detailed cost estimation and reimbursement guidelines.
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Confidential Employee Evaluation Process
PDF template
A comprehensive document outlining the performance evaluation procedures and process for employees at Victor Valley Community College District.
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CONFIDENTIALSUPERVISORY EMPLOYEES ABSENCE REPORT FORM
PDF template
A form for reporting employee absences, specifically detailing bereavement leave policies for supervisory employees.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
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A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
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Electronic Consent For W 2 Tax Form And 1095S Health Insurance Offer And Coverage Statement
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Step-by-step guide for employees to provide electronic consent for receiving W-2 and 1095-C tax and health insurance forms online
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ConsultantHonorarium Reimbursement Form
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A form for documenting consultant payments, honorariums, and reimbursements for research-related services at Old Dominion University Research Foundation.
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Federal RetireeS Master Contact List
PDF template
Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
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2024 2025 Continuous Payroll Deduction Authorization Form
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Form allowing full-time faculty and staff to authorize automatic payroll deductions for annual parking permits at the University of Nevada, Reno.
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Contract Closeout Quick Reference Guide
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A guide for government agencies to efficiently and properly close out contracts, addressing administrative and financial requirements.
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Determining EmployeeContractor Status
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A document used to assess and determine the worker classification status for tax and employment purposes.
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Contract Details Register
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Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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Graduate TARA Contract Termination Form
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Form for terminating teaching, research, or service contracts for graduate students at the University of Montana.
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Payroll Deduct Roth IRA Contribution Form
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Form for employees to authorize payroll deductions for Roth IRA contributions with specific contribution limits and guidelines.
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CONTRIBUTORY PENSIONGRATUITY APPLICATION FORM
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An official form for individuals applying for contributory pension benefits in Bermuda, to be submitted within 13 weeks of eligibility.
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Request For Group Life Conversion Materials
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Form for obtaining individual life insurance policy after group coverage cessation or reduction
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ING Premier Disability Cancellation Form
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A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
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Time Off Request Form
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A form for employees to request and track time off hours across two weeks.
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COVID 19 Incident Report Form
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A form to document and track potential COVID-19 exposure and incidents among employees.
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Corrective And Disciplinary Action Form
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A formal document used to record workplace misconduct, performance issues, and potential disciplinary actions for employees.
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Payroll Cost Transfer Request Justification Form
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A form for documenting and justifying the transfer of payroll and expenditure costs between different accounting strings or departments.
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Employee Counseling Action Form
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A formal document for documenting employee performance issues, counseling actions, and potential consequences.
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Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
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A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
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Mennonite Village Covid 19 Earned Leave Request Form
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A form for employees to request sick or personal days related to COVID-19 circumstances
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Emergency Leave Request Form
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A form for employees to request emergency leave related to COVID-19 circumstances and workplace absences.
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COVID 19 Employee Report Form
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A form for employees to report COVID-19 positive tests or symptoms, used by Wichita State University for tracking and workplace safety purposes.
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Paid COVID 19 Leave Request Form
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A form for Minnesota executive branch employees to request paid leave related to COVID-19 circumstances under Executive Order 20-07.
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FFCRA 2021 PAID LEAVE REQUEST FORM
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Form for employees to request paid leave under the Families First Coronavirus Response Act (FFCRA) provisions
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COVID 19 Leave Request Form
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Form for Kansas Department of Transportation employees to request leave related to COVID-19 exposure or symptoms
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Employee COVID 19 Leave Request Form
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Form for employees to request leave related to COVID-19 circumstances, including medical diagnosis, quarantine, or childcare needs.
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COVID 19 LEAVE REQUEST FORM
PDF template
A form for employees to request leave related to COVID-19 situations, including quarantine, illness, and childcare needs.
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COVID 19 Leave Request Form
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Form for employees to request leave related to COVID-19 circumstances, including quarantine, household exposure, and vulnerable health status.
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Medical Information Request Form For COVID 19 Temporary Reasonable Accommodation For Faculty, Admini
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Form for Fordham University employees to request workplace accommodations related to COVID-19 high-risk medical conditions
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REQUEST FOR COVID 19 LEAVE
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A form for Miami-Dade County employees to request paid sick leave related to COVID-19 reasons and circumstances.
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CLIENT ACKNOWLEDGMENT FORM AGREEMENT CARES ACT EMPLOYEE RETENTION CREDIT
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Form for businesses to acknowledge eligibility and terms for Employee Retention Credit under the CARES Act during COVID-19 pandemic.
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Families First Coronavirus Response Act Emergency Paid Sick Leave Request Form
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A form for Logan City School District employees to request emergency paid sick leave under the Families First Coronavirus Response Act for COVID-19 related reasons.
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WESTFIELD PUBLIC SCHOOLS COVID 19 SICK LEAVE FORM
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Form for employees to request COVID-19 related sick leave, detailing qualifying reasons for leave under Massachusetts emergency regulations.
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COVID 19 SICK LEAVE FORM
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A form for employees to request COVID-19 related sick leave under Massachusetts temporary emergency regulations.
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Request For COVID 19 Employer Paid Leave Of Absence
PDF template
A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
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COVID 19 Leave Request
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A form for employees to request leave due to COVID-19 infection, requiring documentation of a positive test and HR verification.
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COVID 19 SUPPLEMENTAL PAID SICK LEAVE REQUEST FORM
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A form for employees to request supplemental paid sick leave related to COVID-19 vaccination, quarantine, or family care needs.
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STUDENT REFUND REQUEST FORM
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A form for Wellesley College students to request financial refunds through Student Financial Services with payment election options.
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Consent For Treatment And Payment Agreement
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A comprehensive consent form authorizing medical treatment, payment, and healthcare operations for Dr. MaryAlice Cowan's medical practice.
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KSU Campus Employee Registration Form
PDF template
Registration form for KSU campus employees to request permission to attend a professional education course with supervisory approval.
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Inter Office Memorandum RIPTA Price And Product Changes
PDF template
Memo detailing changes to RIPTA transit pass pricing and payroll deduction options for state employees effective March 1, 2016.
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Direct Deposit Request
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A form for employees to set up or cancel direct deposit banking information for payroll purposes.
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Juror Attendance Form
PDF template
Form for LANL employees to document and verify jury duty service for payroll purposes.
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Payroll Deduction Authorization Zia Credit Union
PDF template
Authorization form for employees to set up, change, or cancel payroll deductions to Zia Credit Union
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CredentialProgram Services Request
PDF template
A form for paying non-refundable credential/program services fee at California State University, Bakersfield.
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Credit Application
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A comprehensive credit application form for businesses seeking open payment terms with A&A Food Service.
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Credit Application Form
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A form for companies to apply for credit terms with Business World Travel, requiring company details, bank references, and authorization.
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Credit Application Form
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A comprehensive credit application form for businesses seeking to establish credit terms with Retail Innovation PTY Ltd.
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Credit Application
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A comprehensive form for businesses seeking credit, collecting company details, ownership information, trade and bank references.
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Credit Application Form
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A comprehensive credit application form for companies seeking credit terms with Hitachi Transport System (Asia) Pte Ltd.
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Credit Card Authorization Form
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A form authorizing Envoi Networks to charge credit card for setup, subscription, and usage fees.
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Credit Card Pre Authorization Form
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A form authorizing Bearden Behavioral Health to charge a patient's credit card for services, missed appointments, and remaining balances.
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Credit Card Payment Authorization Form
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A form for donors to authorize one-time or recurring credit card payments for charitable contributions
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CreditDebit Card Payment Authorization Form
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A form that allows individuals to authorize credit or debit card payments for services provided by the Alameda County Planning Department.
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Credit Card Authorization Form
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A form for submitting payment for rabies testing services at Kansas State University Veterinary Diagnostic Laboratory.
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Credit Card Authorization Form
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A form allowing Tranquility Psychiatry and Counseling Services to keep a credit card on file for service payments and outstanding balances.
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Credit Card Authorization
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A form for authorizing credit card charges for permit fees with the Fulton County Department of Public Works.
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Credit Card Authorization Form
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A form for authorizing credit card payments with cardholder details and transaction information.
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Credit Card Authorization Form
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Official form for submitting credit card payments to the Michigan Department of Licensing and Regulatory Affairs for various license and permit fees.
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Credit Card Authorization
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A form authorizing payment via credit card for goods or services, typically used for travel or vendor expenses.
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Credit Card Pre Authorization Form
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A form authorizing Creekside Counseling + Wellness to charge client's credit card for services, copayments, and fees.
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Credit Card Authorization Form
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Form for authorizing credit card payments for Palm Beach County Public Safety Department Consumer Affairs.
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Credit Card Payment Authorization Form
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A form authorizing a one-time credit card charge for permit fees at the Westchester County Department of Health.
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Pre Authorized Payment Health Care Form
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A form authorizing healthcare providers to charge credit card for medical services and insurance balances.
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Credit Card Preauthorization Form
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A form allowing patients to authorize automatic credit card payments for dental services and account balances.
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Credit Card Pre Authorization Form
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Form authorizing Valleycare Gastroenterology Medical Group to charge credit card for patient balances and medical services
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MLSA Member Cheque Requisition Form
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A form for submitting expense reimbursement requests for MLSA members with required documentation and payment details.
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Crisis Leave Request Form
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A form allowing employees to request leave from a Crisis Leave Pool for personal or family health conditions or extraordinary personal crises.
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Resident Qualifying Criteria Leasing Policies
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Comprehensive guidelines for rental application process, including application requirements, income verification, occupancy limits, and pet policies.
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CROSS ACT 2020 TIMESHEET
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A document for tracking employee work hours, time worked, and payment details for record-keeping and payroll purposes.
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Billing Form
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Billing form for purchasing vegetarian farm share boxes with payment and credit card details.
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Payroll Deduction Form
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A form for state employees to authorize payroll deductions to their Connecticut State Employees Credit Union account
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CSUCI ALTERNATE WORK SCHEDULE PROGRAM APPROVAL FORM
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A form documenting employee request and approval for a 9/80 alternative work schedule at California State University Channel Islands.
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List Of Items Returned By The Employee
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A comprehensive form for documenting the return of university-owned equipment and assets by an employee upon separation or leaving the institution.
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SEPARATING ATTENDANCE FORM
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A form used by California State University, San Bernardino for tracking employee separation details and final attendance records.
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Cost Transfer Checklist
PDF template
Checklist detailing minimum requirements for submitting a cost transfer and payroll reallocation for hourly employees.
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Commitment To Excellence Award 2024 Nomination Form
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Award nomination form recognizing outstanding university staff and administrators who demonstrate exceptional commitment and performance.
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CT, MRI And MRA Order Pre Authorization Form
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A comprehensive form for ordering CT, MRI, and MRA medical imaging exams with detailed patient and clinical information requirements.
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Employee Performance Evaluation Form
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Annual performance evaluation documenting goals, objectives, and performance dimensions for an Internal Medicine Account Assistant
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Clerical And Technical Performance Feedback
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A comprehensive form for assessing employee performance across multiple dimensions including communication, customer service, dependability, and technical skills.
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CUNY ICA Independent Contractor Agreement
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A contract between The City University of New York and an independent contractor defining services, payment terms, and obligations.
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SHORT TERM DISABILITY CLAIM FORM
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Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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Dependent Care Reimbursement Form
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Form for submitting out-of-pocket dependent care expenses for reimbursement through Peak1 benefits program.
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Direct Deposit Authorization
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A form for setting up or changing direct deposit banking information for reimbursement payments.
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Payment Request Form
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A form for requesting payment for self-directed services within a Medicaid waiver program, requiring detailed vendor and service information.
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Custodial Department Time Off Request Form
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A form for Gundersen Facilities Services employees to request time off for various leave types.
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PREPAY Billing Terms Agreement
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Agreement outlining terms and conditions for prepay electric service, including payment requirements, disconnection policies, and account management.
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CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
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Unemployment Insurance Benefits Referral Form
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A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
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2011 OPSEU Time Off Request Form
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A comprehensive form for employees to request vacation time during different periods, including prime time summer, non-prime time, and holiday periods.
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RCUH Form D 3
PDF template
A comprehensive form documenting employee separation from the Research Corporation of the University of Hawai'i, covering voluntary resignation and involuntary termination details.
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Salary AssignmentCancellation (Form D 60)
PDF template
Detailed instructions for completing a salary assignment or cancellation form for University of Hawaii employees
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Families First Coronavirus Response Act Leave Request Form
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Form for Kansas state employees to request leave under FFCRA for COVID-19 related reasons
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HR Records Administration Data Verification Request Form
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A form for collecting comprehensive personal and organizational information for HR record-keeping at the University of Alabama at Birmingham.
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Direct Reimbursement Claim Form
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A form for requesting reimbursement from Davis Vision for out-of-network vision services and eyewear expenses.
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Compensation Policy
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A comprehensive policy outlining compensation principles, employment classifications, and contractor relationship criteria.
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DB 450 Notice And Proof Of Claim For Disability Benefits
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Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
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New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
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DCBS Superhero Award Nomination Form
PDF template
A form to nominate DCBS employees for recognition based on exemplary professional qualities and performance.
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Licensed Or Certified Provider Agreement Form
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A form for child care providers to receive payment under the Child Care Assistance Program (CCAP) in Kentucky.
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Licensed Or Certified Provider Agreement Form
PDF template
Official form for child care providers to receive payments under the Child Care Assistance Program (CCAP) in Kentucky.
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Accounts Payable Vendor Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of vendor payments with banking information and account details.
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OVERTIME REQUEST FORM
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A form for employees to request and receive supervisor approval for overtime work hours.
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DD FORM 1617 Department Of Defense Transportation Agreement
PDF template
Official Department of Defense form establishing government service requirements and transportation allowances for civilian employees transferring outside the continental United States.
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DD FORM 1618, DEC 2023
PDF template
A Department of Defense form establishing government time in service requirements for travel and transportation allowances for civilian employees transferring within CONUS.
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DD FORM 2656
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A military form for establishing retired pay accounts, beneficiary designations, and Survivor Benefit Plan elections for military personnel.
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DD FORM 2754
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A form for computing pay entitlements and reimbursements for Junior ROTC Instructors with details about allowances and compensation.
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Direct Deposit Action Instructions
PDF template
Instructions for setting up, changing, or discontinuing direct deposit for City College of San Francisco employees
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DIRECT DEPOSIT CANCELLATION REQUEST FORM
PDF template
Form for employees to cancel their existing direct deposit banking information for payroll purposes at UNC Greensboro.
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Direct Deposit Cancellation Form
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A form used by employees to cancel their existing direct deposit payroll arrangements with Johns Hopkins institutions.
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DD FORM 2754 Junior Reserve Officer Training Corps (JROTC) Instructor Pay Certification Worksheet
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A form used to certify and compute entitlements for Junior ROTC Instructors, including basic allowance calculations and reimbursement details.
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VA Fiduciary Hub Financial Institution Information Form
PDF template
A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
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Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
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DE 231TE Rev. 1 Types Of Employment
PDF template
A comprehensive guide detailing tax treatment for different types of employment in California, focusing on agricultural labor tax classifications.
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Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
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EmployeeS Withholding Allowance Certificate (DE 4)
PDF template
A form for employees to specify their state income tax withholding allowances and exemption status for California tax purposes.
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EmployeeS Withholding Allowance Certificate (DE 4)
PDF template
A form for employees to specify state income tax withholding allowances for California employers.
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Employee Incident Investigation Form
PDF template
A formal documentation of an incident involving workplace interactions and potential inappropriate conduct between an employee and her supervisor.
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DEATH BENEFIT APPLICATION FORM
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A form for processing retirement and terminal benefits for deceased retirement savings account (RSA) holders and their next of kin.
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Death Benefit Application Form
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A form for Fiji Bank & Finance Sector Employees Union members to apply for death benefits for themselves or eligible family members.
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December 2022 Skip A Pay
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A form allowing credit union members to defer their loan payment for December 2022 for a processing fee of $47 per loan.
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PARKING DECAL REFUND REQUEST
PDF template
A form for employees or students to request a refund for parking decals at Southern Illinois University Carbondale under specific conditions.
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4 Deposit Ticket Declaration Form
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A declaration form for submitting physical and electronic copies of a work to the U.S. Copyright Office for registration.
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Declaration Of Ownership And Authorization Form
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Form for property owners to declare ownership and authorize payment details for rental property participation in housing assistance program.
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Decrease Election Form For Supplemental Life Insurance
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A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
PDF template
A form allowing employees to cancel specific payroll deductions at Western Michigan University.
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Payroll Deduction Cancellation Form
PDF template
Form for employees to cancel various payroll deductions for insurance, benefits, and voluntary contributions.
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Deduction Change Form
PDF template
Form for employees to modify payroll deductions, canceling or changing existing deductions.
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COMPENSATION AND BENEFITS TRAVEL REIMBURSEMENT
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Procedures and guidelines for travel expense reimbursement for employees, volunteers, and other individuals traveling on College business.
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STATE OF VERMONT STATE EMPLOYEE DEFERRED COMPENSATION PLAN EMPLOYEE REQUEST FOR PAYROLL DEDUCTION
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Form for Vermont state employees to request payroll deductions for a retirement investment program under Section 457(b)
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Deferred Payment Agreement For Utility Service Arrears
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A formal agreement allowing customers to pay utility service arrears through installment payments with specific terms and conditions.
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Deferred Payment Agreement
PDF template
A payment arrangement for customers experiencing financial hardship with outstanding utility service bills, allowing installment payments to avoid service disconnection.
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City Of Mineral Point Water Sewer Utility Deferred Payment Agreement
PDF template
A formal agreement allowing utility customers experiencing financial hardship to defer and make installment payments on outstanding utility service balances.
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DEFINED BENEFIT PLAN CHANGE OF ADDRESS FORM
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A form for SERS members to update their mailing address for retirement benefits communication.
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Designated Eligible Individual (DEI) Enrollment Form 2024
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Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
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Delta Dental EnrollmentChange Form
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage with Delta Dental plans
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Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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ORDER FORM
PDF template
A comprehensive order form for purchasing products from Demco, with options for shipping, billing, and payment methods.
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UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS PRESTON LEE DENT V. ROBERT A. MCDONALD
PDF template
Legal document detailing an appeal regarding the overpayment of non-service-connected pension benefits and the effective dates of benefit reduction.
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ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
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DENTAL CONE BEAM CT REFERRAL FORM
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A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
PDF template
A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
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COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
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Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
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Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
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Dental Waiver Form
PDF template
A form allowing civil service staff to waive enrollment in Genesee Community College's group dental insurance plan.
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DentalVision Enrollment Form
PDF template
Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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Health Insurance Enrollment Form
PDF template
A comprehensive form for active employees to enroll in health insurance plans, select medical providers, and manage flexible spending accounts.
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DependantS Pension Application Form
PDF template
A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
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Dependent Audit Form
PDF template
A form for employees to verify and update dependent insurance coverage information and personal details.
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DEPENDENT CHILD CERTIFICATION
PDF template
Form for certifying dependent child eligibility for Texas Employees Group Benefits Program, with multiple certification options based on child relationship and tax claiming status.
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State Of Alaska Payroll Direct Deposit Form
PDF template
A form for Alaska state employees to set up or modify direct deposit arrangements for net pay and flat amount deposits.
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DEPOSIT REFUND REQUEST FORM For Single Family Residences
PDF template
Form for requesting refund of water service deposit for single family residential accounts at Palmdale Water District.
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Housing Deposit Refund Form
PDF template
A form for students to request refund of their housing deposit when leaving campus housing due to various reasons.
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DEPOSIT REFUND REQUEST FORM For Single Family Residences
PDF template
A form for customers of Palmdale Water District to request a refund of their service deposit for single family residences.
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Departmental Agreement Form
PDF template
A payroll-related form for the Board of Regents of the University System of Georgia documenting departmental agreements.
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Physics And Astronomy Employee Business Expense Reimbursement Form
PDF template
Guidelines for submitting expense reimbursement forms for Physics and Astronomy department employees using a new electronic process through Workday Expenses.
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Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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EmployeeS Withholding Certificate For City Of Detroit Income Tax
PDF template
Tax withholding form for employees working in Detroit, used to determine income tax exemptions and work locations.
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DHA Form 131, TRICARE Prime Travel BenefitCombat Related Disability Travel Patient Information Works
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Form for documenting specialty care and non-medical attendant travel requirements for TRICARE Prime enrollees.
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DHS 2240 Change Report
PDF template
A form used to report changes in household composition, income, and other key life events within 10 days of occurrence.
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UDENYCA Solutions Enrollment Form
PDF template
Enrollment form for patients seeking information about UDENYCA medication and insurance verification services.
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Veterans Certification Request (VCR)
PDF template
A form for veterans and military-affiliated students to request educational benefits and certification at Southeastern Louisiana University
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Timesheets
PDF template
Policy governing timesheet requirements for state employees, including mandatory elements and signature requirements.
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Direct Deposit Authorization Form
PDF template
A form to authorize direct deposit of pay or refunds to one or two bank accounts for Alfred University employees or students.
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Direct Bill Application
PDF template
Application for establishing direct billing account with hotel/resort for corporate or group travel billing arrangements
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Authorization For Direct Debit (ACH Debits)
PDF template
A form authorizing Preucil School of Music to initiate automatic monthly debits for tuition and other charges from a bank account.
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COPERS Direct Deposit Form
PDF template
A form for Phoenix city employees to set up direct deposit for their pension checks with banking details and authorization.
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Direct Deposit Form
PDF template
A form for Navajo Nation employees to set up or modify direct deposit banking information for payroll purposes.
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Direct Deposit Authorization And Cancellation Form
PDF template
A form for employees to set up, change, or cancel direct deposit banking information with Kaleida Health.
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ACH Direct Deposit Of Payroll Authorization Agreement
PDF template
A form authorizing an employer to make direct deposit of payroll into one or two bank accounts.
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Payroll Direct Deposit Form
PDF template
Form for employees to set up or modify direct deposit payroll payments at Hope College.
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M NCPPC Direct Deposit Form
PDF template
A form for Maryland-National Capital Park and Planning Commission employees to set up or modify direct deposit banking information for payroll.
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Direct Deposit Form
PDF template
Form for registering direct deposit with Advantage Federal Credit Union, allowing employees to set up payroll deposits.
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Direct Deposit Agreement Form
PDF template
A form for setting up direct deposit of housing assistance payments with Cambridge Housing Authority.
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Direct Deposit Agreement Form
PDF template
A form authorizing Proline Management Ltd. to deposit funds directly into a specified bank account for rental property payments.
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Direct Deposit Authorization Form
PDF template
Form authorizing automatic deposits and withdrawals to an employee's bank account by The University of the South.
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Direct Deposit AgreementDeclination Form
PDF template
A form for authorizing or declining direct deposit payments from the Early Learning Coalition of Brevard County, Inc.
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COVA Direct Deposit Form Directions
PDF template
Comprehensive guide for employees completing a direct deposit form, detailing required fields and submission process for the Commonwealth of Virginia payroll system.
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DIRECT DEPOSIT AUTHORIZATION FORM FOR STUDENTS
PDF template
A form allowing Colgate University students to set up direct deposit for payments or refunds.
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Authorization Agreement For Automatic Deposit (ACH Deposits)
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Rental assistance payment authorization form for direct deposit of funds by the Metropolitan Development and Housing Agency.
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COVA Direct Deposit Form Instructions
PDF template
Instructions for completing a direct deposit form for employees, covering required fields and submission guidelines.
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CSSD Form 730B Direct Deposit Payment Authorization
PDF template
A form that allows parents to authorize electronic transfer of child support payments directly into their bank account through New Mexico Child Support Services Division.
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Authorization For Direct Deposit Via ACH
PDF template
A form for employees to authorize electronic wage deposits into one or two bank accounts by the Queen Anne's County Board of Education.
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Recurring Direct Deposit Authorization Form
PDF template
University form for setting up or changing direct deposit banking information for traineeship payments.
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Direct Deposit Authorization
PDF template
Form for authorizing electronic deposit of reimbursements into a personal bank account by Employee Benefits Corporation.
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Direct Deposit Authorization Manual Claim Reimbursement
PDF template
A form allowing employees to authorize direct deposit of claim reimbursements into a checking or savings account.
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Direct Deposit Form
PDF template
A form for employees to set up, modify, or cancel direct deposit of their payroll earnings with their financial institution.
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COVA Direct Deposit Form
PDF template
Guidelines for completing a direct deposit form for Commonwealth of Virginia employees, detailing required information and submission process.
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COVA Direct Deposit Form Instructions
PDF template
Detailed instructions for employees and agencies completing a direct deposit form for payroll purposes.
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Direct Deposit Authorization Form
PDF template
A form for enrolling, changing, or canceling direct deposit for CalSTRS benefit payments.
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Direct Deposit Information And Instructions
PDF template
A form for electing electronic funds transfer for payments from Wespath, a general agency of The United Methodist Church.
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Caltech Direct Deposit Authorization
PDF template
Form for Caltech individuals to enroll, update, or cancel direct deposit payments from Payment Services.
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Cash Release Request Direct Deposit Cancellation Form
PDF template
A form for students to cancel their direct deposit information and request future cash releases to be mailed
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Direct Deposit Cancellation Form
PDF template
A form used by employees to cancel their direct deposit payroll and payables banking arrangements.
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Cancellation Of Direct Deposit
PDF template
A form used to cancel existing direct deposit banking arrangements for Vermilion County employees or contractors.
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DIRECT DEPOSIT CANCELLATION FORM
PDF template
A form to cancel direct deposit payments for tribal members of Grand Traverse Band.
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Cash Release Request Direct Deposit Cancellation Form
PDF template
Form for students to cancel their direct deposit information and request alternative cash release method at Concordia University Wisconsin.
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Request For Direct Deposit Change Form
PDF template
A form for Haverhill Public Schools employees to establish or modify direct deposit banking information for payroll purposes.
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CITY OF KAUKAUNA DIRECT DEPOSIT FORM
PDF template
A form for employees to set up direct deposit of their paycheck into one or multiple bank accounts.
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Payroll Direct Deposit Compliance Form
PDF template
Form for identifying employees who transfer direct deposit funds internationally, in compliance with OFAC and NACHA regulations.
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Direct Deposit (EFT) Authorization Form
PDF template
A form for Health Sciences Association of BC members to authorize electronic direct deposit of payments to their bank account.
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Aultman College Student Direct Deposit CANCELLATION Form
PDF template
Form for students to cancel direct deposit of refunds from Aultman College and revert to paper check payments.
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Direct Deposit Authorization Form
PDF template
A form allowing employees to authorize direct deposit of their paycheck into one or more bank accounts.
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TD Canada Trust Direct Deposit Form
PDF template
A form for setting up direct deposit of payroll, benefits, pension, or other payments with TD Canada Trust.
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Direct Deposit EnrollmentCancellation Form
PDF template
Form for vendors to enroll in or cancel direct deposit payment methods with Currituck County
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Direct Deposit Enrollment Form And Policy
PDF template
Form for employees to enroll in or modify direct deposit banking information for payroll, with option for up to three bank accounts.
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IN HOME SUPPORTIVE SERVICES PROVIDER DIRECT DEPOSIT ENROLLMENTCHANGECANCELLATION FORM
PDF template
California state form for In-Home Supportive Services providers to enroll, change, or cancel direct deposit of pay warrants.
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DIRECT DEPOSIT AUTHORIZATION AND INPUT FORM
PDF template
Official form for state employees to set up or modify direct deposit banking information for payroll services.
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Direct Deposit Form
PDF template
Form for setting up direct deposit of funds into a Maps Credit Union account by an employer or other payment source.
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Payroll Direct Deposit Form
PDF template
Form authorizing direct deposit of employee payroll payments for West Virginia University employees
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Direct Deposit Authorization Form
PDF template
A form authorizing electronic transmission of payroll funds to an employee's bank account at Widener University.
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Authorization For Direct Deposit Of Retirement Payment
PDF template
Form for setting up direct deposit of retirement payments from the City of Cincinnati Retirement System
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Direct Deposit Set Up Form
PDF template
A form for setting up direct deposit of paychecks or benefits into a checking or savings account at Truliant Federal Credit Union.
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Hollins UniversityADP Direct Deposit Authorization Form
PDF template
A form for Hollins University employees and students to set up or modify direct deposit banking information for payroll and reimbursements.
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Direct Deposit Form
PDF template
Form for Los Angeles Fire & Police Pension members to establish, change, or cancel direct deposit of pension payments.
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Direct Deposit Form
PDF template
A form for setting up automatic direct deposit of payroll or other funds into a Bank of Hawaii account
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Vanderbilt University Direct Deposit Authorization Form
PDF template
A form authorizing Vanderbilt University to deposit payroll funds into specified bank accounts
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Direct Deposit Form
PDF template
Form for employees to authorize direct deposit of flexible spending reimbursements through Auxiant.
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City Of Austin Employees Retirement System Direct Deposit Form
PDF template
Form for retired City of Austin employees to set up electronic monthly annuity payments to a chosen financial institution.
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Authorization For Direct Deposit
PDF template
Form authorizing City of Boise employees to set up direct deposit for wage payments and reimbursements.
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SBCERS Direct Deposit Authorization
PDF template
Form for authorizing direct deposit of retirement allowance with Santa Barbara County Employees' Retirement System
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Direct Deposit Form
PDF template
A form for employees to set up direct deposit of payroll checks with their employer and financial institution.
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STATE OF MARYLAND PAYROLL DIRECT DEPOSIT AUTHORIZATION
PDF template
Official form for Maryland state employees to establish, change, or discontinue direct deposit of their salary.
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Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of wages by an employer into an employee's bank account.
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Direct Deposit Authorization Form
PDF template
A form for setting up electronic funds transfer for NEBF benefit payments to a participant's bank account.
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Direct Deposit Authorization Form
PDF template
Form for employees to provide banking details for payroll direct deposit at Blue Ridge Community College.
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Direct Deposit Authorization
PDF template
A form authorizing electronic bank transfer of payroll funds to specified bank accounts.
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Direct Deposit Employee Authorization Form
PDF template
A form for employees to authorize automatic payroll deposits into bank accounts, including options for new, changed, or additional deposits.
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Standard Form 1199A
PDF template
Official government form for setting up direct deposit of payments with a financial institution.
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SPLLC Direct Deposit Form
PDF template
Form for employees to provide bank account details for direct deposit of payroll earnings.
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DIRECT DEPOSIT ENROLLMENT AUTHORIZATION (DEDUCTIONS)
PDF template
State of California form for authorizing direct deposit of organizational deductions and specifying banking details.
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EMPLOYEE DIRECT DEPOSIT ENROLLMENT FORM
PDF template
A form allowing employees to set up direct deposit of their paycheck with bank account details and authorization.
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INFORMATION AND AUTHORIZATION REGARDING DIRECT DEPOSIT
PDF template
A form for employees and students to set up or modify direct deposit payment information for payroll and accounts payable purposes.
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Direct Deposit Authorization Form
PDF template
A form for employees, students, or vendors to provide bank details for direct deposit of funds by the organization.
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Finance Business Services Direct Deposit Authorization Form
PDF template
A form for employees, students, or vendors to provide bank account details for direct deposit payments.
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Direct Deposit Authorization Form
PDF template
A form for employees and students to set up direct deposit of their payroll or student payments at SIUE.
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Authorization Agreement For Direct Deposits
PDF template
A form allowing employees to set up direct deposit of their paycheck with bank account details and authorization.
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DIRECT DEPOSIT REQUEST FORM
PDF template
Form for employees to authorize direct deposit of paycheck into a bank account.
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CommuteSmart Direct Deposit Authorization Form
PDF template
A form allowing students to set up, change, or stop direct deposit for tuition refunds and payments at Palo Alto University.
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Direct Deposit Application
PDF template
Application for setting up direct deposit for support payments with the Missouri Family Support Payment Center.
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Direct Deposit Authorization Form
PDF template
Form for employees to set up or modify direct deposit banking details for salary payments.
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Employer Authorization Direct Deposit Form
PDF template
A form allowing employees to authorize direct deposit of their payroll into a bank account at Webster Bank.
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Direct Deposit Form
PDF template
Form for setting up direct deposit of payments from Kansas Payment Center to a personal bank account.
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Direct Deposit Form
PDF template
A form for employees to set up, change, or cancel direct deposit of their paycheck into a financial institution account.
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Direct Deposit Authorization For Automated Deposits (ACH Credits)
PDF template
A form authorizing Trinity University to make direct deposits into a specified bank account and enabling reimbursements, vendor payments, or student payments.
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Direct Deposit Authorization
PDF template
A form for employees to set up, modify, or cancel direct deposit banking information for payroll purposes.
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Direct Deposit Enrollment Form
PDF template
A form allowing employees to set up direct deposit of their paycheck into bank accounts with authorization and account details.
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Authorization For Direct Deposit
PDF template
A form for setting up direct deposit payments with Family Partnerships of Central Florida, detailing account and authorization information.
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Authorization For Direct Deposit
PDF template
A form for enrolling in direct deposit reimbursement with Family Partnerships of Central Florida, providing banking details for automatic payments.
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Direct Deposit Information For Employers
PDF template
A form for employers to provide direct deposit banking details for payroll processing.
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Authorization Agreement For Direct Deposit
PDF template
A form for employees to authorize direct deposit of their paycheck into one or more bank accounts.
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Authorization Agreement For Direct Deposit
PDF template
Housing authority form for landlords to set up electronic payment via direct deposit for Section 8 Housing Choice Voucher Program payments.
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Payroll Direct Deposit Authorization Form
PDF template
A form for employees to set up or modify direct deposit banking information for payroll at Coquille School District
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Christmas Gift Application 20212022 Direct Deposit Information
PDF template
A form for submitting direct deposit banking details for receiving a Christmas gift payment.
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Power Credit Union Direct Deposit Form
PDF template
Form for authorizing electronic credit and debit entries for direct deposit with Power Credit Union.
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Electronic Direct Deposit Authorization Agreement For Pre Authorized CreditsDebits
PDF template
A form for employees to authorize electronic direct deposit of payroll funds into their bank account(s)
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Direct Deposit Authorization Form
PDF template
A form for employees to authorize electronic paycheck direct deposit into one or more bank accounts.
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Payroll Direct Deposit Authorization Form
PDF template
Form for University System of New Hampshire employees to authorize electronic direct deposit of fixed amounts from their paycheck.
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Direct Deposit Form For Related Entity Employees
PDF template
A form for employees to provide bank account details for receiving salary payments via direct deposit.
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Direct Deposit Authorization
PDF template
A form for businesses to set up direct deposit payment method with the University of Incarnate Word's Accounts Payable Department.
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Direct Deposit Form Submittal Guide
PDF template
Guidelines for submitting direct deposit documentation for employee payments at UNCSA with mandatory electronic payment requirements.
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Direct Deposit Authorization
PDF template
Form for setting up or modifying direct deposit banking information for employee payroll
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STATE OF MARYLAND PAYROLL DIRECT DEPOSIT AUTHORIZATION
PDF template
An official form allowing Maryland state employees to set up, modify, or cancel direct deposit of their salary.
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Employee Direct Deposit Authorization Instructions
PDF template
Form for employees to set up automatic paycheck deposits into one or two bank accounts with verification requirements.
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Form 61 (Rev July 2021) UNITED ASSOCIATION NATIONAL PENSION FUND DIRECT DEPOSIT AUTHORIZATION FORM
PDF template
Form for authorizing direct deposit of pension fund benefits and providing bank account details for benefit payments.
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Direct Deposit Authorization Agreement
PDF template
A form for employees of Natomas Unified School District to set up electronic paycheck deposits into a bank account.
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Wheaton College Authorization For Direct Deposit
PDF template
A form for employees or students to set up or modify direct deposit payment information for payroll and accounts payable transactions.
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Direct Deposit Form
PDF template
Form for employees to provide bank account details for direct deposit of payroll earnings.
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University System Of New Hampshire Payroll Direct Deposit Authorization Form
PDF template
A form for employees to authorize electronic direct deposit of payroll and reimbursement payments by the University System of New Hampshire.
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Direct Deposit Enrollment Form
PDF template
A form to authorize direct deposit of paycheck or periodic credit entries into specified bank accounts.
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Faculty, Staff Student Direct Deposit Enrollment Cancellation
PDF template
A form for Southern Oregon University faculty, staff, and students to enroll in or modify direct deposit payroll banking information.
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EP CU Direct Deposit Authorization Agreement
PDF template
A form authorizing automatic deposits and withdrawals with a financial institution, specifically for EP Federal Credit Union.
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Direct Deposit Application
PDF template
A form for Harnett County employees to set up or modify direct deposit of their paychecks to their chosen financial institution.
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Direct Deposit Authorization Form
PDF template
A form for employees to authorize direct deposit of wages to a bank account, with options to start, stop, or change existing direct deposit arrangements.
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Direct Deposit Sign UpAuthorization Form
PDF template
Form for employees to set up direct deposit for paycheck with options for primary and secondary bank accounts.
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Direct Deposit Authorization Form
PDF template
A form to authorize employer direct deposit of funds into a Rogue Credit Union account.
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Direct Deposit Authorization Form For RETIREES
PDF template
A form for retirees to authorize direct deposit of their retirement payments into one or two financial institutions.
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Direct Deposit And Pay Card Request Form
PDF template
A form for Fulton County employees to select direct deposit or pay card for receiving their payroll funds
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Direct Deposit Form
PDF template
Form for employees to provide bank account details for payroll direct deposit, allowing setup of primary and optional secondary accounts.
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Payroll Direct Deposit Request Form (For Retirees Beneficiaries)
PDF template
Form for retirees and beneficiaries to set up or change direct deposit for pension payments with Employees' and Elected Officials' Retirement Systems.
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Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of retirement benefits for Alameda County Employees' Retirement Association members.
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Authorization Agreement For Direct Deposit
PDF template
A form for School District of Philadelphia employees to set up or change direct deposit banking information for payroll.
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STATE OF MARYLAND PAYROLL DIRECT DEPOSIT AUTHORIZATION
PDF template
Form for Maryland state employees to authorize, modify, or discontinue direct deposit of their salary into a bank account.
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STD. 699
PDF template
California state employee form for authorizing direct deposit of wages and salaries
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Direct Deposit Form To Employer
PDF template
A form allowing employees to set up or modify direct deposit banking information with their employer
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Direct Deposit Enrollment Request Form
PDF template
A form for enrolling in or changing direct deposit information for electronic fund transfers with Metro Housing|Boston.
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Direct Deposit Authorization
PDF template
A form for employees to authorize direct deposit of paycheck into a bank account at SkyOne Federal Credit Union.
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AUTHORIZATION FOR AUTOMATIC PAYROLL DEPOSIT
PDF template
A form authorizing Pendleton School District to deposit payroll directly into an employee's bank account.
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Direct Deposit Form
PDF template
A form used to authorize direct deposit of funds into a personal bank account
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Self Service Direct Deposit
PDF template
Instructions for employees to set up or modify direct deposit through the Employee Dashboard in Porches/HR system.
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Direct Deposit Worksheet
PDF template
A form allowing employees to set up direct deposit for their paycheck with multiple bank account options
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SchoolsFirst FCU STANDARD PAYROLL FORM
PDF template
A form for employees to set up direct deposit or payroll deductions with SchoolsFirst Federal Credit Union.
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Direct Deposit Authorization For Brokers
PDF template
Form for California Dental Network Producers to set up electronic commission payments via direct deposit into their bank account.
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Parkside Credit Union Direct Deposit Form
PDF template
A form for employees to authorize direct deposit of wages into a Parkside Credit Union account.
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Direct Deposit Authorization Form
PDF template
A form allowing employees to set up electronic direct deposit of payroll funds into their bank accounts.
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AUTHORIZATION AGREEMENT FOR ACCOUNTS PAYABLE ACH DIRECT DEPOSIT
PDF template
Form for authorizing electronic direct deposit payments to a financial institution account by Utah County Government.
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Direct Deposit Authorization
PDF template
A form for authorizing direct deposit of support payments by the Michigan Department of Health and Human Services.
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Standard Form 1199A (EG)
PDF template
Official government form for setting up direct deposit of federal payments into a bank account.
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Request For Direct Deposit Form
PDF template
A form for employees to set up direct deposit of their payroll funds with Haverhill Public Schools.
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Direct Deposit Form Direct Deposit Switch Kit Form
PDF template
A form to authorize direct deposit of payroll or credits into an employee's Abbey Credit Union account
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ACHform 2022
PDF template
A form for pension plan members to set up or modify direct deposit banking information for retirement benefits.
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Direct Deposit Worksheet
PDF template
Form for employees to set up direct deposit bank information for payroll services with multiple account options.
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Direct Deposit Form For NYS Employees
PDF template
A form for New York State employees to set up or modify direct deposit banking information for salary payments.
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Direct Deposit Authorization Payroll Deduction
PDF template
A form authorizing an employer to deduct salary amounts and deposit funds into a credit union account
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Directed Quarantine Leave Request Form
PDF template
Form for Philadelphia School District employees to request paid quarantine leave due to COVID-19 exposure or positive test result.
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Child Support Direct Deposit Authorization
PDF template
Form for authorizing direct deposit of child support payments by Maryland Child Support Enforcement Administration
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Columbus County Direct Deposit Form
PDF template
Form for employees to authorize direct deposit of payroll funds into their bank accounts.
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DOTM FORM DAL Request Form
PDF template
A form for employees to request COVID-19-related leave under the Department of Military's Directors Authorized Leave policy.
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Public Works Project Procedure
PDF template
Guidelines for contractors working on public works projects in California, detailing registration requirements and prevailing wage regulations.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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Disability Allowance To Service Retirement Application
PDF template
A form for CalSTRS members transitioning from disability allowance to service retirement, providing instructions for benefit conversion.
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Disability Benefit Application Form
PDF template
Official government form for applying for disability benefits in Bermuda, detailing eligibility requirements for contributory and non-contributory disability benefits.
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PSOB Disability Benefits Program Checklist
PDF template
A comprehensive checklist for filing disability claims for public safety officers with the U.S. Department of Justice's PSOB Office.
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SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
PDF template
Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
PDF template
A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Coverage Claim Form
PDF template
Insurance claim form for filing a disability coverage claim with American Heritage Life Insurance Company.
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Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
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Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS
PDF template
Official New York State form for filing a disability benefits claim, to be used by employees who became disabled while employed or within four weeks of employment termination.
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MetLife Disability Insurance Guide
PDF template
A comprehensive guide for reporting disability claims and absence procedures through MetLife insurance.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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Disability Support Pension Application Form
PDF template
A comprehensive form for individuals seeking financial support due to disability, covering eligibility, evidence requirements, and application process.
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SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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Documenting Discipline Issues
PDF template
A comprehensive checklist for managers to properly document employee disciplinary actions and performance issues.
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NON UNIFORM EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document recording an employee's demotion and the reasons for disciplinary action.
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Waccamaw EOC, Inc. Disciplinary Action Form
PDF template
A formal document used to record and document workplace misconduct and associated disciplinary measures for an employee.
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Disciplinary Action Form
PDF template
Official form for documenting employee disciplinary actions, including details of the disciplinary process and required signatures.
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Disciplinary Action Form
PDF template
A formal document used to document workplace misconduct, disciplinary actions, and performance issues for an employee.
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Disciplinary Action Form
PDF template
A form documenting performance issues and potential disciplinary actions for non-civil service employees.
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Payroll Deduction Authorization Form
PDF template
A form allowing FIU employees to authorize payroll deductions for summer camp registration expenses.
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DISCRETIONARY EXPENSE APPROVAL FORM
PDF template
A form for employees to request approval of discretionary expenses with detailed category breakdown and multiple levels of authorization.
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Distinctive Americas Holiday Booking Form
PDF template
A comprehensive travel booking form for reserving holidays with Distinctive Americas, including personal details, travel insurance, and payment information.
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District Reimbursement Form
PDF template
Form for processing reimbursements to a school district for inadvertent charges or other specific expense scenarios.
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Retirement Scheme Divorce Benefit Information Form
PDF template
A form collecting member details for potential benefit distribution in the event of a divorce order affecting a retirement fund
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Retirement Scheme Divorce Benefit Information Form
PDF template
A form for collecting member information related to potential benefit distribution in the context of a divorce order
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DIY Docs
PDF template
An online legal document creation and storage tool provided by ARAG for employees to generate and manage legal documents independently.
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Payroll Deduction Agreement
PDF template
Agreement for Texas A&M University employees to authorize payroll deductions for Recreation Sports memberships and locker rentals
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Employee Resignation Form
PDF template
Official form for employees to submit their resignation from College of the Mainland, documenting reasons and effective date of departure.
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Employee Resignation Form
PDF template
Official form for employees to submit their resignation from College of the Mainland, documenting reasons and effective date of departure.
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Document Delivery Form
PDF template
A form for ordering document delivery with payment and customer information collection.
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Direct Deposit Form
PDF template
Form for employees to set up, change, or cancel direct deposit banking information for payroll at California State University Long Beach Research Foundation.
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Direct Deposit Form
PDF template
Form for employees to establish, modify, or cancel direct deposit banking instructions for payroll payments.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Supplemental Leave Request Form
PDF template
Form for federal employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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Good Fit Domestic Partner Affidavit
PDF template
A form for active and retired employees to add or terminate domestic partner and dependent coverage for various insurance plans.
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Federal Wire Transfer Request Form Domestic
PDF template
A form used by New Jersey Institute of Technology for processing domestic wire transfer requests for payments and transactions.
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Donor Leave Request Form
PDF template
A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
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Spot Award Nomination Form
PDF template
A form for nominating USC Dornsife employees for a performance recognition award with detailed nomination and eligibility criteria.
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Sample Authorization For Direct Payment Via ACH (ACH Debit)
PDF template
A consumer authorization form for electronic fund transfers via ACH debits from a bank account.
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Disciplinary Action Form
PDF template
A form used to document and submit disciplinary actions for employees within a civil service jurisdiction.
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Disability Benefit Application Instructions
PDF template
Comprehensive instructions for submitting a disability benefit application, including eligibility requirements and submission guidelines.
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5 Deposit Refund Request Form (DR 1)
PDF template
Official form for certified redemption centers to request refunds for deposit beverage containers collected in Hawaii.
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Payroll Deduction Form For Washington State Employees
PDF template
A form for Washington State employees to set up or modify payroll deductions for their DreamAhead college investment account.
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Payroll Deduction Guide
PDF template
Comprehensive guide for employees and employers on setting up payroll deductions for the DreamAhead College Investment Plan.
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DROP Enrollment Form New Participant
PDF template
A form for qualifying members to enroll in the Municipal Fire and Police Retirement System of Iowa's Deferred Retirement Option Plan.
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Drug Free Workplace Act Of 1988
PDF template
Policy prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances for college employees and students.
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DSB 0311 Employee Administration Request Form
PDF template
Form for managing employee administrative actions for the NC Department of Health and Human Services Division of Services for the Blind.
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Credit Card Authorization Form
PDF template
A form for processing one-time credit card payments for various city services, requiring detailed information and submission guidelines.
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Direct Deposit Enrollment Authorization Form
PDF template
Authorization form for electronic benefit payments through direct deposit for Social Services programs in North Carolina.
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Dual Service Agreement Checklist
PDF template
Comprehensive checklist for procuring services from another State of Tennessee employee with detailed approval steps and requirements.
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DUG Plot Application Cash Or Check Submission Form
PDF template
Form for submitting cash or check payments for community garden plot fees and dues.
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DUG Plot Application Cash Or Check Submission Form
PDF template
Form for submitting cash or check payments for garden plots and associated fees to DUG organization.
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Richmond Retirement System Durable Power Of Attorney Fact Sheet
PDF template
A legal document explaining how Richmond Retirement System members can designate an agent to manage their retirement benefits under specific conditions.
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PaymentAuto Payment Policies
PDF template
Comprehensive payment policy outlining billing terms, recurring payments, and cancellation procedures for dance classes and services.
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UM Employee Gift Payroll Deduction Form
PDF template
A form allowing University of Michigan employees to authorize charitable donations through payroll deduction.
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Direct Deposit Authorization Form
PDF template
Form authorizing electronic deposit of compensation to a specified bank account by Daniel & Yeager, LLC and Regions Bank.
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Credit Card Pre Authorization Form
PDF template
Form for customers to set up automatic credit card payment processing for Dynacare services.
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Looking After Tenants
PDF template
A comprehensive guide for tenants explaining the rental process, application requirements, and deposit procedures for Dynes Residential in Northern Ireland.
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Employee Benefit Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
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Name AndOr Address Change Form
PDF template
Form for employees to request name or address changes within the Central Consolidated School District's HR department.
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Employee Academic Tuition Waiver Request Form
PDF template
A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
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Declaration For Testamentary Deposit (Multiple Grantors), Form 720009
PDF template
Federal document detailing FDIC forms used to collect information about depositors and deposit ownership for failed financial institutions.
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View And Update Your Federal Tax Withholding (Form W 4) In Employee Access
PDF template
Instructions for viewing and updating federal tax withholding information online using ADP Employee Access platform.
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EAF Contribution Form
PDF template
A form for Camelback employees to voluntarily contribute to the Employee Assistance Fund through payroll deductions.
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EagleOne Payroll Deduction Form
PDF template
Form for employees to request payroll deductions for their EagleOne account with specified amount options.
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DENTAL APPLICATION AND POLICY CHANGE
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage, including options for new employees, open enrollment, COBRA, and membership changes.
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Direct Deposit Authorization GenWell
PDF template
Authorization form for tribal members to set up or modify direct deposit banking information for payments
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Commerce Payments Refund Request Form
PDF template
A form for processing payment refunds for various university departments and online services.
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Delaware Technical Community College Emergency Contact Form
PDF template
A confidential form for employees to provide emergency contact information for use by authorized personnel in case of an emergency.
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Bank Account Update Form
PDF template
Form for healthcare service providers to update their bank account details for receiving EFT/ERA payments from ECHO Health, Inc.
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Claims Submission Form
PDF template
A form authorizing healthcare providers to submit and exchange personal information for insurance claims processing and benefits administration.
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DIRECT DEPOSIT FORM
PDF template
Form for employees to specify bank account details for paycheck direct deposit distribution across up to three accounts.
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Direct Deposit Request
PDF template
A form for employees to authorize direct deposit of paycheck or other payments into a specific bank account.
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Authorization For Electronic Direct Deposit
PDF template
A form for vendors to set up or change electronic direct deposit banking information for payments from the University of South Alabama.
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Employee Declaration Form (EDF) Pay As You Earn (PAYE)
PDF template
Tax declaration form for employees in Mauritius to claim various tax reliefs, deductions, and allowances for the income year 2024-2025.
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Direct Deposit Form
PDF template
A form for authorizing direct deposit of payments to a checking or savings account at Tri-County Technical College.
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Foundation Contribution Payroll Deduction Form
PDF template
A form allowing GRCC employees to authorize payroll deductions for foundation scholarships and contributions.
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EDPASSORCA BUS CARD DEDUCTION FORM
PDF template
Form allowing employees to authorize quarterly payroll deductions for bus riding privileges at Edmonds College.
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Edvest College Savings Plan Employee Payroll Direct Deposit Form
PDF template
Form for employees to establish or modify payroll direct deposit contributions to their Edvest College Savings Account
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Direct Deposit Authorization Form
PDF template
Form for employees to authorize electronic deposit of benefit reimbursements to a bank account
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New York Council Of Nonprofits, Inc. Enrollment Form
PDF template
Enrollment form for Health Care and Dependent Care Flexible Spending Accounts with options for salary reduction and reimbursement methods
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Employee Agreement In Connection With Emergency Federal Employee Leave (EFEL)
PDF template
Employee agreement detailing conditions and responsibilities for receiving conditional emergency federal leave under the American Rescue Plan Act of 2021.
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HSA Enrollment Form
PDF template
A form for enrolling in a Health Savings Account through an employer, allowing employees to set up contributions.
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American Rescue Plan Act (ARPA) Emergency Family Medical Leave Request Form
PDF template
A form for employees to request extended family medical leave related to COVID-19 under the American Rescue Plan Act.
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Emergency Family Medical Leave Request Form
PDF template
Detailed guidance for employees on completing timesheets and tracking Emergency Family and Medical Leave (EFML) usage and compensation.
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Power Of Attorney (POA)
PDF template
A form allowing participants or beneficiaries to designate an agent to act on their behalf with the Pension Benefit Guaranty Corporation (PBGC).
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Employee Actions EForm
PDF template
Comprehensive electronic form for managing various employee-related actions including hiring, transfers, pay changes, and terminations.
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Electronic Funds Transfer Authorization Agreement For ACH Credit Payment Method
PDF template
Official form for taxpayers to authorize electronic funds transfer using ACH Credit payment method for tax payments.
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Authorization Agreement For Electronic Funds Transfer
PDF template
Form for setting up electronic funds transfer and direct deposit with United Way of the Capital Region, including Patriot Act compliance certification.
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Deferred Compensation PlanNYCE IRA Direct Deposit Form
PDF template
Form for setting up direct deposit for various retirement account types, including 457, 401(k), and NYCE IRA accounts.
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Automated Payment Authorization Form Instructions For PNC Mortgage And Home Equity Accounts
PDF template
Instructions for setting up automated mortgage and home equity account payments with PNC Bank, including payment options and processing details.
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Automated Payment Authorization Form For PNC Mortgages
PDF template
A form allowing PNC mortgage borrowers to set up automatic payments for their mortgage loan with options for payment amount and transfer delay.
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Extended Health Care Claim Form
PDF template
A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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EZ Retirement Plan Enrollment Form
PDF template
Enrollment form for Florida Retirement System employees to choose between Investment and Pension Plan options.
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General Retirement Plan Enrollment Form
PDF template
Enrollment form for new employees to choose between retirement plan options in the Florida Retirement System for Regular, Special Risk, and Special Risk Administrative Support Class Employees.
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Consent Form For Electronic Distribution Of Benefit Materials And Notices
PDF template
A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
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Authorization Agreement For Electronic Funds Transfer (EFT)
PDF template
Instructions for healthcare providers to set up or modify electronic funds transfer payment methods with Washington State Health Care Authority.
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Electronic Funds Transfer Request Form
PDF template
A form for requesting electronic funds transfers, requiring tax documentation and wire transfer details.
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Electronic Payment Authorization Form
PDF template
Form for enrolling in electronic payment methods for child support payments via Way2Go Card or direct deposit
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Instructions For Salary AssignmentCancellation (Form D 60)
PDF template
Detailed guidance for completing a University of Hawaii salary assignment or cancellation form with specific instructions for payroll deductions.
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Direct Deposit Authorization Form
PDF template
A form for setting up or modifying direct deposit banking information for payroll or expense reimbursement.
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RapidPayDirect Deposit Authorization Enrollment Form
PDF template
Form for Elmhurst University employees to set up direct deposit or RapidPay! Visa PayCard for receiving wages.
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Active Directory And Email Access Request Form
PDF template
Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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Emergency Contact Form
PDF template
A form for employees to list up to four emergency contacts to be used in case of emergencies during work hours or in town buildings.
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Emergency Contact Form 32018
PDF template
A form for employees to provide contact information for emergency purposes and primary/secondary emergency contacts.
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Employee Emergency Contact Information
PDF template
A form for employees to provide emergency contact details for use in case of urgent situations.
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Emergency Contact Information Form
PDF template
A document for collecting employee emergency contact details and medical information for use in urgent situations.
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Law Clerk Employee Data And Emergency Contact Form
PDF template
A form for collecting employee personal information and emergency contact details for law clerks in Maryland court system.
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Emergency Contact Form
PDF template
A form for employees to provide emergency contact details for workplace safety and communication purposes.
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Emergency Contact Information
PDF template
A form for collecting employee emergency contact details and notification preferences for campus safety purposes.
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Emergency Coronavirus Paid Leave Request Form
PDF template
Form for City of Birmingham employees to request paid leave related to COVID-19 emergency situations
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Emergency Coronavirus Paid Leave Request Form
PDF template
Form for City of Birmingham employees to request emergency paid leave related to COVID-19 pandemic circumstances.
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Mennonite Village Covid 19 Earned Leave Request Form
PDF template
A form for employees to request leave due to positive COVID-19 test or related symptoms
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Emergency Paid Sick Leave Request Form For COVID 19 Related Leave
PDF template
A form for employees to request emergency paid sick leave related to COVID-19 under the Families First Coronavirus Response Act.
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Emergency Paid Sick Leave Act Leave Request Form
PDF template
Employee form for requesting paid sick leave related to COVID-19 under the Emergency Paid Sick Leave Act.
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Emergency Paid Sick Leave Request Form
PDF template
A form for employees to request paid sick leave related to COVID-19 under the Emergency Paid Sick Leave Act.
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Emergency Paid Sick Leave Request
PDF template
Form for employees to request emergency paid sick leave under the Families First Coronavirus Response Act during the COVID-19 pandemic.
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Emergency Paid Sick Leave Request Form
PDF template
Form for employees to request emergency paid sick leave related to COVID-19 circumstances
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Reimbursement Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through multiple methods including Rx debit card, online portal, and paper submission.
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Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
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Emeriti Reimbursement Benefit Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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Emory Card Eagle Dollars Employee Payroll Deduction Form
PDF template
Form for Emory University employees to authorize payroll deductions for Eagle Dollars account
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Employee Equipment Loan Agreement
PDF template
A legal document for employees borrowing equipment from James Madison University, outlining responsibilities and conditions of equipment loan.
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HR 122 Employee Incident Report
PDF template
A detailed form for documenting workplace incidents and injuries for employees of Biggs Unified School District.
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EMPLOYEE ACKNOWLEDGEMENT FORM
PDF template
Form documenting employee understanding of background check requirements under California Assembly Bill 506 of 2021.
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Employee Acknowledgement Form
PDF template
A form acknowledging an employee's understanding of background check requirements under California Assembly Bill 506 of 2021.
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LIFT WHERE YOU STAND EMPLOYEE GIVING CAMPAIGN 2018 EMPLOYEE PAYROLL DEDUCTION FORM
PDF template
A form for employees to authorize charitable donations through payroll deductions for the annual giving campaign.
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Employee Bridge Of Service Review Form
PDF template
A form used to review an employee's service continuity and eligibility for service credit during multiple employment periods.
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Employee Change Of Address Form
PDF template
A form for employees to update their address and telephone number with the school district.
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BHSSC Employee Change Of Address Form
PDF template
A form for employees to update their personal contact information and address details with their employer.
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Complaint Form
PDF template
A form for employees to formally file workplace complaints or request informal resolution of workplace issues.
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Employee Complaint Resolution Procedure
PDF template
A formal procedure for resolving work-related employee concerns and complaints within the Technical College System of Georgia, ensuring fair treatment and communication.
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Employee Complaint Resolution Form
PDF template
A form for employees to document and submit workplace complaints, detailing issues and requested resolutions.
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EMPLOYEE COMPLAINT FORM
PDF template
A comprehensive form for employees to document workplace concerns including discrimination, harassment, ethical, or safety issues.
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VR FEE FOR SERVICE PROVIDER EMPLOYEE CONTACT FORM
PDF template
A form for documenting employee details and services for vocational rehabilitation providers
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EMPLOYEE CONTRIBUTION FORM
PDF template
A form allowing employees to establish, modify, or continue payroll deductions for foundation donations.
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Lamar Community College Foundation Employee Contribution Form
PDF template
A form allowing Lamar Community College employees to make monthly payroll donations to support student programs and college initiatives.
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Employee Course Registration Form
PDF template
Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
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Employee Data Request Form
PDF template
A form for collecting comprehensive employee information to support the electronic appointment process in an organization's human resources workflow.
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NHRDeparture Employee Departure Information Sheet
PDF template
A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
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Direct Deposit EnrollmentCancellation Form
PDF template
A form for employees to set up, change, or cancel direct deposit of payroll funds into bank accounts.
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EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record and document employee workplace violations, warnings, and disciplinary actions.
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EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record and document employee misconduct, performance issues, or policy violations in the workplace.
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Employee Disciplinary Action Form
PDF template
Formal document used to record and document workplace disciplinary actions and violations by employees.
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EXTERN EMERGENCY CONTACT FORM
PDF template
Form for collecting emergency contact details for external personnel or employees at a veterinary organization.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A form for employees to provide personal and emergency contact details for use in urgent situations.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A form for employees to provide emergency contact information for use in case of urgent situations.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A comprehensive form for collecting employee personal and emergency contact details for human resources purposes.
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Employee Emergency Medical Form
PDF template
Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
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ENROLLMENT FORM FOR GROUP INSURANCE
PDF template
A comprehensive form for enrolling in group insurance benefits, capturing employee and dependent information, coverage selections, and authorization.
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Employee Evaluation Form
PDF template
A comprehensive employee performance assessment document with rating scales and sections for job knowledge, work quality, and goal setting.
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Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple professional competencies and setting future goals.
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Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple skill and competency areas.
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STATE OF KANSAS BIDDERS PREFERENCE PROGRAM EMPLOYEE EVALUATION FORM
PDF template
A form for documenting employee background, disabilities, and employment barriers for potential preference program eligibility.
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Employee Exit Checklist
PDF template
Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
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Employee Exit Checklist Form
PDF template
A comprehensive form for managing employee separation process, ensuring return of district property and proper administrative procedures.
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Employee SeparationTransfer Checklist
PDF template
A comprehensive checklist for supervisors to manage employee departures or transfers, including access revocation and administrative procedures.
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Employee Travel Expense Report Form
PDF template
Form for documenting and requesting reimbursement of employee travel-related expenses by Claremore Public Schools.
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EMPLOYEE FEEDBACK FORM
PDF template
A comprehensive form for evaluating employee performance, identifying strengths, development needs, and creating an action plan for professional growth.
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Instructions For Employee Forms
PDF template
Comprehensive instructions for completing employee forms and documentation required for payroll system entry in California.
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Employee Forms Instructions
PDF template
Detailed instructions for submitting employee hiring paperwork and required documentation for payroll system entry.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and employer details.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
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Employee Information Change Form
PDF template
A form for employees to update their personal contact information with their employer's human resources department.
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Employee Information Form
PDF template
A comprehensive form for collecting personal, contact, demographic, veteran status, and educational background information for new employees.
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Employee Injury Report Form
PDF template
A form for documenting employee workplace injuries, incidents, and medical treatment details for workplace safety and insurance purposes.
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Employee Inquiry Form
PDF template
A form used by employees to submit inquiries to the Human Resource Services department at Newark Public Schools.
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Employee Internal Complaint Intake Form
PDF template
A form for reporting policy violations and discrimination complaints at St. Mary's College of Maryland.
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Record Of Employee Interview
PDF template
Confidential document for interviewing construction workers to verify employment details and compliance with labor standards.
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Employee Inventions Act
PDF template
Legal document governing employee inventions, service inventions, and technical improvement proposals in employment contexts.
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Warner Pacific University Employee Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave, including FMLA and OFLA leave options
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Employee Parking Policy
PDF template
Policy establishing parking provisions and regulations for county employees using county parking facilities and lots.
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Employee Of The Month Nomination Form
PDF template
A form for nominating employees in specific job categories for a monthly recognition award within an educational institution.
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Facilities And Campus Services Employees Of The Quarter Nomination Form
PDF template
A form for nominating exceptional employees or teams in the Facilities and Campus Services department who demonstrate outstanding performance and organizational values.
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Virginia Tech Employee Software Sales Order Form
PDF template
Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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Employee Paid And Unpaid Time Off Request Form
PDF template
A form for employees to request paid or unpaid time off, requiring approval from their supervisor.
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Employee Paid And Unpaid Time Off Request Form
PDF template
A form for employees to request paid or unpaid time off, requiring supervisor approval and documentation.
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EMPLOYEE PAYMENT AGREEMENT FORM
PDF template
A form for documenting an employee's payment schedule and financial obligations to an organization.
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Employee Payroll Deduction Form For Full Time Employees And Staff
PDF template
Form allowing employees to set up monthly charitable contributions through payroll deduction to Missouri State University Foundation
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Current Lincoln University Employee Payroll Deduction Form
PDF template
Form for Lincoln University employees to set up recurring payroll donations to the Lincoln University Foundation of PA
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UAB GIFT RECORDS EMPLOYEE PAYROLL DEDUCTION FORM
PDF template
A form for UAB employees to authorize automatic payroll deductions for charitable contributions to specific funds or programs.
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Employee Contribution And Payroll Deduction Form
PDF template
A form for employees to specify contribution amounts, payment methods, and recognition preferences for donations.
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Employee Contribution Form
PDF template
A form allowing employees to make charitable contributions through automatic payroll deductions to support Great Basin College scholarships and programs.
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Employee Payroll Deduction Form
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A payroll deduction authorization form for employees to contribute to the Germanna Community College Educational Foundation
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Staff Appraisal
PDF template
A comprehensive employee performance review document for documenting and evaluating staff performance, goals, and development
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Employee Performance Evaluation Form
PDF template
A comprehensive performance evaluation form for assessing employee job performance, development, and potential promotion opportunities.
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Request For Prescription Delivery
PDF template
A form for employees to request prescription delivery with patient and delivery details.
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Employee Profile And Travel Form
PDF template
A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
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Employee Progress Performance Review
PDF template
A comprehensive employee performance review document for rating job performance, skills, and goal achievement.
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Employee Purchase Form
PDF template
A form allowing employees to purchase items and choose payment methods, including payroll deduction and credit card options.
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Employee Referral Form
PDF template
Form for employees to refer potential job candidates to Albert Einstein College of Medicine with guidelines for referral awards.
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Employee Referral Form
PDF template
A form for employees to refer potential candidates and participate in the company's referral bonus program.
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Employee Referral Program Referral Form
PDF template
A form for employees to refer potential job candidates to open positions within the organization.
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Employee Resignation Form
PDF template
Official form for employees to submit their resignation from Jackson County Public Schools, detailing reasons for leaving and effective date.
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Employee Resource Document
PDF template
A comprehensive guide for University of Scranton employees detailing emergency contacts, campus resources, and essential operational information.
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Employee Retirement Contribution Form
PDF template
Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
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Employee Performance Review Form
PDF template
A comprehensive form for assessing employee performance across multiple competency and behavioral dimensions with rating scales.
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M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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Employee Self Assessment Form
PDF template
A comprehensive self-evaluation form for employees to reflect on their job performance, achievements, and goals.
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Employee Self Service Guide
PDF template
Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
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Form 43 Employee TransferSeparation Clearance Form
PDF template
A form used to document and track the clearance process for employees transferring departments or separating from the university.
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HR64 Employee Separation Checklist
PDF template
A comprehensive form documenting the process and requirements for an employee's exit from the organization, including equipment return and account deactivation.
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Employee Services FAQ Contact List
PDF template
A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
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Employee Status Requisition
PDF template
A document used to initiate and document changes in employee status within an organization's human resources processes.
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TIME OFF REQUEST FORM
PDF template
A form for employees to request and obtain approval for various types of time off from work.
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Employee And Student EFT Instructions
PDF template
Instructions for employees and students to enroll in electronic funds transfer (EFT) for direct deposit payments at California State University, Sacramento.
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Employee Time Off Request
PDF template
A form for employees to request time off for various reasons, requiring supervisor approval.
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Employee Time Off Request Form
PDF template
A form for personal care assistants (PCAs) to request paid or unpaid time off, with requirements for submission and approval.
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Employee Time Off Request Form
PDF template
A form for employees to request time off, specifying type and duration of leave and requiring manager approval.
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Employee (StudentStaff) Timesheet
PDF template
A comprehensive timesheet form for tracking employee work hours across multiple weeks and shifts with absence code tracking.
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Employee And Dependent Tuition WaiverReimbursement Form
PDF template
Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
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Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
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Health Coverage Waiver Form
PDF template
A document allowing employees to waive health insurance coverage offered by their employer with options for alternative coverage.
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Disciplinary Action Form
PDF template
A formal document used to record and document employee misconduct, policy violations, and disciplinary actions.
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Employee Write Up Forms Packet
PDF template
Comprehensive packet of forms for documenting employee workplace issues, complaints, and disciplinary actions.
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Direct Deposit Request
PDF template
A form used to set up direct deposit of payments into a bank account by authorizing electronic fund transfers.
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Employer Error Institution Process
PDF template
Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
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EMS Payment Plan Form No Penalty No Interest
PDF template
A form for establishing an extended payment arrangement for ambulance billing with the City of Houston
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Windfall Elimination Provision
PDF template
Explanation of how Social Security retirement or disability benefits may be reduced for workers with pensions from employers not withholding Social Security taxes.
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How To File A Disability Appeal Online
PDF template
Step-by-step instructions for filing a disability appeal online with the Social Security Administration
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Adult Disability Starter Kit
PDF template
A comprehensive checklist to help applicants prepare for filing a Social Security disability benefits claim by organizing personal, medical, and employment information.
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Hotel Booking Form
PDF template
A hotel booking form for reserving accommodations at NH Ciutat de Vic hotel, including room preferences, guest details, and payment information.
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Authorization And Consent To Treatment
PDF template
A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
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Wire Transfer Request Form
PDF template
A comprehensive form for scholarship recipients to provide banking details for international wire transfer of funds.
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Contribution Form
PDF template
A form for employees to make voluntary donations to the Enhabit Cares Foundation through payroll deduction, check, or credit card.
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Enhanced Dental Benefits Enrollment Form
PDF template
A self-enrollment form for additional dental coverage for members with specific medical conditions through Blue Cross Blue Shield of Massachusetts.
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SANTA BARBARA CATHOLIC SCHOOL FINANCIAL OBLIGATION FORM
PDF template
A form for designating financial responsibility and payment options for student enrollment at Santa Barbara Catholic School.
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Northern California Carpenter Funds Enrollment Form
PDF template
Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
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Vision Service Plan EnrollmentChange Form
PDF template
Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
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Superior Dental Care Employee Enrollment Form
PDF template
Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
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ENROLLMENT FORM GL.2017.010
PDF template
A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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NEA Membership Enrollment Form CCA
PDF template
Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
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California State University, Sacramento Benefit Enrollment Worksheet
PDF template
A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
PDF template
An enrollment form for employees of the National Elevator Industry to enroll in benefit plans and update personal and dependent information.
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Non Federal Direct Deposit Enrollment Request Form
PDF template
A form for authorizing automatic direct deposit of funds into one or multiple bank accounts by an employer or company.
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CBO Prior Entertainment Approval Form In PerfectForms
PDF template
Detailed instructions for submitting a prior approval form for entertainment events with specific cost thresholds and documentation requirements.
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Employee Organization Leave Request And Reimbursement Form
PDF template
A form for public employees to request organization leave and reimbursement for specific meetings and circumstances.
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Employee Of The Month Nomination Form
PDF template
A form for nominating Jackson County employees for monthly recognition with specific eligibility criteria and rewards.
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Employer Of Record Time Sheet
PDF template
A timesheet form for tracking employee hours and services, particularly for respite care services.
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FacultyStaff Voluntary Payroll Deduction Form For Tax Deductible Donations To The EOU Foundation
PDF template
A form allowing faculty and staff to set up voluntary monthly payroll deductions for tax-deductible donations to the EOU Foundation.
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FacultyStaff Voluntary Payroll Deduction Form For Tax Deductible Donations To The EOU Foundation
PDF template
A form for faculty and staff to set up voluntary monthly payroll deductions for donations to the EOU Foundation
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EPAR Timesheet
PDF template
A standard timesheet form for tracking employee work hours and payroll information.
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TIME OFF REQUEST FORM
PDF template
A form for employees to request vacation, sick, personal, or flex time with specific instructions and approval process.
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OMNI EPerformance Training AP EPerformance Quick Reference Supervisor And Employee Actions
PDF template
A step-by-step guide for supervisors and employees using the ePerformance evaluation system for performance reviews.
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Nomination And Declaration Form For Unexempted Exempted Establishments
PDF template
A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
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Employer Pension Guide
PDF template
Comprehensive guide for rejoining employees about pension scheme options and eligibility criteria in the Principal Civil Service Pension Scheme (PCSPS).
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Leave Request Form
PDF template
Form for employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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EPOC Invoice Template
PDF template
Instructions and template for submitting quarterly invoices for the Expanding Peer Organizational Capacity (EPOC) program by Advocates For Human Potential, Inc.
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BSWIC INDV EPO APP 01 2022
PDF template
Application form for Exclusive Provider Organization (EPO) health insurance coverage with Baylor Scott & White Insurance Company
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Kenyon College Employee Performance Program Guide For Supervisors
PDF template
A comprehensive guide outlining Kenyon College's performance management process, including quarterly check-ins and triennial performance reviews.
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Authorization Agreement For Direct Deposits (ACH Credits)
PDF template
A form allowing landowners to set up direct deposit for natural gas and/or oil interest payments from EQT Production Company.
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Equipment And Personal Items Inventory Form
PDF template
A form used to document institutional assets and personal items being returned by an employee during separation from UT Health San Antonio.
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ERCS Kudos Corner Submission Form
PDF template
A form for employees to recognize and nominate colleagues for outstanding work in a monthly newsletter feature.
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College Of The Siskiyous Emergency Contact Form
PDF template
A form for collecting employee emergency contact information and contact preferences for information release.
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Employee Resource Document
PDF template
A comprehensive resource document for employees providing emergency contacts, academic information, and campus resources.
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Retirement Checklist
PDF template
A comprehensive checklist for members preparing to retire, outlining key steps and document requirements one year before retirement.
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Employer Reimbursement Payment Agreement
PDF template
An agreement allowing students to defer tuition payment based on anticipated employer reimbursement for educational expenses.
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ElectricianS Retirement Fund Benefit Application Packet
PDF template
An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
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Emergency Ride Home (ERH) Reimbursement Form
PDF template
Form for employees to request reimbursement for emergency transportation home under specific qualifying circumstances.
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NEW UPDATE IMPORTANT PAYROLL INFORMATION FOR ALL FACULTY AND STAFF
PDF template
Notification about the new PeopleSoft payroll system requiring all employees to submit time and leave requests electronically, eliminating traditional timecards and leave forms.
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RETIREE INSURANCE ENROLLMENT FORM
PDF template
A form for Texas Employees Retirement System retirees to enroll in insurance and provide Medicare information
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ES 4316 EES InterviewScreen
PDF template
A screening form to evaluate employee eligibility for intervention services based on multiple risk factors
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ESA 1126A FORFFA Cancellation Of Direct Deposit
PDF template
Official form for cancelling direct deposit for unemployment insurance benefits in Arizona
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Invoice Instructions
PDF template
Comprehensive guide for submitting invoices and payment documentation for energy service contracts with detailed requirements and instructions.
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Payroll Deduction Authorization Form For Panther Employee ScholarshipWaiver Program
PDF template
Authorization form for Prairie View A&M University employees to have tuition and fees deducted directly from their paycheck
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ESP Performance Review
PDF template
A comprehensive evaluation form for assessing employee performance across multiple job characteristics and skills.
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Vehicle Registration Form
PDF template
A form for registering vehicles for employees at Vassar College, used to track campus parking and vehicle information.
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Remote LearningExtended Time Automatic Billing Form
PDF template
A form authorizing automatic billing for remote learning program fees with payment details and terms.
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EMPLOYEE TIME OFF REQUEST FORM
PDF template
A form for employees to request various types of time off, including sick leave, vacation, and bereavement
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CREDIT APPLICATION
PDF template
A credit application form for businesses seeking to establish credit terms with Eurofins Laboratory
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Carter County PERSONNEL PERFORMANCE REVIEW FORM
PDF template
A comprehensive form for evaluating employee performance across multiple job competency categories.
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Event Expense Reimbursement Form
PDF template
Form for reimbursing event expenses for approved sporting events at fire stations, with a $500 annual benefit maximum.
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Student Evolve Refund Request Form
PDF template
A form for students at Milwaukee Area Technical College to request a refund or transfer for an exam payment.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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EXCHANGE REFUND REQUEST FORM
PDF template
A form for customers to request a refund for purchased items, to be processed by the Exchange Business Office.
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EXIT CHECKLIST
PDF template
A comprehensive form for employees to complete when leaving their position, covering key administrative and logistical tasks during the exit process.
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EMPLOYEE CLEARANCE CHECK LIST
PDF template
A comprehensive form for documenting an employee's departure from an organization, covering departmental clearance and separation details.
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Stephen F. Austin State University ADDRESSNAME CHANGE FORM
PDF template
A form for university employees to update personal information including name, address, and contact details.
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EXIT INTERVIEW FORM
PDF template
A comprehensive form tracking an employee's departure process, including benefits, equipment return, and final payroll details.
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SEMA4 EMPLOYEE EXPENSE REPORT
PDF template
A form for employees to document and request reimbursement for travel-related expenses and mileage.
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Expense Reporting Form
PDF template
A comprehensive form for documenting and requesting various types of non-standard expense reimbursements and payments at an educational institution.
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EXPENSE REIMBURSEMENT PROCEDURES
PDF template
Comprehensive guidelines for employee expense reimbursement covering business expenses and travel, aligned with IRS accountable plan regulations.
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SEMA4 Employee Expense Report
PDF template
A comprehensive form for employees to report travel expenses, mileage, and other reimbursable costs for business trips.
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EXPENSE REPORT
PDF template
A form for employees to report and request reimbursement for work-related expenses, including travel and miscellaneous costs.
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SEMA4 Employee Expense Report
PDF template
A detailed form for documenting employee travel expenses, mileage reimbursement, and other related costs.
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Payroll Deduction Authorization Form
PDF template
Form for Florida International University (FIU) employees to authorize payroll deductions for summer camp registration and related services.
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Express Benefit Report
PDF template
A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
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Presidential Rank Award (PRA) Express Billing Form
PDF template
Financial document for submitting and obligating payment for Presidential Rank Award nominees to the Office of Personnel Management (OPM)
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Express Scripts Prescription Order Form
PDF template
A form for submitting prescription orders to Express Scripts with payment and member information details.
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EXTENDED LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request extended leave, including details about leave type, duration, and supporting documentation.
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Texas City ISD Extended Leave Request Form
PDF template
A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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Extra Service Checklist
PDF template
Procedural guidelines for university employees seeking approval for additional work assignments beyond standard employment duties.
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Eyeglass Reimbursement Form
PDF template
A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
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EnrollmentChange Form
PDF template
A form for enrolling or changing employee and family insurance coverage with Fidelity Security Life Insurance Company.
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EnrollmentChange Form
PDF template
Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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Direct Deposit Request Form
PDF template
Form for employees to request direct deposit of paycheck into bank account(s)
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Employer Health Insurance Verification Individual Follow Up Health Insurance Information
PDF template
A form for employers to verify health insurance benefits offered to employees and their families for BadgerCare Plus applicants.
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TCNJ FACULTY AND STAFF CAMPAIGN Payroll Deduction Form
PDF template
Form for TCNJ employees to set up or modify charitable payroll deductions to various institutional funds and programs.
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Change Of Address Form Benefit Recipient
PDF template
A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
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Change Of Address Form
PDF template
A form for members to update their mailing address for various trust fund communications and services.
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Wisconsin Medicaid Services Application
PDF template
Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
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Medicaid Asset Assessment
PDF template
A form to evaluate the total assets owned by a Medicaid applicant and their spouse to determine eligibility for Medicaid benefits.
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Form 2159 Payroll Deduction Agreement
PDF template
A form for establishing payroll deductions to pay tax liabilities through automatic wage withholding by an employer.
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Puget Sound Benefits Trust Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
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NW Plumbers Pipefitters Health Fund Change Of Address Form
PDF template
A form for updating personal contact information for members of the NW Plumbers & Pipefitters Health Fund
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Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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Change Of Address Form
PDF template
A form for employees to update their contact information with the Puget Sound Electrical Workers Trust Funds.
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Enrollment Form F33
PDF template
Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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Form 433 H
PDF template
Internal Revenue Service form for requesting an installment agreement for tax liabilities over $50,000 or unpayable within 72 months.
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Income Tax Installment Payment Agreement Request
PDF template
A New York State form for requesting an installment payment plan for income tax owed
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Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, covering coverage information, work schedule, and earnings details.
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Change Of Address Form
PDF template
A form for union members to update their contact information with the trust funds administration office.
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Form WT 4A Worksheet For Employee Withholding Agreement
PDF template
A worksheet for employees to adjust their income tax withholding for 2015 in Wisconsin based on estimated tax liability.
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Change Of Address Form
PDF template
A form for employees to update their personal contact information with the Engineers-AGC Retirement Trust
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Change Of Address Form
PDF template
A form for members of Steamfitters Local Union 602 to update their personal contact information for benefit funds records.
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Form 943 EmployerS Annual Tax Return For Agricultural Employees
PDF template
IRS tax form for reporting wages, social security taxes, Medicare taxes, and federal income tax withholding for agricultural employees.
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Form 9465 Installment Agreement Request
PDF template
A form used by taxpayers to request an installment agreement for paying outstanding tax debt to the Internal Revenue Service.
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Tax Form 9783 With Instructions
PDF template
Enrollment form for the Electronic Federal Tax Payment System (EFTPS) for individual taxpayers to register or update financial institution information.
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FAA Child Care Subsidy Program Monthly Invoice Form
PDF template
A form for FAA employees to submit monthly child care service costs and receive subsidy reimbursement.
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FAA Student Coaching And Feedback Form
PDF template
A documentation form for supervisor-employee conversations regarding performance coaching and feedback at the FAA.
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Appendix 1 To FAA NATCA FFCRA MOU
PDF template
A document for employees to request emergency leave related to COVID-19 under the Families First Coronavirus Response Act.
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Faculty Assembly (FA) Payroll Deduction Form
PDF template
A form for faculty members to authorize payroll deductions for the Faculty Assembly contributions for fiscal year 2015/16.
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9 Month Faculty Cancellation Form For Deferred Pay
PDF template
A form allowing faculty members to cancel their election to defer salary for a 9-month academic appointment and switch to standard bi-weekly pay periods.
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FACULTY LED PROGRAM PAYMENT REQUEST FORM
PDF template
A form for requesting payment for faculty-led study abroad program expenses, detailing payment method and vendor information.
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Faculty Payroll Authorization Form
PDF template
Form for full-time faculty to choose between academic year or fiscal year payroll distribution options.
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Faculty Staff Campaign Payroll Deduction
PDF template
A form for Anna Maria College employees to authorize payroll deductions for charitable giving to the institution.
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Payroll Deduction Form
PDF template
A document allowing employees to authorize monthly or one-time payroll deductions for university donations and support various campus programs and funds.
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Payroll Deduction Form
PDF template
A form allowing Chapman University employees to authorize regular charitable donations through payroll deductions to various university programs and funds.
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FacultyStaff Payroll Deduction Form
PDF template
A form for faculty and staff to make charitable donations to Metro State University through payroll deductions or other payment methods.
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FacultyStaff Payroll Deduction Form
PDF template
A form for Widener University faculty and staff to set up recurring or one-time payroll donations to university funds.
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Student Direct Deposit Authorization Instructions
PDF template
Instructions for students to set up direct deposit for financial aid refunds, including documentation requirements and submission process.
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Fair Hearing Request Form
PDF template
A form for appealing MassHealth decisions and requesting a fair hearing to challenge agency actions or inactions.
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Fall 2023 Veterans Education Benefits Enrollment Form
PDF template
A form for veterans to enroll and verify educational benefits and student status at the University at Buffalo for the Fall 2023 term.
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Florida Atlantic University Fee Payment Information Bulletin
PDF template
Comprehensive fee payment schedule and information for Florida Atlantic University's Fall 2024 semester, detailing payment plans and important dates.
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Study Order Form
PDF template
Order form for purchasing FAMIC study reports and executive summaries with payment and membership options.
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Emergency Sick Leave Request
PDF template
A form for employees to request emergency sick leave due to COVID-19 related reasons between April 1 and December 31, 2020.
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Family And Medical Leave Request Form
PDF template
A comprehensive form for employees to request unpaid family and medical leave under federal FMLA guidelines, detailing leave entitlements and notice requirements.
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ELIGIBILITY AND BILLING FORM
PDF template
Form for qualifying for corporate and family education benefits at DeVry University, detailing eligibility requirements and student/employer information.
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NECAIBEW Family Medical Care Plan Family Enrollment Form
PDF template
An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
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Family Medical Leave Request Form
PDF template
A form for Rappahannock County Public Schools employees to request family or medical leave with required documentation from healthcare providers.
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APPLICATION FOR GRANT OF FAMILY PENSION
PDF template
Application form for requesting family pension benefits from Bank of Baroda Pension Fund Trust after the death of a pensioner.
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Educational Benefit Tax Exemption Frequently Asked Questions
PDF template
A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
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Frequently Asked Questions (FAQs) (Part Time Worker Trainer)
PDF template
Comprehensive guide for part-time worker trainers explaining payment processes, expense reimbursement, and tax form requirements.
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Frequently Asked Questions (FAQs) Part Time Worker Trainer
PDF template
Comprehensive guide for part-time worker-trainers covering payment processing, direct deposit, tax forms, and expense reimbursement procedures.
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FAQs CVS Caremark Pharmacy Transition
PDF template
Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
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FAS Payment Request Invoice Form
PDF template
A form for submitting payment requests for refunds, honorariums, prizes, and fellowships within an organization.
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Dual Benefits Reimbursement Form
PDF template
A form for open-shop contractors to request reimbursement for employer-sponsored benefit plan contributions while working on City of Seattle projects.
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Attendance Form
PDF template
A template for tracking student attendance with numbered rows for names and student numbers.
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Direct Deposit Request Form
PDF template
A form for authorizing direct deposit of paychecks into a credit union account.
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Florida Atlantic University Standard ArchitectEngineer Invoice Form
PDF template
Standard invoice form for architects and engineers working on Florida Atlantic University projects
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Courier Delivery Form
PDF template
A form for authorizing courier delivery of FAVN reports from the Kansas State University Rabies Laboratory with payment options.
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Faxed Timesheet Policy
PDF template
Policy outlining rules and procedures for submitting timesheets via fax for regular payroll processing.
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Getting Started With Fulton Bank
PDF template
A comprehensive guide for new Fulton Bank customers explaining how to set up and manage a new bank account
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Retiree Enrollment Form
PDF template
Enrollment form for Fulton County retirees to select health and dental plan coverage options and update personal information.
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STATEMENT OF FACTS SUPPORTING ELIGIBILITY FOR AFDC FOSTER CARE(FC)
PDF template
California state form documenting a foster child's eligibility for AFDC-Foster Care benefits and personal information.
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FBI Direct Deposit Form
PDF template
A form for FBI employees to authorize electronic payroll deposit into one or more bank accounts
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Claim For Dismemberment Benefits
PDF template
A federal employee insurance claim form for documenting loss of limb or eyesight benefits under the Federal Employees' Group Life Insurance Program.
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U.S. Citizens And Resident Non Citizens Federal State Withholding Forms
PDF template
Comprehensive guide for federal and state tax withholding for U.S. citizens and resident non-citizens, explaining how to update tax forms online.
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Standard Form 1199A
PDF template
Government form for establishing direct deposit of federal payments into a financial institution account.
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Special Federal Requirements Applicable To Labor For Federal Aid Contracts
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Document outlining federal labor regulations and compliance requirements for contractors working on federally-aided projects.
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FAMILY OR MEDICAL LEAVE REQUEST FORM
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COVID 19 LEAVE REQUEST FORM
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Payroll Deduction Form
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Leave Request
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Change Address
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Southern State Community College Employee Contribution Form
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Gift Authorization Form Employee Payroll Deduction
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Employee Donation Payroll Deduction Form
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NCCU Foundation Inc. Funds Requisition Instructions
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Payroll Deduction AuthorizationChange Form
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Payroll Deduction AuthorizationChange Form
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Payroll Deduction Form
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Employee Performance Review
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Employee Performance Review
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Time Off Request Form Hourly
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Enrollment Form
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Section 125 Flexible Benefit Plan Direct Deposit Form
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Direct Deposit Authorization Request
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FSA Dependent Care Reimbursement Form
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Authorization Agreement For Direct Deposit Of Flex Or Transit Reimbursement
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Flexible Spending Accounts (FSA) Program EnrollmentChange Form
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2024 Flexible Spending Account EnrollmentChange Form
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Enrollment Form Flexible Spending Account(S)
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Recurring Claim Form
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Discrimination Complaint Form
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Form for reporting discrimination complaints by students, employees, or other individuals within the college community.
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Employee Direct Deposit Banking Authorization Form
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Virginia Tech Employee Software Sales Order Form
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PENSION BENEFIT APPLICATION FORM
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FUNCTION BOOKING FORM
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Funds Transfer Request Form
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Fund Eligibility And Membership Section
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Funeral Benefit Application Form
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Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
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ORGANIZATION OF STAFF ANALYSTS FURLOUGH SURVEY FORM
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Survey form for staff members to indicate interest in taking a voluntary leave of absence with potential health benefit considerations.
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FURLOUGH SURVEY FORM
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Survey form for staff analysts to indicate interest in taking a leave of absence with health benefit conditions.
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Rental Checklist
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A comprehensive checklist for renting the Fairmount Water Works venue, outlining required steps, documentation, and payment procedures.
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FY13 Annual Report Form
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Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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Organizational Membership Form
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Form for organizations to become members of MAPS with different membership levels and benefits
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Benefits Open Enrollment Form 2020
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Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
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FacultyStaff Payroll Deduction Form
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Form for Widener University faculty and staff to set up recurring or fixed payroll donations to university funds.
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Form G 615 (06 19) EmployerS Supply Requisition
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DR 1 Disability Benefit Application
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ACHDIRECT DEPOSIT AUTHORIZATION FOR VENDOR PAYMENTS
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West Virginia Guardian Ad Litem Invoice Submission Requirements
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Guidelines for submitting invoices for Guardian Ad Litem services in West Virginia courts, covering form requirements and payment information.
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Time Off Request Form
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CATERING ORDER FORM
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
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IHSS General FAQ About CMIPS II
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Overview of the new Case Management Information and Payroll System II (CMIPS II) for In Home Supportive Services program in California.
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General Inquiry Form
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A form for individuals to submit questions or issues related to Medicaid services and benefits.
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Request For Leave Of Absence Form
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A comprehensive form for employees to request leave of absence for various personal and family reasons, including documentation requirements.
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Bridge To Wellness Wellbeing Program General Medical Form
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A form for employees to document preventative medical, dental, eye, and dermatology examinations for a workplace wellness program.
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GENERAL CLAIM SUBMISSION FORM
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A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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Direct Deposit Authorization
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Invoice
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Pre Authorized Debit (PAD) Agreement
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Personal Vehicle Use Form
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Form documenting employee personal vehicle usage and insurance details for official district business and field trips.
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Make Sure You Receive Your Retirement Benefits On Time
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A guide for managing the transition to pension payments, focusing on documentation and timing for retirement benefits from the Government Employees Pension Fund.
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Employer Notice Of Claim Long Term Disability
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A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
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Short Term Disability Claim Form
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A form for employees to file a claim for short-term disability benefits, documenting medical leave and disability details.
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Gibson Beach Rentals, Inc. Rental Policies
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Health Savings Account (HSA) Contribution Form
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Health Savings Account Employer Contribution Form
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Health Savings Account Payroll Deduction 2021
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Health Savings Account (HSA) Payroll Deduction Form
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HSA Payroll Deduction Authorization Form
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Health Savings Account Payroll Deduction Form
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IncidentHazard Report Program
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Consumer Directed Services Authorization Form
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Direct Deposit Form
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Inactive Employee Change Of Address Form
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Inactive Employee Change Of Address Form
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Form for inactive employees to update their mailing address for W2 tax documents at George Washington University.
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Workplace Violence Incident Investigation Form
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Incident Report
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Employee, Volunteer Youth AccidentIncident Report Form
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Employee, Volunteer Youth AccidentIncident Report Form
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Guide explaining new prescription drug coverage details for county employees through Caremark beginning January 1, 2011.
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Independent Contractor Fee Payment Only Request
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Independent Contractor Guide
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General Terms Conditions (Individuals)
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Individual Reimbursement Form
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Initial Interview Form
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Louisiana State Employees Retirement System Purchase Of Service Credit For Military Service
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Proposed amendments to retirement system rules regarding military service credit purchase, aligning with federal and state regulations.
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Risk Assessment For Hazardous Agents And Animal Contact
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ABB Supplier Inquiry Form
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Installment Agreement Form
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Individual Request For Approval For Out Of State Travel
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West Virginia Guardian Ad Litem Invoice Submission Requirements
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Detailed instructions for Guardian Ad Litem professionals submitting invoices for payment in West Virginia courts.
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Dental Insurance Information
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Insurance form for collecting patient dental insurance details and treatment consent
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EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
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Form for employees to waive group health insurance coverage due to alternative coverage.
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DELL COMPUTER REQUEST FORM
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IntakeReferral Form
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State Income Tax Withholding Forms
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Comprehensive guide for employees to complete state income tax withholding forms across multiple states with electronic and paper submission options.
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Payroll Deduction Form
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Interim Evaluation Form
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Internal Employee Transfer Request Form
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Internal Mobility Applicant Interview Form
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Internal Transfer Request Form
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International Travel Form For VISA Debit Card
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Form for travelers to notify their bank about international travel plans and card usage details.
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Employee Direct Deposit Authorization Form
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Application Form For Invalidity Pension
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Investigation Checklist Form
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Durham Technical Community College Invoice Approval Form
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Internal document used for approving and processing vendor invoices at Durham Technical Community College.
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Contract Payment Checklist
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Invoice Form
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Invoice Form For All Grantees
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Invoice Form
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California State University, Fullerton Invoice
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Official invoice document for tracking financial transactions and service payments at California State University, Fullerton.
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ROCA Competition Team Registration Form
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Instructions For Submittal Of AE Consultant Invoice For Payment
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Instructions For Submittal Of Contractor Invoice For Payment
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Invoice Processing Guidelines
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Detailed instructions for submitting, tracking, and processing invoices for contractors working with EDIC/JCS.
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CACM REGISTRATION FORM
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Registration form for industry partners to attend CACM events with payment and contact information collection.
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Form W 11, Hiring Incentives To Restore Employment (HIRE) Act Employee Affidavit
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IRS form to help employers claim payroll tax exemption for newly hired workers during 2010 under the HIRE Act.
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Incident Report Form
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A standardized form for documenting workplace incidents, injuries, or damages involving employees or volunteers.
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Impairment Related Work Expense Request
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Form for reporting work-related expenses for Social Security disability beneficiaries to potentially offset income calculations.
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Information Technology Project Request Form
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EmployeeS Withholding Allowance Certificate
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IT Addendum To ContractorS Contract Form
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An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
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CDW Customer Service Order Form
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Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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GOLD COAST TRANSIT TRAVEL OTHER EXPENSE REPORT FORM
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A form for employees to report and request reimbursement for travel and miscellaneous expenses.
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GOLD COAST TRANSIT TRAVEL OTHER EXPENSE REPORT FORM
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A form for documenting employee travel expenses and reimbursement claims for Gold Coast Transit.
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I.T Maintenance Request Form
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A form used to document and track IT equipment maintenance requests within an organization.
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ITP 3 Technology Governance And Procurement Review
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Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
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Information Technology Professional Services Agreement
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A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
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SIUE ITS Network Infrastructure Management Service Requisition Form
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A form for requesting network and infrastructure services at Southern Illinois University Edwardsville (SIUE)
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Information Technology Services Purchase Requisition Form
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Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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Payroll Deduction Authorization Form
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Form for employees to authorize ongoing or one-time payroll deductions to the Wesleyan Fund
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Job Aide International Guest Lecturer (IGL)
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A step-by-step guide for processing payments to international guest lecturers at MICA, including required documentation and payment procedures.
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Job Related Training And Education Employee Request Form
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Form for employees to request tuition reimbursement and time off for job-related educational programs at UTHealth.
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University SystemEmployee Intellectual Property Joint Participation MUSP 407
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A form for university employees to seek approval for intellectual property arrangements involving business entities and potential conflicts of interest.
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Bradshaw Christian Junior Pride Payment Plan Form
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A form allowing families to propose a payment plan for the $300 football registration fee at Bradshaw Christian School.
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Authorization, Agreement, And Certification Of Training
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A comprehensive document for recording employee training details, course information, and agency-specific training data.
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HR Change Of Address Form
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A form for employees to update their personal contact information and notify benefits vendors of address changes.
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Prompt Payment Interest Rate Notice
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Official notice of the prompt payment interest rate for government contracts from July 1 to December 31, 2019.
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Transitions
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Monthly update document from Massachusetts Department of Transitional Assistance covering case transfer functionality, MBTA fare changes, and participation form guidelines.
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Payment Request Form
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A guide for processing payments for suppliers without traditional invoices, including steps to complete a payment request form.
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Jury DutyPre Trial Attendance Form
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Form for documenting an employee's attendance and time spent for jury duty or pre-trial proceedings.
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KPERS 15B Direct Deposit Agreement
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Form for setting up direct deposit of retirement benefits with Kansas Public Employees Retirement System
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DESIGNATION OF BENEFICIARY FOR LIFE INSURANCE KANSAS BOARD OF REGENTS MEMBERS
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Official form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS insurance benefits.
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Kaiser Permanente Payment Selection Form
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A form for selecting automatic payment methods via bank account or credit card for Kaiser Permanente services.
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Peralta Community College District Reimbursement Form
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Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
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COVID 19 Leave Request Form
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Form for Kansas Department of Transportation employees to request leave related to COVID-19 testing and isolation
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KeyAccess Card Request Form
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Form for requesting keys and access cards for college employees, outlining access and usage requirements.
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Key Electronic Access Request Form
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Form for requesting building, room, and electronic access for employees at an organization, including key and FOB/PROX card requests.
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KEY AUTHORIZATION FORM FOR FAU JUPITER CAMPUS KEY(S)
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A form for requesting and tracking key issuance to employees at Florida Atlantic University's Jupiter Campus, detailing key distribution and return procedures.
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Keynote Banquet Ticket Purchase Form
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A ticket purchase form for a keynote banquet event with meal selection and payment options.
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KEY (ACCESS) REQUISITION
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Form used to request new keys or access changes for employees at an educational institution
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Aflac Cancer Wellness Claim Form
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Document providing guidance on filing wellness claims with Aflac insurance and information about Primary Care Provider (PCP) selection.
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My Benefits Manager Provider Portal Guide
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A comprehensive guide for healthcare providers to navigate the My Benefits Manager portal for claims, eligibility, and authorization management.
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KPERS Retirement Application
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Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
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2025 Value Added Benefits
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Comprehensive benefits guide for pregnant and new mothers, offering rewards, support programs, and additional healthcare services.
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KUDOS Nomination Form
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A form for nominating employees in the Office of Human Resources for outstanding performance in specific award categories.
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Campus Kudos Nomination Form
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Consumer Cancellation For Direct Payment Via ACH
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Revenue Form K 4
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A tax form for employees to claim withholding exemptions for Kentucky state income tax purposes.
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Benefit Application Form For Ontario Works
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A comprehensive application form for accessing various social assistance benefits and support services in Ontario, specifically for Gull Bay First Nation.
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CAMERON UNIVERSITY LEAVE REQUEST FORM
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A form for employees to request various types of leave including vacation, sick, or special leave at Cameron University.
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Application For Pension
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Comprehensive pension application package for laborers seeking to start their pension benefit, including forms and instructions for benefit election.
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Labor Interview Form
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A detailed form to collect employee information, work details, and employment status for contractors and subcontractors.
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Labor Interview Form
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A document used to collect detailed information about employees during a labor interview in construction projects.
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Bessie Marshall Benefit Fund Instructions
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Detailed instructions for members to apply for weekly benefits in case of sickness or injury, with specific eligibility requirements and limitations.
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Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
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Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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PROOF OF DISABILITY CLAIM FORM
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A form for employees to document and claim disability benefits through the Labor Alliance Managed Trust Fund.
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Landscape Deposit Refund Request Form
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A form for property owners to request refund of landscape deposit after passing landscape inspection in the City of Chicago.
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Continuing Studies Appointment Form
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A comprehensive form for new employee appointments and continuing studies staff documentation at Langara College.
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Reimbursement Of Overdue Expense Reports Overview
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Policy detailing how University of Michigan faculty and staff can submit reimbursement for business expenses incurred before October 14, 2009.
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Associate Payroll Deduction Form
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A form for employees to authorize recurring or one-time payroll deductions for charitable contributions.
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LDSS 2642 Documentation Requirements
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A form detailing documentation needed to prove various eligibility factors for social services or benefits application.
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Department Leave Audit Form
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A comprehensive form for auditing and documenting employee leave balances, accruals, and usage within a department.
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Old Dominion University Research Foundation Leave Request Form
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A form for employees to request various types of leave from the ODU Research Foundation, documenting leave type, duration, and supervisor approval.
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Leave Request Form
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A form for employees to request leave under FFCRA, ADA, or discretionary leave policies related to COVID-19 circumstances.
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Leave Request Form
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A comprehensive form for Wellesley Public Schools employees to request various types of leave of absence.
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LEAVE OF ABSENCE REQUEST FORM
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Detailed guidelines for employees requesting a leave of absence, including required documentation for various types of leave.
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LEAVE REQUEST FORM
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A form for employees to request various types of leave including personal, vacation, sick, bereavement, and other leave types.
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Leave Request Form
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A form for employees to request various types of leave, including family medical, annual, compensatory, and sick leave.
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Leave Request And Approval
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Official form for requesting and documenting various types of employee leave in the Alabama Unified Judicial System
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EMPLOYEE LEAVE REQUEST FORM
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Procedural guidelines for employees to request leave, including submission, supervisor approval, and HR processing steps.
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Leave Request Form
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Form for employees to request paid family and sick leave under COVID-19 emergency provisions.
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Middlesex Community College Leave Request Form
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A form for employees to request various types of leave and obtain supervisor approval at Middlesex Community College.
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K State Student Union Leave Request Form
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A form for employees to request time off, documenting leave details and supervisor approval.
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Leave Request Form
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A form for employees to request time off, specifying type and duration of leave.
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Leave Request Form 12 Month Employees
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A form for 12-month employees to request and document different types of leave, including vacation, sick leave, and family medical leave.
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COVID19 Leave Request Form
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A form for employees to request leave related to COVID-19 public health emergency situations
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Leave Request Form
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A form for employees of Huron-Superior Catholic District School Board to request various types of leave and time off.
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Leave Request Form
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A comprehensive form for employees to request various types of leave, including annual, sick, compensatory, military, and witness/jury leave.
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LEAVE REQUEST FORM
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A form for employees to document and request various types of leave including vacation, sick leave, and special leave.
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Leave Request Form Management
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A comprehensive form for employees to request various types of leave, including medical, family, and parental leave.
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NAUSET PUBLIC SCHOOLS LEAVE REQUEST FORM
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A comprehensive form for Nauset Public Schools employees to request various types of leave, including personal, sick, vacation, and other leave types.
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LEAVE REQUEST FORM
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A form for employees to request time off work for various leave types including vacation, sick leave, and personal leave.
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Vacation Personal Leave Request
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Form for employees to request vacation or personal leave time with supervisor approval
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Leave Request Form
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A form for employees to request time off, including vacation, unpaid leave, or other types of leave.
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CORVALLIS SCHOOL DISTRICTLEAVE REQUEST
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A comprehensive form for employees to request various types of leave, including bereavement, professional, sick, and vacation leave.
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Time Off Request Policy
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Comprehensive policy and form detailing the process for employees to request and document various types of leave from their organization.
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Transportation Time Off Request Form
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A form for transportation employees to request time off, with specific guidelines for drivers and monitors.
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CITY OF SOCORRO LEAVE REQUEST FORM
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A comprehensive form for employees to request various types of leave and for HR to track and approve leave requests.
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Disability Claim Form
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A comprehensive form for employees to file a disability claim, documenting injury/illness details, personal information, and income sources.
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Extra Duty And Overtime Timesheets Instructions
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Detailed instructions for employees to complete and submit extra duty and overtime timesheets for payment processing.
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LIHEAP INVOICE PAYMENT REQUEST FORM
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A form for submitting payment requests and financial documentation for the Low Income Home Energy Assistance Program (LIHEAP)
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Disability Claim Form
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A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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LIFE INSURANCE FORM
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A form for employees to designate primary and contingent life insurance beneficiaries with personal and contact information.
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Retiree Life Cancellation Form
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Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
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PAID TIME OFF (PTO) REQUEST
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A form for employees to request and track paid time off (PTO) hours within the LifeWorks organization.
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State Of Florida Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits through the State of Florida's insurance program administered by Cigna.
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Child Nutrition Refund Request Form
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A form for parents to request refunds from their student's school lunch account in the Queen Creek Unified School District.
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LIONCASH REFUND REQUEST FORM
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A form for students, faculty, and staff to request refunds from their LionCash+ account at Penn State University.
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Longview Independent School District Universal Direct Deposit Form
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A form for employees to set up or modify bank account details for payroll direct deposit with Longview Independent School District.
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UNall HR Service Requests
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Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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Living Wage Compliance Form
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A form certifying contractor compliance with the City of Pasadena's Living Wage Ordinance for municipal contracts over $25,000.
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LLNS Prescription Drug Benefit For Anthem Members
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A summary of prescription drug benefits for Anthem members provided by CVS/Caremark, covering retail and mail-order pharmacy options.
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Medium Term Loan Application Form
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A loan application form for bank employees seeking a medium-term loan from their cooperative society, requiring personal and employment details.
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Leave Of Absence Request Form
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EQUIPMENT MACHINE EMISSION COMPLIANCE FORM (LL 77)
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A form for documenting and obtaining compliance for equipment and machine emissions in New York City
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Disability Claim Form FL
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A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
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Long Term Disability Insurance For Judges Attorneys FAQs
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Informational document about long-term disability insurance options for New Mexico Judicial Branch judges and attorneys through Northwestern Mutual.
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Payment Agreement For Love Takes Root Sponsorship Program
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A form allowing donors to set up monthly or annual payment methods for child sponsorship with Love Takes Root.
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A.C.E Award Nomination Form
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A form for nominating employees for outstanding performance in specific professional categories.
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Direct Deposit Authorization Form
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A form for employees to set up direct deposit for payroll with their financial institution details.
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Payment Agreement Form
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Insurance Cancellation Request
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A form for employees to request cancellation of group insurance coverage, specifically long-term disability insurance.
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Group LTD Insurance Cancellation Form
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Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
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Long Term Disability Claim Form
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A claim form for employees to submit long-term disability insurance claims with personal and medical information.
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Disability Claim Form
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A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
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Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
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Long Term Disability Claim Form Employer Statement
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Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
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Long Term Disability Claim Form Statement Of Employer
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A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
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Lumpsum Pension Paypoint Form
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A form authorizing the payment of pension or lump sum funds to a specified Sacco account at Cooperative Bank of Kenya.
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ORPTSA Transfer Approval Form
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A form for Lamar University employees to transfer or rollover retirement accounts between vendors or plans
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Changes To The Permanent Change Of Station (PCS) Authorization Process
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Department of the Interior memorandum detailing new procedures for creating Permanent Change of Station authorizations using the Financial and Business Management System (FBMS).
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Form M 1 Report For Multiple Employer Welfare Arrangements (MEWAs) And Certain Entities Claiming Exc
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A Department of Labor form for reporting multiple employer welfare arrangements and entities claiming exception to health coverage regulations.
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Payroll Direct Deposit Form
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Form for employees to set up or modify direct deposit of payroll to primary and secondary bank accounts
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Massachusetts EmployeeS Withholding Exemption Certificate
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State tax form for employees to claim withholding exemptions and personal tax information in Massachusetts
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DPS Mutual Fund Enrollment
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Instructions for enrolling in a mutual fund through Texas Department of Public Safety, with electronic and paper submission options.
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North Carolina Medicaid Aged, Blind And Disabled Medicaid Manual
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Guidelines for handling Medicaid application inquiries and documenting when an individual chooses not to apply for assistance.
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MacGill Order Form
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Order form for purchasing school health center supplies with shipping and payment terms
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MA Health Care Coverage Waiver Form
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Form for employees to decline employer-sponsored health insurance coverage with options for alternative coverage
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Workers Compensation Audit Report Form
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A detailed form for documenting payroll, employee information, and policy details for workers compensation insurance auditing purposes.
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Employee Emergency Contact Form
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A form for collecting employee contact details and emergency contact information in case of workplace emergencies.
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Major Disaster Leave Request Form
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A form for employees to request leave due to major disaster impacts on themselves or immediate family.
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Massachusetts EmployeeS Withholding Exemption Certificate
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Tax form for employees to claim withholding exemptions in Massachusetts for state income tax purposes.
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Payroll Deduction Authorization
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Authorization form for automatic monthly payroll deductions for PCC Management Association membership dues.
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Management Evaluation Form
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A comprehensive form for assessing an employee's professional performance across multiple competency areas.
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Extended Health Care Claim
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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Payroll Deduction Authorization Form
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Authorization form for payroll deductions to the SMC Management Association with monthly contribution options.
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Faculty Staff Contribution Form
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A donation form for faculty and staff to make financial contributions to Maria College through payroll deduction, credit card, or check.
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REQUEST TO ISSUE A REFUND
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A form for requesting a refund for an electronic payment made to Florida Atlantic University
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ITP 1 Technology Governance And Procurement Review
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Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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Employee Expense Report
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A form for employees to document and report travel-related expenses, including both personal and company-paid expenditures.
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MASA Medical Air Services Association Employee Payroll Deduction Authorization Form
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Employee authorization form for automatic payroll deductions for MASA membership dues with terms and conditions.
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Operative Plasterers And Cement Masons Profit Sharing Annuity Plan Summary Plan Description
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A summary plan description for a profit sharing annuity plan for plasterers and cement masons, detailing plan provisions as of October 31, 2002.
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Application Form For Maternity Benefit
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Official form for applying for maternity benefits through Social Welfare Services, providing guidance for employees and self-employed individuals
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Application Form For Maternity Benefit
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A comprehensive form for employees and self-employed individuals to apply for maternity leave benefits in Ireland.
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Short Term Disability Insurance For Maternity Leave
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A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
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University Of North Carolina School Of The Arts Expenditure Guidelines
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A comprehensive matrix providing guidance on payment methods and expenditure rules for various transaction types at the University of North Carolina School of the Arts.
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Weekly Certified Payroll Report And Workforce Participation Form
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A detailed payroll reporting document for public works projects tracking employee hours, wages, and workforce diversity participation.
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Bank Account Withdrawal Pre Authorization Form
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A form allowing Medicare Advantage members to authorize electronic funds transfer for monthly plan premiums from their bank account.
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Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
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A comprehensive form for attorneys to enroll, change, or waive health insurance coverage through the Multnomah Bar Association.
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Direct Deposit Form
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Official form for School Employees Retirement System of Ohio to establish direct deposit payment method for retirement benefits.
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Chronic Illness Benefit Application Form 2024
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An application form for patients seeking chronic illness benefits through the MultiChoice Medical Aid Scheme for the year 2024.
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Miami County YMCA Marlins Swim Team Payment Agreement
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A payment form for swimmers detailing program fees, membership requirements, and payment options for the YMCA Marlins Swim Team.
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Direct Deposit Agreement Form
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A form for authorizing automatic payroll deposits to a financial institution account by Mississippi Delta Community College employees.
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Miami Dade County Employee Benefits
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Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
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Meal Reimbursement Policy
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Comprehensive policy detailing meal expense reimbursement rules for employees traveling with or without students on college business.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
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ENROLLMENT FORM
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
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Verification Of Income And Health Insurance
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A form used to verify an employee's income details and employment status by their employer.
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H.P.T.R.6 MEDICAL CHARGES REIMBURSEMENT FORM
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A comprehensive form for employees to claim reimbursement of medical expenses with detailed documentation and verification requirements.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Medical Leave Request Form
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A comprehensive form for employees to request medical leave, family illness leave, or leave without pay due to medical reasons.
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SCREENING AND REFERRAL FORM
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A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
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H.P.T.R. 6 MEDICAL CHARGES REIMBURSEMENT FORM
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A form for treasury employees to claim reimbursement of medical expenses incurred for treatment of themselves or dependents.
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Request For Medicare Part B Reimbursement (Quarterly Or Annual)
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A form for Contra Costa Community College District retirees to request reimbursement for Medicare Part B premium payments.
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MemberS Application For Disability Retirement
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Application form and guidance for public employees seeking disability retirement benefits in Massachusetts.
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Member Inquiry Form
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A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
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Claim Form 1 Reimbursement For Out Of Network Benefit
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Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
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Cancellation Request Membership Payroll Deduction
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A form for employees to request cancellation of their membership at the Miami-Dade County Employee Wellness Center and stop payroll deductions.
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Membership Cancellation Policy
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Policy detailing membership bank draft cancellation procedures and payment withdrawal rules.
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Center For Healthy Living Membership Form
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Membership form for University of Nebraska Medical Center (UNMC) employees and affiliated individuals to join the Center for Healthy Living fitness facility.
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Privacy Act Statement Labor Organization Dues Deduction
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A form allowing federal employees to authorize payroll deductions for labor organization dues with privacy act disclosures.
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Check Distribution Changes Memo
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Memo informing employees about changes to paycheck distribution method, moving from physical pickup to mailing or direct deposit.
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Member Service Request Form
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A comprehensive form for members to request various retirement, service, and benefits-related actions.
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University Of Kentucky TerminationChange Form Merchant Account
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Form for modifying or terminating a merchant account at the University of Kentucky, covering merchant information, credit card processing, and financial details.
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Insurance Enrollment Form
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Comprehensive form for employees to enroll in various insurance coverages including life, disability, dental, and vision.
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MetLife Legal Plans EnrollmentCancellation Form
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Form for enrolling in or canceling MetLife Legal Plans insurance coverage for San Diego and Imperial County Schools employees.
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MetLife Legal Plans EnrollmentCancellation Form
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Insurance enrollment form for MetLife Legal Plan for San Diego and Imperial County Schools employees to select and authorize payroll deductions for legal plan coverage.
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EAN INVOICE FORM
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Invoice form for documenting client services, therapist information, and payment details for a healthcare service provider.
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Internship Application Form
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Application form for internship opportunities at the Museum at FIT in New York City.
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Help With Medicare Costs Medicare Savings Programs
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Application for financial assistance with Medicare premiums, copays, and deductibles, with potential SNAP enrollment option.
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Military History Checklist
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A tool to help hospice staff identify veterans, understand their military service, and assess potential VA benefits for patients and their families.
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REFERRAL FORM
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A form for referring consumers to various support services including advocacy, benefits assistance, healthcare, and employment services.
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Mileage Reimbursement Form
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Form for employees to document and request reimbursement for business-related vehicle mileage and associated expenses.
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MILEAGE REIMBURSEMENT FORM
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A form for employees to document and request reimbursement for travel between school buildings or outside the district.
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Military Plan Information
PDF template
A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
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Notice Of Potential Veterans Benefits
PDF template
A document notifying eligible veterans of their rights to purchase creditable service for military service under Massachusetts retirement laws.
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Payroll Deduction Authorization Form
PDF template
Form authorizing the University of North Carolina to deduct course fees from an employee's paycheck over multiple pay periods.
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Minor Contracted Service Invoice
PDF template
A form for documenting contracted services by a minor contractor, limited to $500 and restricted to California residents who are US citizens or permanent residents.
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Producer Remittance Report Form For MinorS Trust Deductions
PDF template
A form for producers to report and remit trust deductions for minors' earnings in independent productions
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MIP Enrollment Form
PDF template
Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
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Miscellaneous Payroll Deduction Form
PDF template
Form allowing employees to authorize payroll deductions for replacement of work-related items such as ID badges, cell phones, and other equipment.
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Mission And Community Service Leave Request Form
PDF template
A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
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Service Request Form For Software Development And System Changes
PDF template
A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
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EMPLOYEE TIME OFF REQUEST FORM
PDF template
A form for employees to request time off, specifying dates, duration, and reason for absence.
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Loan Application Form
PDF template
Comprehensive loan application form for SSS members, collecting personal, employment, and loan details for various loan types.
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No Fault Insurance Form
PDF template
A medical insurance claim form for documenting patient information and authorizing insurance benefits for accident-related medical services.
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LEAVE REQUEST FORM
PDF template
A form for employees to request and document various types of leave, including approval from supervisor
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CLINCARD STUDY PARTICIPANT PAYMENT REGISTRATION FORM
PDF template
A form for registering study participants to receive compensation via ClinCard and managing communication preferences for study visits.
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ON THE JOB TRAINING MONTHLY EVALUATION FORM
PDF template
A comprehensive monthly evaluation form for assessing trainee performance across multiple professional competency areas.
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Mortgage Gifted Deposit Form
PDF template
A form for documenting mortgage deposit gifts from benefactors to applicants, including personal and financial details.
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Payroll Adjustment Form For Moving Expense Payments
PDF template
Instructions for completing a payroll adjustment form for employee moving expense payments, including tax calculation guidance.
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MOVING EXPENSE REIMBURSEMENT FORM
PDF template
A form for employees to request reimbursement for moving expenses when relocating for work at Idaho State University.
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MOVING EXPENSES REIMBURSEMENT FORM
PDF template
A form for employees to claim reimbursement for moving-related expenses and travel costs at Colorado State University-Pueblo.
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Personal Leave Request Form
PDF template
A form for employees to request unpaid personal leave of at least 30 days from their employer.
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Filing A Claim For Insurance Benefits
PDF template
Guide for lenders on submitting insurance benefit claims through the FHA Connection system for various claim types and loss mitigation options.
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WebTA Access Request Form (MRP 352)
PDF template
Form for USDA-APHIS employees to request or terminate timekeeper web access with detailed user and supervisor information.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Form for NYC employees to enroll in or change health benefits buy-out waiver program for plan year 2024.
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REFUND REQUEST FORM
PDF template
A form for requesting refunds for programs or services with required documentation and processing details.
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Payroll Deduction Form
PDF template
Form for members to authorize automatic payroll deductions to various financial accounts and loans
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Michigan State University 403(B) Retirement Plan Loan Policy Statement
PDF template
Detailed explanation of rules and criteria for taking participant loans from the Michigan State University 403(b) Retirement Plan
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SurePay Cancellation Form
PDF template
A form for cancelling automatic quarterly assessment payments with Mililani Town Association's SurePay program.
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Employee Disability Claim Form
PDF template
Comprehensive guidelines for completing an employee disability claim form with detailed instructions for each section.
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Multiple Membership Dues Payment
PDF template
Form for paying membership dues for multiple members within an organization using a single payment method.
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Multiple Vendor Check Request Form
PDF template
A form used to request payments for multiple vendors in a single document with detailed vendor and payment information.
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Municipal Income Tax Withholding Form
PDF template
A form for employees to provide tax withholding information and authorize municipal income tax deductions in Ohio.
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Membership Form
PDF template
Membership benefits and registration form for the Museum of History and Art in Ontario, offering various membership levels and associated perks.
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Accessing Claims Online Using The Employee Portal
PDF template
A guide for employees on how to access and manage insurance claims through Mutual of Omaha's online employee portal.
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Enrollment Form
PDF template
Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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Medical Claim Reimbursement Request
PDF template
A form for members to request reimbursement for medical expenses paid out of pocket, requiring itemized receipts and proof of payment.
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Employee Change Of Personal Information Procedure
PDF template
Procedure for employees to update personal information across multiple organizational systems and departments
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HR Systems General Access Request Form
PDF template
A form for requesting access to HR systems, with options for new access, adding roles, replacing access, or inactivating access.
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ACH AUTHORIZATION FORM
PDF template
A form for vendors to provide banking details for electronic payment processing via Automated Clearing House (ACH)
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CHANGE OF ADDRESS NAME CHANGE FORM
PDF template
Form for employees to update personal information, address, name, and benefit details with their employer.
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Request For Change Of AddressName Change
PDF template
A form for Yosemite Community College District employees to update their personal contact information and legal name.
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Employee Name Change Request Form
PDF template
A form for employees to officially change their name in company records and update associated vendor contacts and access credentials.
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Automatic Dues Check Off (DCO) Direct Deposit Form
PDF template
Form for updating banking information for National Association of Postal Supervisors branch membership dues direct deposit.
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Pension Benefit Application
PDF template
Application form for pension benefits with detailed instructions for participants seeking retirement benefits from the Carpenters Pension Fund.
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HEALTH COVERAGE ENROLLMENT FORM
PDF template
Enrollment form for health benefits coverage through the National Automatic Sprinkler Industry Welfare Fund, detailing employee and dependent information.
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National Chapter Volunteer Refund Request Form
PDF template
A form for AMIGOS volunteers to request refunds from fundraising overpayments, with specific guidelines for processing and allocation.
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PAYROLL DEDUCTION FORM
PDF template
A form for NAU employees to authorize voluntary payroll deductions for donations to the President's Fund for Excellence.
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Claim Form
PDF template
A form for employees to submit healthcare and dependent care expenses for reimbursement through flexible spending accounts.
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Application For Pension
PDF template
Comprehensive pension application package for workers seeking to initiate pension benefits from the National Asbestos Workers Pension Fund.
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When You Go On LeaveMake Sure Your 1199SEIU Benefits Are Active
PDF template
Instructions for maintaining benefits during various types of leave, including paid family leave, disability, FMLA, and workers' compensation.
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One Time Contribution Form
PDF template
A form for employees to make a one-time additional contribution to their 401(k) or 457 retirement plan, typically for final payments upon separation from service.
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Community College System Of New Hampshire Employee Emergency Contact Form
PDF template
A form for collecting employee personal information and emergency contact details for the Community College System of New Hampshire.
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BHWD PWI Invoice Template
PDF template
Detailed instructions for submitting quarterly invoices for grantees, including guidelines for completing and processing invoices with Advocates For Human Potential, Inc.
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Cancer Coverage With Optional Riders Claim Form
PDF template
Insurance claim form for filing cancer coverage benefits with American Heritage Life Insurance Company.
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NDIAWID Chapter Invoice Form
PDF template
A form for submitting invoices for National Defense Industrial Association (NDIA) chapter events and expenses.
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NDIAWID Chapter Invoice Form
PDF template
A form for submitting invoices and payment details for chapters of the National Defense Industrial Association (NDIA)
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Near Miss Report Form
PDF template
A form for documenting workplace safety incidents and near-miss events with potential hazards or safety concerns.
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Direct Deposit Authorization Form
PDF template
A form allowing employees to authorize direct deposit of their pay into one or more bank accounts.
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PARKING CANCELLATION FORM
PDF template
Official form for state employees to cancel parking services and stop payroll parking deductions when leaving employment or changing parking status.
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
PDF template
A form used for setting up automated electronic payments through the Vendor Express Program with required payee and financial institution information.
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NERV (National Emergency Rental Vehicle) Payment Cover Sheet
PDF template
Cover sheet for documenting and submitting rental vehicle details for emergency response and incident support
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Nevada Public Employees Deferred Compensation Program (NDC) Payroll Contribution Form
PDF template
Form for Nevada public employees to set up or modify payroll deductions for deferred compensation programs with Hartford and ING.
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Authorization For Direct Deposit
PDF template
A form allowing employees or contractors to authorize direct deposit of their paycheck into bank accounts.
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IN LIEU OF INVOICE FORM
PDF template
A form used to request payment when standard invoice documentation is not available, for use in Harvard's B2P system.
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Credit Application Form
PDF template
Form for businesses to apply for a credit account with Nouveau Eyewear, including payment and account information.
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Mennonite Village New Scholarship Program Application
PDF template
A scholarship application form for Mennonite Village employees seeking tuition assistance for professional development and educational courses.
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Cheque Requisition
PDF template
A financial document used to request and authorize the issuance of a cheque for payment or reimbursement.
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