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Payroll Deduction For Fitness Center Membership
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A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
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BUSINESS MEMBERSHIP FORM
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A membership form for businesses to support the protection and enhancement of Michaux State Forest's natural and cultural resources.
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Medical Reimbursement Claim Form
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Form for employees to submit medical, dependent care, and other eligible healthcare expenses for reimbursement through employer benefit plans.
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Membership Application
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A membership application form for a children's museum with multiple membership options and details about benefits and rules.
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2020 Membership Form
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Annual membership form for the Oral History Association with options for membership levels, journal access, and optional donation.
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Monthly Payroll Contribution Form
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A form allowing Oregon State University employees to authorize monthly payroll deductions for food bank donations
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RESIGNATION FORM
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Form for members to officially resign from GS1 Malta and terminate their membership and product registrations.
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NEW YORK STATE COVID 19 PAID LEAVE REQUEST FORM
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Form for employees to request paid leave due to COVID-19 quarantine or isolation orders in New York State.
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TOWN OF WILTON TIME OFF REQUEST FORM
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A form for employees to request time off from work, specifying type of leave and dates.
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Incident Report
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A form used to document workplace incidents, accidents, illnesses, or exposures for the University of New Mexico-Taos.
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Direct Deposit Payroll Deduction Allotment Request
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A form for employees to request direct deposit of payroll into a credit union account with routing and account details.
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Application For Identification Card
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Official form for obtaining identification cards to access CBP security areas for employees involved in importing and handling merchandise.
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Havilah Dance Company 2021 2022 Agreement
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Comprehensive agreement outlining membership requirements, expectations, and financial obligations for Havilah Dance Company competition program participants.
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REGINA PRIDE INC MEMBERSHIP FORM
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Membership form for joining Regina Pride Inc, detailing member benefits and registration process for the 2021-2022 festival year.
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2021 22 Individual Membership Dues INVOICE FORM
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Membership dues invoice for active and retired city management professionals to join the California City Management Foundation.
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Rockville High School PTSA Membership Form
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Annual membership form for the Rockville High School Parent-Teacher-Student Association enabling community involvement and support for school programs.
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POGS Sickness Benefit Application Form
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Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
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AU Direct Deposit Authorization 2019
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A form for employees to authorize automatic deposit of payroll funds into one or two bank accounts at Antioch University.
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Membership Form
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A form for businesses and individuals to join the Brookhaven Chamber of Commerce with various membership levels.
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Application For Membership
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Membership application for the Stanley M. Rowe Arboretum with multiple membership levels and benefits for individuals, families, and seniors.
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Team Bike Booking Form
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Registration form for participating in a 6-hour stationary spin bike challenge to raise funds for Telethon during the Family Festival.
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Ardelle Associates Leave Request Form
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A form for employees to request Paid Time Off (PTO) or Sick Leave with supervisor approval requirements.
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ISETT COMMUNITY POOL MEMBERSHIP 2021 MEMBERSHIP FORM
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Annual membership form for the Isett Community Pool with pricing options for individuals, families, and seniors.
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Donation Or Membership Form
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Form for individual and organizational membership and donation to the ARCH National Respite Network, a nonprofit supporting respite care services.
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2021 Membership Form
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Membership form for joining the Williamsville Community Foundation, allowing community participation and event involvement.
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Re Hire Packet Checklist
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A comprehensive packet for re-hiring employees within 90 days of their previous termination, including required forms and submission instructions.
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Solo Or Duo Bike Booking Form
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A registration form for a 6-hour stationary spin bike challenge to raise funds for Telethon in Western Australia.
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Solo Or Duo Bike Booking Form
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A registration form for a 6-hour stationary spin bike challenge to raise funds for Telethon in Western Australia.
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Westmorland Neighborhood Association Membership Drive 2021 22
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A comprehensive membership form for the Westmorland Neighborhood Association, collecting household, adult, and children's information for community engagement.
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YMCA OF FLORIDAS FIRST COAST NOTICE OF MEMBERSHIP CANCELLATION
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A form for YMCA members to cancel their membership and provide feedback about their experience.
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2022 2023 Membership Application
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Comprehensive membership application for youth program registration with detailed member and family information
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Travel Form Instructions
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Comprehensive instructions for district employees on completing travel forms, obtaining approvals, and reimbursement procedures for business travel.
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Proposed Rule Miscellaneous And General Requirements
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Federal Labor Relations Authority proposes changes to regulations regarding federal employee payroll dues deduction revocation intervals.
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Facility Access Card Registration Form
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Registration form for obtaining pool access cards for residential community members with specific rules and requirements.
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Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form for Manchester employees to request calculation of additional retirement contributions and explore retirement benefit options
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POGS MAP Sickness Benefit Application Form
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A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
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Culver City Senior Citizens Association MEMBERSHIP REGISTRATION FORM 2022
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A registration form for seniors to join the Culver City Senior Citizens Association, including personal and medical information.
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EMPLOYEE AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT
PDF template
A document allowing employees to authorize direct deposit of wages and provide banking details for payroll processing.
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University Of Michigan Prescription Drug Plan Guide
PDF template
Comprehensive guide for managing prescription drug benefits through Magellan Rx Management for University of Michigan employees and members.
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City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
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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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2022 AAP Membership Mailing List Order Form
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Order form for obtaining mailing list of periodontists from the American Academy of Periodontology with various licensing and membership category options.
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2022 COCM Membership Application
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Annual membership application for code officials and industry professionals in Michigan for the year 2022
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ISETT COMMUNITY POOL MEMBERSHIP
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Annual membership registration form for the Isett Community Pool with various membership options and family details.
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UWG FacultyStaff Gift By Payroll Deduction Form
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A form allowing University of West Georgia employees to make charitable contributions through automatic payroll deductions.
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GSU Scholarship Program Application Form
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Scholarship application form for members of the Grain and General Services Union and their spouses for educational support.
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Employee Timesheet
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A timesheet document for tracking employee work hours and certifying time worked for staffing and payroll purposes.
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2021 22 Minnesota Sports Federation Fall And Winter Team Membership Form
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Registration form for sports teams to join the Minnesota Sports Federation for fall and winter leagues across multiple sports.
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2022 Membership Form
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Annual membership registration form for library professionals and students to join the Westchester Library Association
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Settlement Agreement State Of New Jersey V. Pine Valley Golf Club
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Settlement agreement addressing discriminatory practices related to sex-based discrimination in membership, employment, and housing at Pine Valley Golf Club.
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Change Of Address Form
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A form for members to update their contact information with TruNorthern Federal Credit Union.
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2023 2024 At Large Membership Form
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Membership enrollment form for United Faculty of Florida, allowing non-bargaining unit members to join professional education associations.
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2023 2024 MEMBERSHIP FORM
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Membership registration form for nonprofit organization with multiple membership tiers and volunteer opportunities
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2023 2024 Membership Application
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Application for youth membership program covering the period from July 2023 to June 2024, collecting comprehensive child and family information.
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2023 2024 Membership Form Individuals
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Membership form for individual attorneys to join the Minnesota Association of Black Lawyers (MABL)
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2023 2024 Membership Form Organizations
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Membership form for organizations to join the Minnesota Association of Black Lawyers (MABL) with various membership levels and mission alignment questions.
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Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
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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
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A comprehensive guide detailing deadlines and requirements for filing Nebraska income tax withholding forms and returns.
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Informed Consent Form
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Consent form for police officer candidates participating in a physical fitness testing process that assesses physical readiness and potential health risks.
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Flexible Spending Account (FSA) Enrollment Form
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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
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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
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A voluntary form for employees to authorize recurring payroll deductions for political action committee contributions at different contribution levels.
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Fellowship Application Form
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Application form for recognizing significant contributions to the architectural profession through Fellowship elevation.
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Membership Form
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A membership form for joining the Friends of the Ayer Library with annual dues and optional volunteer opportunities.
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Flexible Spending Account Agreement Form
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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
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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
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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
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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
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A two-part form for documenting workplace incidents and potential worker injuries for the NEWESD 101 Workers' Compensation Cooperative.
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2023 JCC Maccabi Teen Medical Form
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Medical examination form for teens participating in JCC Maccabi sports and arts activities to verify physical fitness and health status.
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Form LG03 Local Government Health Insurance Program Cancellation Form
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A form for cancelling local government health insurance coverage with multiple termination reason options
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YWCA High Point Membership Form
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Membership registration form for YWCA High Point that includes liability release, photo release, and membership terms.
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New Hire Active Employee Enrollment Form
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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
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A form for nominating an individual for the Leonard W. Sandridge Outstanding Contribution Award within an organization.
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2023 OCCE Membership Form
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Membership application for chamber of commerce professionals in Oklahoma, offering professional development and networking opportunities.
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OLLIUGA MEMBERSHIP FORM AND PROFILE
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Membership registration form for the Osher Lifelong Learning Institute at the University of Georgia, capturing member interests and demographic information.
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UWG FacultyStaff Gift By Payroll Deduction Form
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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)
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Tax form for reporting rental property income, royalties, and related expenses for Pennsylvania taxpayers.
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MembershipCity Of Hilliard Senior Center
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Registration form for membership at the City of Hilliard Senior Center, requiring personal and medical information.
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2023 SEASON OUTDOOR AQUATIC CENTER MEMBERSHIP FORM
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A form for obtaining seasonal membership to the Sheldon Outdoor Aquatic Center, detailing membership types, family requirements, and pool rules.
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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
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Official form for tracking employee work hours, leave, and compensation for Department of Juvenile Justice personnel
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W 2 Tax Form Documents
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Guide for University of Wyoming employees to access their 2023 W-2 tax documents electronically or via paper mail.
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Membership Application
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Application form for joining the Formby Civic Society with membership options and terms of membership.
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Columbiana County Visitors Bureau Membership Form
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A membership form for organizations and businesses to join the Columbiana County Visitors Bureau with various membership levels and benefits.
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2024 2025 Benefits Enrollment Form
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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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Havilah Dance Company 2024 2025 Agreement
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Contract outlining membership requirements, expectations, and commitments for Havilah Dance Company competition program participants.
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Group Medical Plan Waiver Form
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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
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Payroll deduction authorization form for employees to donate to the McKinney Education Foundation
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TASBO Membership And Professional Liability Insurance Form
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Membership registration form for Texas Association of School Business Officials with optional professional liability insurance coverage
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2024 2025 Personal Check Membership Form
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Membership form for University Faculty Federation (UFF) allowing faculty members to pay annual dues via personal check.
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RC 10 SUSTAINING MEMBERSHIP FORM
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A membership registration form for retired education professionals to join NYSUT Retiree Council 10 with options for membership and scholarship donation.
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YMCA Membership Cancellation Form
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A form for members to request cancellation of their YMCA membership and provide feedback about their experience.
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LSU Athletics Department Assistance Program (ADAP) Substance Use Policy
PDF template
Comprehensive policy governing substance use testing and prevention for LSU student-athletes, outlining testing procedures, educational requirements, and eligibility for testing.
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LSU Athletics Department Assistance Program (ADAP) Substance Use Policy
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Comprehensive policy outlining substance use testing and education requirements for LSU student-athletes and athletic program participants.
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A.C. Nielsen Tennis Center 2024 25 Annual Membership Application
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Membership application for A.C. Nielsen Tennis Center covering annual membership from September 1, 2024 through August 31, 2025
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Deputy Sheriffs Association Commemorative Album Payroll Deduction Form
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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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AAP Nomination Information For The 2024 Election
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Detailed instructions for nominating a candidate for AAP election, including online nomination process and submission deadlines
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2024 Membership Form
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A membership form for allied organizations and local government entities to join the Coalition's efforts to address homelessness and housing justice.
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MEDICAL EXAMINATION FORM
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Medical form to assess physical and mental fitness of individuals applying for motorcycle event participation licenses.
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MEDICAL EXAMINATION FORM
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A comprehensive medical examination form to assess physical and mental fitness for participating in motorcycle events.
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2024 Arizona EL Teacher Of The Year Nomination Form
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Nomination form for recognizing outstanding English Language teachers in Arizona for the 2024 award year.
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BSTP Pro Pulling League Membership Form
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Membership form for vehicle owners and drivers in the Pro Pulling League, requiring raffle ticket sales and membership dues.
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2024 COCM Membership Application
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Annual membership application for code officials and professionals in the construction industry in Michigan for the year 2024.
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2024 Pastoral Agreement Form (PAF)
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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
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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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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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Dual Membership Form Leonhard Recreation Center Martens Center
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Form for registering a dual membership at Leonhard and Martens Recreation Centers with options for individual and family memberships.
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2024 CONTRIBUTION FORM
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A form for collecting annual membership contributions and optional charitable donations for various organizations in the Holy Land.
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2024 MEMBER NOMINATION FORM
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A form for nominating new members to the National Academy of Social Insurance, requiring three active Academy member nominations.
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FULL TIME DOMESTIC PARTNERSHIP AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE Y
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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
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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
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A form to request cancellation of Guardian Dental insurance coverage by an employee.
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Health Savings Account (HSA) Contribution Form
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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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Annual Membership Application
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Membership application for Louisiana Softball Coaches Association with multiple membership type options and payment methods.
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2024 Moyaone Association Full Member Dues InvoiceConsolidated Fee
PDF template
Annual membership invoice for Moyaone Association detailing community fees and payment options for lot with residence.
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Medical History And Physical Examination Form
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Medical history and physical examination document for racing car drivers to assess fitness and health conditions for licensing.
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APSA Membership Form
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Membership form for joining the American Political Science Association, collecting personal and professional information from potential members.
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2024 Membership Form Renewal Invoice
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Membership form for the Sarasota County Council of Neighborhood Associations allowing groups and individuals to join or renew membership.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
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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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2024 Membership Registration
PDF template
Annual membership registration form for seniors aged 50 and older at the Pinole Senior Center with membership fee and participant information collection.
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PART TIME AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE YEAR 2024
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A form for part-time employees to authorize health insurance premium deductions with Essex County for the 2024 benefit year.
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Chi Gamma Phi Alpha Social Work Honor Society Membership Form
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Membership application form for undergraduate social work students who meet specific academic qualifications for the Phi Alpha Honor Society.
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Lions Park Aquatic Center Membership Application
PDF template
Application for seasonal pool membership at Boonville Lions Park Aquatic Center with pricing and membership details.
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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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Disability Insurance Claim Packet Instructions
PDF template
Instructions for filing a disability insurance claim with Standard Insurance Company, detailing the application process and required documentation.
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ITEA Registration Form
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Registration form for the International Test and Evaluation Association (ITEA) event with tutorial and workshop registration options.
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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
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A form allowing Vanderbilt University employees to purchase season tickets via payroll deduction with specific eligibility rules and conditions.
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2024 Youth SoccerFlag Football Camp Participant Enrollment Permission Form
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Enrollment and permission form for youth soccer and flag football camps organized by Pueblo of Laguna Sports & Wellness Diabetes Program.
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2025 VVBGA Commercial Membership, And 2025 Annual Meeting Registration And Sponsorship
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Registration form for commercial membership and annual meeting participation for the Vermont Venture Business Group Association (VVBGA)
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Saginaw Chippewa Indian Tribe Of Michigan 2025 Annual Report Form
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Annual reporting form for members of the Saginaw Chippewa Indian Tribe detailing personal and membership information.
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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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2025 Membership Form
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Membership form for the Columbia Basin Development League with various membership levels and business categories.
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Combined Giving, Contribution Election Agreement
PDF template
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
PDF template
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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Medicare Health Risk Assessment
PDF template
A comprehensive health assessment form for Medicare patients to evaluate their current health status, lifestyle, and potential risks.
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ET 1 Payroll Expense Tax Form
PDF template
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
PDF template
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
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A form for employees to set up automatic payroll contributions to my529 education savings accounts.
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CoC MEMBERSHIP Ctee Agenda 2021 Feb 9 DRAFT
PDF template
Draft agenda for the Continuum of Care Membership Committee meeting discussing membership, training, and committee activities.
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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
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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
PDF template
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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GFWC Membership Grant Application Form
PDF template
A grant application form for GFWC clubs to receive funding for membership recruitment activities.
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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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2023 24 Membership Form
PDF template
Membership registration form for National Association of Elementary School Principals (NAESP) with various membership categories and associated dues.
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Rush Week Report Form
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A report form for tracking new member affiliations and community service during FCCLA's Rush Week membership drive.
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2023 24 Membership Form
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Membership form for the National Association of Elementary School Principals with various membership categories and associated benefits.
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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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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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H F Racquet Fitness Club Permanent Court Time Contract Billing Form
PDF template
A contract for reserving racquet court time at H-F Racquet & Fitness Club, allowing members to book recurring court sessions.
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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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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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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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NARFE PAC CONTRIBUTION FORM
PDF template
A donation form for members of the National Active and Retired Federal Employees Association to contribute to NARFE-PAC
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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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Dohn Community High School 301 Wellness Policy Compliance Form
PDF template
A form for documenting wellness committee membership, meeting dates, and policy evaluation for a community high school.
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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
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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
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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
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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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NR 812 Compliance Report
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Wisconsin Department of Natural Resources form for verifying well casing depth, identifying noncomplying features, and inspecting well and pump systems.
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3.4.1p. Employee Access To Facilities
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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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Pin OrderInvoice Form
PDF template
Order form for purchasing 4-H club membership pins and year recognition pins for various club officer roles and membership years.
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Title 38 United States Code Section 3679(E) School Compliance Form
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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
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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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UC Master Gardener Volunteer Application Form
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Application form for individuals interested in becoming a UC Master Gardener volunteer in California, requiring background check and demographic information.
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Petitioning For Superior Court Review When You Disagree With A DSHSHCA Benefits Administrative Heari
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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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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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Change Of Address Request Form (For Retirees Beneficiaries)
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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
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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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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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Revenue Form K 4
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State tax form for employees to claim withholding exemptions and determine tax deduction status in Kentucky.
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Employee Benefit Plan Enrollment
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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
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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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Well OperatorS Report Of Well Work
PDF template
Regulatory document submitted by Chesapeake Appalachia for well work reporting in Ohio County, West Virginia
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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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USA Swimming Transfer Request Form
PDF template
Form for athletes transferring between USA Swimming clubs with specific registration and membership details.
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Four Corners Dressage And Combined Training Association Membership Application Form
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Membership application form for Four Corners Dressage and Combined Training Association with various membership levels and waivers.
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Suburban Law Enforcement Academy Medical Examination Package
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Medical examination and approval form for police recruit candidates to assess fitness for law enforcement training program
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Employer Fact Sheet Contracted Services Membership Determination And The EmployerS Obligation
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Guidance for public educational institutions on determining employment status and retirement system membership for contracted service providers.
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Volume No. 1Policies Procedures TOPIC NO. 50445 Cardinal Section No. 50400Deductions
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Comprehensive policy document outlining direct deposit procedures, mandates, and administration for Virginia state employees.
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Staff Movement Register
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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
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A form allowing state employees to authorize payroll deductions for purchasing Rhode Island Public Transit Authority (RIPTA) commuter passes.
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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
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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
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A document for collecting employee emergency contact information and personal details for workplace safety and communication purposes.
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LEAVE REQUEST FORM
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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
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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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Fitness Reimbursement Request
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Form for members to request reimbursement for qualified fitness expenses through Blue Cross Blue Shield of Massachusetts.
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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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Household Report Form
PDF template
A form for reporting household information to maintain public assistance benefits in Minnesota.
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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
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A form for employees to request time off for various reasons, subject to employer approval.
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Butte Food Co Op Preferred Stock Member Agreement Disclosure Form
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A document outlining the terms and conditions for purchasing preferred stock in the Butte Food Co-op, a community-focused cooperative grocery store.
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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
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A comprehensive insurance application form for employee group insurance coverage with options for various types of insurance benefits.
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District Level Policy Violation Submission Form
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A form for submitting formal complaints and policy violations within the Toastmasters organization's district-level disciplinary process.
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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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MSDH Motivated To Live A Better Life Referral Form
PDF template
A comprehensive referral form for patients seeking health management support through the Mississippi State Department of Health's lifestyle program.
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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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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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Fellowship Nomination Form
PDF template
A nomination form for achieving Fellowship status with the Chartered Institute of Bankers of Nigeria, outlining criteria, benefits, and expectations for professional recognition.
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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
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Legal document providing instructions for employers to report an employee's income, benefits, and financial records to assist court proceedings.
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Medical History Form
PDF template
A comprehensive medical history form for sports participation, requiring detailed health information and consent statements.
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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
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Policy outlining the Judicial Branch's guidelines for employee reimbursement of job-related expenses and travel.
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Emergency Contact Form
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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
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Document explaining prevailing wage requirements and compliance processes for municipal construction contracts based on the Davis-Bacon Act.
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Form 941 Filing Requirements
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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
PDF template
A comprehensive form for enrolling or changing group benefit plan details for employees, including personal information, coverage selection, and benefit options.
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Advancing Access Patient Information Form
PDF template
Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Direct Deposit Enrollment And Change Form
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Form for employees to enroll in or modify direct deposit banking information for state payroll payments.
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Benefits Administration Letter 99 101
PDF template
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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Office Of Hearings And Appeals Time And Attendance Policies And Procedures At Hearing Offices
PDF template
An audit report evaluating time and attendance documentation and recording policies for Social Security Administration hearing office employees.
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Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
PDF template
Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
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Internal Audit Report Campus Recreation And Wellness Department
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An internal audit report reviewing the Campus Recreation and Wellness Department's operations, financial controls, and administrative practices for the fiscal year 2009-2010.
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University Of Nevada, Reno Campus Recreation And Wellness Department Internal Audit Report
PDF template
An internal audit review of the Campus Recreation and Wellness Department at the University of Nevada, Reno, covering financial and operational aspects for the fiscal year 2009-2010.
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Veterans Administration Aid And Attendance Claim Checklist
PDF template
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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MnDOT User Registration Form For AASHTOWare CRL RolesUser (External PartnerContractor)
PDF template
Registration form for external partners and contractors to access AASHTOWare system roles and functionality
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AAUS Medical Evaluation Of Fitness For Scuba Diving Report
PDF template
A comprehensive medical evaluation form to assess an individual's fitness for scientific scuba diving, including required medical tests and physician's assessment.
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Timesheet Portal User Guide For Temps
PDF template
A comprehensive guide for temporary workers explaining how to use the electronic timesheet submission system.
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AB13 (VACA) Affidavit For Eligible Veterans Dependents
PDF template
A document outlining tuition exemption requirements for veterans and their dependents at College of the Siskiyous under the Veterans Access, Choice, and Accountability Act.
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Alberta Accident Benefits Initial Claims Process
PDF template
A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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MY BENEFIT PLAN BOOKLET
PDF template
Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
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PA ABLE Savings Program Workplace Guide
PDF template
A guide for employers to help employees with disabilities save money through tax-free ABLE accounts with payroll deduction options.
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Payroll Deduction Form
PDF template
A form for setting up or changing payroll deduction contributions to an ABLE United account for individuals with disabilities.
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Payroll Deduction Guide
PDF template
A comprehensive guide explaining how employees can contribute to ABLE United accounts through payroll deductions and the responsibilities of employees, employers, and the Plan.
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Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
PDF template
Procedure for employees to request and process loans through investment providers using specific authorization steps.
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ABWH 2020 21 Membership Form
PDF template
Annual membership registration form for the Association of Black Women Historians with membership tiers and donation options for the 2020-2021 period.
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Direct Deposit Form For NYS Employees
PDF template
Form for New York State employees to set up, modify, or cancel direct deposit bank account information for payroll.
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Academic Affairs Personnel LEAVE REQUEST FORM
PDF template
A comprehensive form for university employees to request various types of leave with multiple approval levels.
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Affordable Care Act (ACA) Health Insurance Payment AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
PDF template
Authorization form for employees to voluntarily have health insurance premiums deducted from their paycheck under the Affordable Care Act.
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Group Insurance Accelerated Benefit Option Claim Form
PDF template
A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
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Key Electronic Access Request Form
PDF template
A form for requesting building and room access, keys, and electronic entry devices for employees and workers at an organization.
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ERAIDER REQUEST FORM
PDF template
Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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Report Of Accident Incident
PDF template
A form for documenting workplace accidents or incidents involving university personnel, students, or workers.
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Accident Injury Report
PDF template
Comprehensive document for reporting and documenting workplace accidents, injuries, and worker's compensation claims.
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Accident Report Form
PDF template
Comprehensive form for documenting workplace accidents, injuries, and related incident details with personal and organizational information.
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Waubun Ogema White Earth AccidentIncident Report Form
PDF template
A form used to document workplace accidents or incidents, capturing details about the event, potential prevention, and property damage.
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AccidentIncident Report Form
PDF template
A comprehensive form for documenting workplace accidents or incidents at East Stroudsburg University by employees, students, and visitors.
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City Of Kirkland Accident Report Form
PDF template
A comprehensive form for reporting workplace accidents, injuries, and potential liability claims for City of Kirkland employees.
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Accident Wellness Benefit Claim Form
PDF template
Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
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Teamsters Credit Union Change Of Information Form
PDF template
A form for Teamsters Credit Union members to update personal information, add or remove joint members, and designate payable on death beneficiaries.
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Account Transfer Request Form
PDF template
A form for transferring a Wellness Advocate account between individuals or to a business entity, subject to dTERRA's approval.
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Payroll Cancellation Form ACC PYB001
PDF template
A government form for employees to cancel an existing payroll deduction for the Government of Guam.
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Direct Deposit Form ACC PYD001
PDF template
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
PDF template
A comprehensive form for employees and students to request reimbursement for travel-related expenses at North Dakota State University.
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Retirement Contribution Form
PDF template
A form for employers to set up electronic fund transfer (EFT) contributions to employee retirement accounts, specifically 403(b) and other retirement plans.
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MEMBERSHIP FORM
PDF template
A form for individuals and organizations to apply for membership in the ACMi community organization.
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ACPA Registration Transfer Request Form
PDF template
A form for transferring conference registration between active ACPA members with identical membership types.
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ACP Membership Form
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Registration form for student media organizations to join the Associated Collegiate Press and access membership benefits.
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ACTE And ACTEN Membership Form
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Membership registration form for joining the Association for Career and Technical Education (ACTE) and its state chapter ACTEN
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INTERVIEW FORM DESIGNEE
PDF template
A structured interview form for evaluating potential commercial real estate professionals for SIOR membership eligibility.
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Employee Application For Reimbursement Of Expenses Incurred Upon Sale Or Purchase (Or Both) Of Resid
PDF template
Government form for employees to claim reimbursement for relocation-related real estate expenses when changing official work station.
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Documentary Materials RemovalNon Removal Certification And Non Disclosure Agreement
PDF template
A certification document outlining rules for removing or retaining documentary materials when leaving USDA employment.
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AD 3121 Employee Citizenship Form
PDF template
A form used by the U.S. Department of Agriculture to collect employee citizenship and birth information.
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LOCAL 22 HEALTH PLAN DEPENDENT FORM
PDF template
Form for adding a spouse or dependent to the Local 22 Health Plan, requiring personal information and supporting documentation.
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Addendum No. 4 To The Payroll Banking And Related Services RFP
PDF template
Formal addendum extending proposal deadline and providing additional documents for a payroll banking services RFP for the City of New York.
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Additional State Tax Withholding
PDF template
Employee form for specifying additional state tax withholding amounts for payroll processing
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UWS B1242 Accidental Death Dismemberment Insurance
PDF template
Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
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Change Of Address Form
PDF template
A form for members to update their personal contact information and address with a credit union.
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CHANGE OF ADDRESS FORM
PDF template
A form for updating member contact and address information for an account or membership.
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Change Of Address Form
PDF template
A document used to update and record a member's contact and address information for an organization.
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Change Of Address Form
PDF template
Official form for changing address for New Jersey state pension system members and retirees
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NAMEADDRESSEMERGENCY CONTACT FORM
PDF template
A form for new hires and existing employees to update personal contact and emergency information
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Address Changes
PDF template
Guidelines for updating employee and student addresses in the University's Directory System for payroll, retirement, and insurance correspondence.
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PSC CUNY Welfare Fund Adjunct Enrollment Form
PDF template
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
PDF template
A comprehensive performance evaluation form for administrative personnel at Daemen College, detailing assessment criteria and development goals.
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Discrimination Or Harassment Incident Report
PDF template
A formal document for reporting discrimination or harassment incidents within Prince George's County Public Schools by employees or volunteers.
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C911CD Time Off Request Form
PDF template
A standardized form for employees to request time off from work, specifying leave type and duration.
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Administrative Waiver How To Request Waiver For An Overpayment Under 1000
PDF template
Instructions for requesting an administrative waiver for Social Security overpayments less than $1,000.
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Adoption Assistance Reimbursement Form
PDF template
Form for employees to request reimbursement for qualified adoption expenses through the university's adoption assistance program.
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ALINE Card Enrollment Form
PDF template
Enrollment form for employees to set up direct deposit of wages to an ALINE Card issued by ADP and MB Financial Bank
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Employee Direct Deposit Enrollment Form
PDF template
A form for employees to set up direct deposit of their paycheck through ADP payroll services.
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FO002 Adult Medical History
PDF template
Comprehensive medical history form capturing patient's personal health information, medical background, and preventive health practices.
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Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by BEMAS medical aid scheme.
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Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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APPLICATION FOR ADVANCED LEAVE
PDF template
A form for county employees to request advanced leave due to catastrophic illness or injury for themselves or immediate family members.
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School Board Advisory Committee Guidelines For Staff Liaisons
PDF template
Comprehensive guidelines for membership, nomination, and appointment processes for school board advisory committees.
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Medical Information And Physician Release
PDF template
A medical form for documenting participant health status and physician clearance for exercise participation at Oregon State University's Adaptive Exercise Clinic.
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NOMINATION FORM
PDF template
Nomination form for selecting delegates to represent Aspiring Educators of Michigan at educational conferences for the 2024-25 school year.
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Army Emergency Relief Application For Financial Assistance
PDF template
Comprehensive application form for military personnel seeking emergency financial support from Army Emergency Relief (AER)
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
Residency verification form for children and spouses of veterans seeking Wisconsin GI Bill educational benefits based on veteran's 5-year state residency.
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Affidavit For Wellness Leave
PDF template
A form for University of Houston-Victoria employees to document health survey completion and physical exam for wellness leave incentive.
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CAA Affiliated Society Membership Form
PDF template
Membership form for affiliated societies to join the College Art Association with tiered annual fees based on organization size.
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2022 Organization Affiliation And Payment Form
PDF template
A form for organizations to affiliate with the California Alliance for Retired Americans (CARA) and pay membership fees based on organization size.
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Photo ID Application Form
PDF template
A form for obtaining a photo identification badge for employees and affiliates at UCLA Health System and associated schools
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AUA Group Discount Partner Inquiry Form
PDF template
A form for vendors to submit information about potential group discount partnerships with the AUA organization.
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Initial Disability Claim Form
PDF template
Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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AFSCME LOCAL 1550 ENROLLMENT AUTHORIZATION FORM
PDF template
Form for employees to join AFSCME Local 1550 union and authorize dues deduction
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AFSCME Local 127 PPO Benefits Matrix
PDF template
Comprehensive dental insurance plan detailing coverage levels for various dental treatments and services.
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Benefits Committee Meeting Agenda
PDF template
Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
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Benefits Committee Meeting Agenda
PDF template
Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
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Abiding Grace Lutheran Church Membership Record
PDF template
A form for registering membership at Abiding Grace Lutheran Church, documenting personal and family information and church commitment.
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AGN International Privacy Policy
PDF template
A comprehensive privacy policy detailing AGN International's data collection, usage, and consent practices for members and website users.
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AGS Incident Near Miss Hazard Report Form FRM067 010519
PDF template
A workplace safety form for reporting incidents, near misses, hazards, or potential safety concerns within an organization.
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AHN Employee Giving Payroll Deduction Form
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Form for AHN employees to set up charitable contributions through automatic payroll deductions
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Patient Intake Form
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A comprehensive form for new patients to provide medical history and contact information for a naturopathic wellness center.
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Alpha Kappa Delta Membership Application Form
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Application form for students seeking membership in the Alpha Kappa Delta sociology honor society at Texas Woman's University
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Global Direct Deposit And Payroll Distribution Authorization
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A form for employees to authorize payroll distribution to multiple credit union accounts with specific allocation instructions.
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Alden Senior Citizen Club Membership Form
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A membership form for joining the Alden Senior Citizen Club with annual dues of $10.00
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Alabama EWIC Vendor Kickoff Meeting
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Presentation explaining the electronic WIC benefits system for vendors in Alabama, detailing transaction processing and program benefits.
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LEAVE REQUEST FORM COVID Related
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A comprehensive form for employees to request leave related to COVID-19 circumstances, covering various scenarios of quarantine, vaccination, and childcare needs.
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Affidavit For Spousal Coverage
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Form for employees to certify spouse's eligibility for medical plan enrollment at Allegheny College by verifying no alternative employer health coverage.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
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Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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TCNJ Faculty And Staff Campaign Payroll Deduction Form
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A form enabling TCNJ faculty and staff to set up or modify payroll deductions for charitable donations to various campus programs and departments.
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Accident Coverage Claim Form
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Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
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Blue Cross Medical Travel Benefit Claim
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A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Alternate Work Arrangement Agreement Form
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A document for employees to request and document flexible work arrangements at Middle Tennessee State University.
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AWL Equipment Inventory
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A form for documenting university-owned equipment issued to an employee for use at an alternate work location, including equipment tracking and usage agreement.
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AWL Safety Checklist
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A comprehensive safety checklist for employees working in alternate work locations to ensure workspace safety and security.
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Enrollment Form
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A comprehensive enrollment form for dental and vision insurance coverage through an employer's benefit plan.
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Enrollment Form
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A comprehensive form for enrolling in dental insurance coverage, including subscriber and dependent information, coverage options, and coordination of benefits.
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ENROLLMENT FORM VISION ONLY
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A comprehensive enrollment form for vision insurance coverage, allowing employees to add or modify vision insurance benefits.
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Alumni Association Membership Form
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A form for alumni to register with the college's alumni association, providing personal and professional details along with membership payment options.
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SUSLA Alumni Association Chapter Membership Form
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Membership form for Southern University at Shreveport (SUSLA) alumni to join the alumni association with various membership levels and payment options.
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Special Holiday Waiver For Security Supervisors Unit, Security Services Unit, Or Agency Police Servi
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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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All Musicians Club And Musicians Performance Studio Club Membership Form
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Membership application and liability waiver for the All Musicians Club and Musicians Performance Studio Club for Laguna Woods Village residents and guests
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AME Reimbursement Request Form
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A form for University of Arizona employees and students to request reimbursement for expenses with detailed payee and receipt information.
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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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A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
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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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Anchor Membership Form
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Registration form for new and returning members of the Anchor Club, a youth service organization affiliated with Pilot International.
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UA Performance Evaluation Comprehensive Form
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A comprehensive performance evaluation form for employees at the University of Alabama, detailing performance ratings and assessment criteria.
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Faculty And Staff Payroll Deduction Form
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A form for faculty and staff to set up recurring payroll donations to the Millsaps Annual Fund or other designations.
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Annual Health Evaluation Form
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A comprehensive health evaluation form for tracking medical history, lifestyle factors, and current health status.
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UCG MEMBERS And OFFICIAL FRIENDS Information Update 2018 Volunteer Form For Sunday Morning And Othe
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A volunteer registration form for church members to indicate their availability and interests for Sunday morning service tasks and other church assistance.
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Cancellation Form Annualized Salary Spread Agreement
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A form for employees to cancel their current annualized salary payment spread and adjust paycheck distribution for the 2024-2025 academic year.
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Annual Membership Form
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A membership form for joining the Pioneer Trails Regional Museum with multiple membership levels and interest areas.
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Long Island Village Clerks And Treasurers Association Membership Application
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Membership registration form for the Long Island Village Clerks and Treasurers Association with annual dues of $75.00.
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Membership Form
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Annual membership form for educational and social programs for seniors at Minnesota State University, Mankato
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Annual Report Cover Sheet Form
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A form for student chapters to submit annual activities, membership details, and chapter information to the AVS National Office.
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Annual Report Form
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A comprehensive survey capturing organizational details, membership information, activities, and financial overview for an association
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STUDENT ORGANIZATION ANNUAL REPORT FORM
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A comprehensive form for student organizations to report annual activities, membership, and leadership details to the Office of Student Life.
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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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A comprehensive form for members of I.B.E.W. Local Union #363 to apply for pension or annuity benefits, collecting personal, marital, and employment information.
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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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A form for employees to file a claim for short-term disability benefits with insurance details and authorization.
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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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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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Make A Difference Volunteer Form
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A volunteer form for American Payroll Association members to select committees and task forces for professional involvement and contribution.
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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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A form for employees to document and request reimbursement for travel-related expenses including meals, transportation, and other costs.
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Asian American Pacific Islander Association (API A) Membership Form
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Membership form for Asian Pacific Islander employees of North Orange County Community College District to join professional association and support cultural initiatives.
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Appeals Process
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A comprehensive policy detailing the appeals process for members and chapters who have been charged with violating the organization's Constitution, Bylaws, and Code of Conduct.
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Complaint Resolution Form
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A form for members of Biggar & District Credit Union to submit and resolve complaints through a two-step process involving internal and external ombudsman.
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Scholarship Fund Contribution Form
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A form allowing faculty members to authorize payroll deductions for contributing to a university scholarship fund.
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DUES DEDUCTION CANCELLATION FORM
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A form for canceling automatic dues deduction for COHE (College and University Professional Educators) membership.
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PSCFA Membership Form
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Membership form for faculty to join the United Faculty of Florida union, outlining membership benefits and representation policy.
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11F ApplicantS Waiver Form (Collegiate Only)
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A form for collegiate applicants to waive providing information to their parents/guardians during the sorority membership intake process.
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Wellness Center Employment Application
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Application form for student employment positions at university wellness center with multiple job role options.
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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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JKAWF America Membership Application
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Comprehensive registration form for joining JKA/WF America martial arts organization, including personal information and liability release.
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Application For Posts Of EAAP Commission Officers (2023)
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Application form for individual members to apply for vacant leadership positions in the EAAP Commission.
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Application For Open Positions Of EAAP Commission Officers (2022)
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Application form for individuals seeking officer positions in the EAAP Commission with specific election procedures and requirements.
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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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Fellowship Application Form
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Application form for becoming a fellow of the Royal Asiatic Society with various fellowship types and contact information collection.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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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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A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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Payroll Donation Form
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A form allowing Ardent employees to donate to the Ardent Cares Foundation through payroll deductions to support team members in need.
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Isle Of Man Government Accident Report Form
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Official government form for documenting ship-related accidents, casualties, and incidents with detailed personnel and occurrence information.
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Preferred Club Member Maintenance Agreement
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Membership program for HVAC system maintenance and service benefits with monthly or annual payment options.
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Army Physical Training Risk Assessment Example
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A document detailing risk assessment techniques for military physical fitness training and potential health considerations for soldiers.
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Prospective Member Insurance Qualification Information
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Insurance qualification form for prospective pilots seeking membership in Artisan Aviation Inc., collecting personal and flight history information.
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ASABC Membership Form
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A membership form for joining the Adaptive Sailing Association of British Columbia with annual fee and membership benefits.
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Fellowship Application Form
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Application for Fellowship membership in the Australian Society of Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT)
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ASE Organizational Membership Application
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Organizational membership application for multiple members from the same institution to join or renew ASE membership with various professional categories and pricing tiers.
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ASE Membership Application Form
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Organizational membership application form for joining or renewing membership in the American Society of Echocardiography with various membership categories and pricing.
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ASES Membership Form
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Comprehensive membership registration form for various membership levels at the American Solar Energy Society (ASES)
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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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Liability Waiver Form For ASF Members
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A legal document waiving liability for children participating in activities at Scandinavia House Children's Center and authorizing emergency medical treatment.
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2024 Resource Limited Country Membership Form
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Membership application form for the American Society of Human Genetics with categories for various academic and professional levels in genetics.
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Arkansas State Police Physical Fitness Assessment Form
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A comprehensive medical evaluation form for assessing the physical fitness of Arkansas State Police recruits prior to their physical fitness test.
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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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Association Membership Form
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Membership renewal form for the Federation of Ontario Cottagers' Associations with fee calculation and optional contribution section.
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Association Membership Form
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Membership renewal form for the Federation of Ontario Cottagers' Associations with optional contribution and detailed association information collection.
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Adobe Training Provider Program Agreement
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Legal agreement defining terms and conditions for membership in Adobe's Training Provider Program, including benefits and eligibility requirements.
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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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A form for nominating employees for quarterly or yearly recognition based on exceptional work performance and service.
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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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Data Protection Consent Form
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Consent form for members to agree to data usage, publication of contact details, team information, and photography by the Ashford Table Tennis Club.
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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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Club Membership Form
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Membership form for ATV clubs in Maine to join the Alliance for Trail Vehicles of Maine organization
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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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Authorization And Driving History Form
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A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
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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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A form allowing employees of Bronx Community College to authorize mailing of their payroll checks to a specified address.
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Authorization To Receive Compensatory TimeOvertime
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A university form for employees to request and obtain approval for overtime work or compensatory time
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Direct Deposit Authorization
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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
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Form for members to cancel participation in the New York City Bar Association's AutoDraft Payment Plan.
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Nomination Form
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A form for nominating an individual for recognition within an organization, capturing details about the nominee and nominator.
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Henry County Hospital Foundation Auxiliary Membership
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Form for joining the Henry County Hospital Foundation Auxiliary as a member with annual or lifetime options.
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COMDTINST M16790.1G
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Comprehensive guide describing eligibility, enrollment, and membership requirements for Coast Guard Auxiliary volunteers.
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Award Agreement (Agreement To Pay Benefits)
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Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
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The Society Of In Vitro Biology AWARD NOMINATION FORM
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Official form for nominating individuals for various awards in the Society of In Vitro Biology, including categories like Lifetime Achievement and Distinguished Scientist.
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Request For Leave
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A comprehensive form for school employees to request various types of leave, including sick, vacation, personal, and special leaves.
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Benefit Application Form (BA1)
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Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
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Allen R Baca Center New Membership Form
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Registration form for membership at Allen R Baca Center recreational facilities for different age groups and membership types.
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OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
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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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Direct Deposit Form
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A form for setting up direct deposit of payroll funds into a Bank5 Connect account with banking details and authorization.
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Chronic Appliance Benefit Application Form
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Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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Banner System Access Request Form
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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
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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
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Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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BASIC PENSION APPLICATION
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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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Incident Report Procedure
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A comprehensive procedure for managing and reporting incidents involving Best Buddies members, volunteers, and staff, focusing on safety and proper response protocols.
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Entering Time For Astrix Benefit Hours An EmployeeS Quick Reference Guide
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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
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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
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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
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A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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Blue Cross Blue Shield Of Massachusetts Enrollment Form
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Enrollment form for Blue Cross Blue Shield of Massachusetts health insurance plan, providing instructions for completing membership setup.
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BCCA Membership Application Form
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Comprehensive membership application form for businesses seeking to join a business chamber, with details about company information, UK relations, and membership tiers.
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Membership Application
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Application form for individuals interested in becoming members of the BC Farm Museum Association with membership details and volunteer opportunities.
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2024 2025 Faculty Staff Campaign Payroll Deduction Form
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A form for Broward College employees to authorize charitable contributions via payroll deduction to support scholarships.
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My Benefit Plan Summary
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Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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BCMOS Membership Form
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A membership form for joining the British Columbia Mobility Opportunities Society with annual fee and membership benefits.
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BCS Fellow (FBCS) Application Guidance For OMs
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Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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FamilyAdult Only Membership Application
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Application form for families and adults to join community programs and services offered by Boston Centers for Youth & Families.
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MEETING ATTENDANCE ALDPWC Form 2 Rev 112022
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A form for documenting attendance at various support group meetings for dental professionals
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Society For Birth Defects Research And Prevention Conference Registration Form
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Registration form for conference with various fee options for members, nonmembers, students, and one-day attendees.
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Self Service Employee Business Expenses
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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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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
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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
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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
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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
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A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
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Form used to remove dependents from an employee's benefits plan and modify coverage options.
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Benefits Cancellation Form
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Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
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Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
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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
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A form for transferring energy benefits between utility vendors and documenting account changes.
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BEREAVEMENT LEAVE APPROVAL REQUEST
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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
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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
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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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Inn Membership Survey
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A comprehensive survey evaluating membership experience, leadership, meetings, and mentoring within a professional legal organization.
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Butterfly Club Opportunity Drawing Ticket Deduction Form
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Employee authorization form for purchasing Butterfly Club event tickets via payroll deduction
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Benefits 2 Work Enrollment Form
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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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BHHS PTO Membership Form
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A form for parents to join the Bloomfield Hills High School Parent-Teacher Organization and support school activities.
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Direct Deposit Enrollment For Stipends From The Ben Hudnall Memorial Trust (BHMT) Education Program
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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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BIAMS 2011 Residential Conference Booking Form
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Registration form for a conference exploring church identity, ethnicity, and integration, with details on fees, membership, and booking instructions.
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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
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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
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A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
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Birthday Party Rental Contract
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Contract for renting birthday party facilities at Eastside Family Place, including fees, membership requirements, and party details.
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Bainbridge Island Swim Club Change In Billing Application
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Form for swimmers to request temporary leave or permanent retirement from the Bainbridge Island Swim Club, including changes in billing group levels.
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Snow College Business Cards Order Form
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A form for Snow College employees to order personalized business cards with various printing options.
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Legal Service Provider Application And Renewal Form
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Application process for Black or African Canadian legal service providers to become members of the Black Legal Action Centre (BLAC)
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WMA Member Order Form
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Order form for purchasing MRLs, forms, and related materials from the Western Managers Association (WMA)
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Employee Time Off Request Form
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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
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Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
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Performance Review Form
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A comprehensive document for assessing employee job performance, setting future goals, and providing overall performance ratings.
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PAYROLL DEDUCTION AUTHORIZATION FORM
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A form for Boise State University employees to authorize recurring charitable donations through payroll deduction
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Emergency Contact Form
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A form for collecting emergency contact information and obtaining informed consent for physical activities during a WICT event.
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Foreign Status For Federal Tax Withholding Form
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A form for foreign individuals to provide tax and immigration information for payment processing at South Texas College
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Company Inquiry Form
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A detailed questionnaire for businesses seeking to join a professional group or organization, capturing company details and strategic goals.
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Bond Agreement Between Employee And Employer
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A legal document outlining the terms of employment, including potential financial obligations and restrictions for employees.
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Termination Of Membership Form
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A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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Center For The Book Membership Form
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Membership form for supporting books and reading through the Center for the Book at the New Hampshire State Library
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BDA Branch Section Event Registration Form
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Registration form for a BDA (British Dental Association) branch section event on Saturday 2 March 2024
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Cancellation Form
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Form to cancel membership services with BookMachine, allowing consumers to formally request termination of their contract.
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2011 Booking Form
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Booking form for accommodation and participation in PBS (likely Program) activities with various membership and payment options.
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Boosters Membership Form
PDF template
Parent membership form for school booster organization to collect contact information and volunteer interests for the 2022-2023 school year.
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Ventura County Wellness Program Waiver Form
PDF template
A waiver form for voluntary participation in a county wellness fitness program, detailing recreational activity liability and health considerations.
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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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AMWA Branch Annual Report Form
PDF template
Annual reporting form for branches of the American Medical Women's Association to document branch activities and leadership
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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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Sales Order Form
PDF template
Order form for BIBA (British Insurance Brokers' Association) Broker Assess system license, capturing company and contact details for membership registration.
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Sales Order Form
PDF template
Sales order form for purchasing BIBA Broker Assess licensing with staff pricing and contact details.
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BUCS Fitness Club HEALTH SURVEY FORM
PDF template
A comprehensive health survey form to assess an individual's fitness readiness and potential medical risks before engaging in physical activities.
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AUNZ Bulk Order Collection Form
PDF template
Form for submitting bulk product orders for collection by wellness advocates or members in Australia and New Zealand.
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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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Affidavit Form For Business Owners
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An affidavit form for Shia Imami Ismaili Muslim business owners to declare community membership and residency in the United States.
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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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Business Club Membership Registration Form
PDF template
Registration form for students, faculty, staff, alumni, and community members to join the UIW Business Club with annual membership dues.
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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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360 FEDERAL CREDIT UNION BUSINESS MEMBERSHIP AGREEMENT
PDF template
Comprehensive legal document outlining account terms, rights, and responsibilities for business credit union accounts with a binding arbitration clause.
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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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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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Opinion Of Trustees ROD Case No. CA 0097
PDF template
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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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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MEMBERSHIP FORM
PDF template
A membership form for joining the Cal State LA Emeriti Association with various membership categories and donation options.
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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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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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Adventure Cancellation Policy
PDF template
Official policy detailing refund and cancellation terms for student adventure programs at California State University San Bernardino.
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Membership Cancellation Form
PDF template
A comprehensive form for collecting feedback from members cancelling their YMCA membership and understanding their reasons for leaving.
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Fitness Center Cancellation
PDF template
Document for members to cancel their fitness center membership with specified terms and conditions.
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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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Woodson YMCA Cancellation Form
PDF template
A form for YMCA members to request membership cancellation and provide feedback about their membership experience.
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Cancellation Form
PDF template
A form for members to request cancellation of their fitness center membership with specified policy and fee requirements.
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HEALTHPLEX OF CAPE FEAR VALLEY CANCELLATION FORM
PDF template
A form for members to request cancellation of their HealthPlex gym membership with multiple reason options.
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CANCELLATION FORM
PDF template
A form for members to cancel their wellness center membership, documenting reasons and acknowledging termination policies.
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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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Membership Cancellation Form
PDF template
A form for REALTORS to cancel their membership with the Silicon Valley Association of REALTORS, including optional feedback and key return details.
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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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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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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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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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CCBHC Referral Form
PDF template
A comprehensive referral form for mental health and substance use disorder services for youth and adults in Maui, Hawaii.
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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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Canadian Civil Defence Museum Association Membership Application Form
PDF template
Membership application for joining the Canadian Civil Defence Museum Association, including individual and organizational membership options
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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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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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X RAY Requisition Form
PDF template
Medical imaging requisition form for hip and knee x-ray examinations with multiple location options
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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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Daily Waiver Form
PDF template
Comprehensive waiver form for participants of Wilmette Park District Fitness Center, covering injury risks, medical treatment, and photography consent.
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Cape Fear Homeless Continuum Of Care Membership Form
PDF template
A membership form for organizations and individuals to join the Cape Fear Homeless Continuum of Care network and participate in homeless support initiatives.
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CFHL Membership Cancellation Request
PDF template
A form for University of Nebraska Medical Center employees to request cancellation of their Center for Healthy Living membership.
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Incident Report Form
PDF template
A comprehensive form for documenting injuries and incidents at CrossFit facilities, used for risk management and insurance purposes.
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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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CHAMP Assessment Medical History Form
PDF template
Comprehensive medical history form for fitness assessment program, collecting health and exercise background information from participants.
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ChancellorS Circle Society Membership
PDF template
A form for individuals or businesses to join the Chancellor's Circle Society through an annual membership donation.
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Winona Family YMCA Change Form
PDF template
A form for changing membership details, billing information, and services at the Winona Family YMCA.
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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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4 H Change Of Membership Policy
PDF template
Guidelines for 4-H members seeking to change their county membership for youth development purposes.
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Change Of Address Or Name Form
PDF template
A form for TRS members to update personal contact information and address details.
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Member Change Of Address Form
PDF template
A form for credit union members to update their personal contact information and account details.
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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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Change Of Address Form
PDF template
A form for members of 1st Northern California Credit Union to update their residential address and contact information.
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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
Form for members to update personal contact and address information with a credit union or organization.
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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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Change Of Address Form
PDF template
Form for United States Bowling Congress (USBC) members to update their contact information and mailing address.
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Change Of Address Form
PDF template
A form for updating personal contact information and membership details across multiple accounts.
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CHANGE OF ADDRESS FORM
PDF template
Form for members to update their contact and address information for their credit union accounts
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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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Change Of Address Form
PDF template
A form for members to update their contact and mailing address information with an organization.
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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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Chapter Guest Attendance Form
PDF template
A form for tracking chapter event details, guest attendance, and event type for the Ontario Association of Certified Engineering Technicians and Technologists.
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CHAPTER SUPPLY REQUISITION FORM
PDF template
Form for NCOA chapters to request organizational supplies and forms with specific quantity limits
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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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Request For Post Charter Cancellation
PDF template
Official form for requesting cancellation of an American Legion Post charter through the National Executive Committee.
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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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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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Checklist For Exhibiting In Art Of A Community 2021
PDF template
Guidelines and instructions for artists wishing to participate in the Art of a Community 2021 exhibition at Arts Benicia.
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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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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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Health Care Provider Exam Form
PDF template
A comprehensive medical examination form for tracking patient vaccinations, health status, and provider details.
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Child Care General Health Examination Form
PDF template
A medical form documenting a child's health status and conditions for child care program enrollment.
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Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
PDF template
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
PDF template
An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Malcor Medical Aid Scheme Application Form
PDF template
An application form for joining the Malcor Medical Aid Scheme, requiring patient and medical details.
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Student Loan Repayment Program
PDF template
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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CIEF Membership Form 2019 2020
PDF template
Membership form for competing and non-competing members of a sports or equestrian organization
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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
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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Membership Form
PDF template
A form for registering or renewing membership in the University Circle organization at Northwestern University.
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Huu Ay Aht Citizenship And Treaty Enrolment Act Feedback Community Engagement Session
PDF template
A community engagement document seeking input on citizenship eligibility and potential amendments to the Huu-ay-aht Citizenship and Treaty Enrolment Act.
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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
PDF template
Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
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Conference Attendance Report Form
PDF template
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)
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
A comprehensive workflow for conducting performance evaluations for Administrative & Professional and Classified Employees at UTRGV.
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FCBA Seminars Order Form
PDF template
Order form for purchasing seminar video downloads and handouts for FCBA events with pricing tiers for different membership categories.
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Client Feedback Form
PDF template
A detailed feedback form for evaluating massage therapy service quality and client experience.
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Account Holder Authorization And Consent Form
PDF template
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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Member Application Packet 2021
PDF template
An application packet for membership renewal for charitable immigration programs, including fee structure, contact information, and standards agreement.
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2024 2025 Nomination Of Classified Professional
PDF template
Nomination form for classified professionals to participate in a leadership development program within the Chabot - Las Positas Community College District.
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Club Membership Form 2021 2022
PDF template
Form for registering club members and tracking student participation in campus organizations at the beginning of each semester.
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Club Associate Membership Form
PDF template
Membership form for joining the American Poultry Association, including show participation details and payment information.
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Club Sports Annual Report
PDF template
A comprehensive annual reporting form for university club sports teams to document membership, performance, activities, and goals.
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RESIGNATION FORM
PDF template
Official form for resigning from Charlotte Regional Realtor Association and/or Carolina Multiple Listing Services, Inc.
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HEALTH INSURANCE CLAIM FORM
PDF template
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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ChildrenS Museum Shoals Membership Form
PDF template
Membership form for joining the Children's Museum Shoals with options for family, single parent, and grandparent memberships.
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CMSP 215 Supplemental Application
PDF template
Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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Membership Water Service Agreement
PDF template
Legal agreement for receiving culinary water service, outlining membership terms, payment responsibilities, and property access rights for water service.
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Membership Form Join CNPS
PDF template
Membership registration form for joining the California Native Plant Society with options for individual and organizational memberships.
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SPORT CLUB COACHES MEMBERSHIP FORM
PDF template
Form for coaches to apply for membership and participation in university recreational sports programs with liability waiver and approval process.
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Code Of Ethics Training Requirements (New Members)
PDF template
Guidelines for mandatory ethics training for new members of the National Association of REALTORS, requiring a minimum 2.5-hour orientation program.
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Commercial Outdoor Fee Based Activity (COFA) Application For Permit
PDF template
Application for commercial fitness and professional services providers to obtain permits for using dedicated city parks and properties
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Commercial Outdoor Fee Based Activity (COFA) Application For Permit
PDF template
Application for commercial professionals to use dedicated city properties and parks for fitness and training services
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Affidavit Form For F 64 Certificate Of Fitness
PDF template
Official affidavit for applicants seeking certification to clean commercial cooking exhaust systems in New York City.
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COG Stipend Authorization Form
PDF template
A form for requesting and authorizing employee stipends, detailing payment terms, responsibilities, and associated costs.
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MEMBERSHIP APPLICATION
PDF template
Application for professional, apprentice, associate, and affiliate memberships in the Central Oklahoma Home Builders Association (COHBA)
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
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
PDF template
Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
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Employee Leave Request Form
PDF template
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
PDF template
Form for making charitable donations through payroll deduction in Washington State's Combined Fund Drive (CFD)
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New York State Bar Association 2019 2020 Committee Volunteer Form
PDF template
A form for lawyers and legal professionals to apply for committee participation in the New York State Bar Association
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Commodities MBE WBE Special Conditions
PDF template
Policy document outlining requirements for minority and women-owned business enterprise participation in City of Chicago contracts.
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Community Membership Form
PDF template
A medical history and liability waiver form for campus recreation membership at Lees-McRae College, requiring personal and medical information along with a hold harmless agreement.
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Wellness Community Membership Form
PDF template
Form for enrolling in NEO Wellness community membership with health information and policy acknowledgment.
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School District Of Philadelphia Community Training Reimbursement Form
PDF template
Form for employees to request reimbursement for educational training expenses and transportation costs within the School District of Philadelphia.
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Compatriot Death Report Form
PDF template
A form used to report the death of members in a society or organization, with space for multiple death reports.
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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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The Wellness Plan ComplaintResolution Form
PDF template
A form for documenting patient complaints, concerns, and their resolution within a medical center's wellness plan.
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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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GVIAS Conduct Committee Confidentiality Agreement
PDF template
A confidentiality policy document outlining information protection requirements for members of the Greater Vancouver Interactive Arts Society Conduct Committee.
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Conference Registration And Membership Form
PDF template
Registration and membership form for ALAIR annual conference for institutional effectiveness professionals in Alabama.
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ConferenceTravel Pre Approval Form
PDF template
A form for employees to request pre-approval for conference or travel expenses with detailed cost estimation and reimbursement guidelines.
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CONFERS Member Logo License Agreement
PDF template
Agreement defining terms and conditions for CONFERS member organizations to use the organization's logo in promotional materials.
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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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2023 Membership Form
PDF template
Membership form for the New York State Federation of Lake Associations with tiered membership rates for associations, individuals, and corporate members.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
PDF template
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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Informed Consent Form
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A legal document outlining risks, benefits, and participant agreement for engaging in an exercise program at RehabGYM.
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Federal RetireeS Master Contact List
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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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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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Annual Contractor Membership Form
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Annual membership form for contractors to join the Michigan Barn Preservation Network and receive website listing benefits.
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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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Lights Of HOPE
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Donation and membership form for the American Cancer Society Cancer Action Network supporting cancer research and policy advocacy.
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MEMBERSHIP FORM
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Membership registration form for Osher Lifelong Learning Institute (OLLI) at the University of Rhode Island
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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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APNIC Corporate Contact Form
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A form for appointing an official APNIC Corporate Contact person with specified duties and responsibilities for an organization.
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Corporate Council Membership Form
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Membership form for corporate sponsors to join the Western Museum of Flight's Corporate Council at various contribution levels.
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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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Member TransferRegistration Form
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Form for transferring Girl Scouts membership between councils or updating member information.
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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
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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
PDF template
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
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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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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients at a women's wellness practice, collecting personal and medical information.
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District CommanderS Interview Form
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A form for potential members to apply for District Advisory Committee, subcommittee, or beat facilitator positions within the Chicago Police Department
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KSU Campus Employee Registration Form
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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
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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
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Form for LANL employees to document and verify jury duty service for payroll purposes.
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Payroll Deduction Authorization Zia Credit Union
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Authorization form for employees to set up, change, or cancel payroll deductions to Zia Credit Union
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RESIGNATION FORM
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A form for members to resign from Canopy Realtor Association and/or Canopy MLS, outlining resignation procedures and implications.
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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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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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Membership Form
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Form for individuals seeking membership to the NDSU Wellness Center, including sponsorship and personal information sections.
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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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Membership Form
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Membership application form for individuals, businesses, and clubs to support sportfishing conservation efforts in California.
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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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CTA Contact Form
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A form for tracking contact interactions, organizational assessments, and potential membership follow-ups for educators or workers.
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Cost Transfer Checklist
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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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CTSO Membership Reimbursement Form
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Form for requesting reimbursement for Career and Technical Student Organization (CTSO) membership fees for high school chapters in the Western Maricopa Education Center.
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GILBREATH READING COUNCIL MEMBERSHIP FORM
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Membership form for Tennessee Reading Association and Gilbreath Reading Council with registration details and contact information.
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Formal Resignation Request
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A document allowing members to voluntarily resign from the Columbia University Club of New York, detailing resignation process and requirements.
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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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CURRENT BRITISH SKYDIVING FORMS
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Comprehensive list of current forms for British Skydiving membership, pilot training, and certification applications.
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CURRENT BRITISH SKYDIVING FORMS
PDF template
Comprehensive list of current British Skydiving forms for membership, pilot training, and certification applications.
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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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CVAR RESIGNATION FORM
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A form for REALTORS to voluntarily resign their membership from the Catawba Valley Association of REALTORS.
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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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Campbell Valley Equestrian Society Membership
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Non-profit equestrian organization membership form for joining a local horse riding community and supporting park facilities.
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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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CWC Membership Application
PDF template
Membership application form for workforce professionals with multiple membership type options and payment methods.
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Clearinghouse On WomenS Issues Membership Form
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Membership form for joining the Clearinghouse on Women's Issues (CWI), offering individual and organizational membership options with various term lengths.
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Catholic WomenS League Of Canada Corpus Christi Council Membership Form
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A membership form for joining the Catholic Women's League of Canada's Corpus Christi Council, including personal details and membership preferences.
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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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Pueblo Grande Museum Auxiliary Membership Form
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A membership registration form for joining the Pueblo Grande Museum Auxiliary with various membership levels and volunteer opportunity selections.
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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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MEMBER REIMBURSEMENT DENTAL CLAIM FORM
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A form for members to request reimbursement for out-of-network dental services from their insurance provider.
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Data Protection Consent Form
PDF template
A form for members of Merthyr West End Bowling Club to provide consent for data storage, publication, and image usage.
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Data Protection Consent Form Members
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Consent form for members of the Southwell and Nottingham Diocesan Guild of Church Bell Ringers to collect and use personal data.
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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
PDF template
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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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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Referral Form For Student Mental Health And Counseling Support
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A comprehensive form for identifying and referring students who may need mental health or counseling support based on academic, behavioral, and appearance concerns.
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DD FORM 1617 Department Of Defense Transportation Agreement
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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
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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
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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
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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
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A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
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Membership Form
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A membership form for joining the Durham Deaf Society, a non-profit organization supporting the Deaf, deafened, and hard of hearing community.
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Affidavit To Request Replacement Of SNAP Benefits
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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
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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
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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)
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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)
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A form for employees to specify state income tax withholding allowances for California employers.
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DEALERSHIP CONTACTS
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A form for Georgia Automobile Dealers Association members to provide current contact details for key dealership personnel.
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Employee Incident Investigation Form
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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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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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Declaration Form Process
PDF template
Detailed instructions for World Aquatics Members to submit and download Declaration Forms through the GMS platform.
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Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
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A form allowing employees to cancel specific payroll deductions at Western Michigan University.
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Payroll Deduction Cancellation Form
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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
PDF template
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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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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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
PDF template
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
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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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MEMBERSHIP APPLICATION FIRM PROFILE
PDF template
Application form for court reporting firms to join the DepoSpan professional network and provide details about their business and services.
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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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Desk Book Directory Mail Form
PDF template
Order form for purchasing Idaho State Bar Desk Book Directory with pricing for members and non-members.
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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
PDF template
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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DIGABC Membership Form
PDF template
A membership application form for the Disabled Independent Gardeners Association of BC (DIGABC), detailing personal information and membership benefits.
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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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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 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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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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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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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 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 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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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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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 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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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
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A form authorizing electronic transmission of payroll funds to an employee's bank account at Widener University.
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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
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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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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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
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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SPLLC Direct Deposit Form
PDF template
Form for employees to provide bank account details for direct deposit of payroll earnings.
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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 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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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
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
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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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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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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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 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 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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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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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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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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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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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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District Membership Promotion Request Form
PDF template
Form for districts to request membership promotion funds up to $175 with a detailed membership program plan.
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DISTRICT MEMBERSHIP PROMOTION REQUEST FORM
PDF template
A form for district commanders to request funds for membership promotion activities with specific guidelines and funding limits.
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DIVING MEDICAL HISTORY FORM
PDF template
A comprehensive medical history form designed to assess an individual's fitness and health risks for participating in scuba diving activities.
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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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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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SUSLA Alumni Association Chapter Membership Form
PDF template
A membership form for alumni of Southern University to join the SUSLA Alumni Association Chapter with multiple membership levels and payment options.
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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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Membership Form US 072324
PDF template
Official enrollment form for becoming a dTERRA Wholesale Customer or Wellness Advocate with membership options and product selection.
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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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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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Youth Membership Form (Under 18)
PDF template
A comprehensive membership form for youth under 18 to join senior and multigenerational center programs in Albuquerque.
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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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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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Duct Tightness Test Verification Form
PDF template
A form for reporting duct tightness test results to verify compliance with residential building energy codes in Lake County, Ohio.
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Champlain Country Club Membership Dues Form
PDF template
Annual membership application and payment form for Champlain Country Club with membership dues, assessments, and optional fees
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Informed Consent For Fitness Assessment
PDF template
Consent document for participating in a comprehensive fitness assessment conducted by exercise physiology students at the College of St. Scholastica during the City of Duluth Health Fair.
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Informed Consent For Fitness Assessment
PDF template
Consent document for a fitness assessment conducted by exercise physiology students at the College of St. Scholastica during a City of Duluth Health Fair.
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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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Membership Form
PDF template
A form for individuals to apply for membership in a community legal services organization, with options for voting and associate membership.
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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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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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Member Record Update Form
PDF template
A comprehensive form for updating personal information, membership status, and dependent details for an organization or membership program.
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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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Early Helper Ticket Purchase Form
PDF template
Form for pre-purchasing helper tickets for the UFDC 75th Annual Convention in batches of 50 tickets at $20 per batch.
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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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Emergency Contact Form
PDF template
A form for collecting participant emergency contact details for a group or organization.
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Fitness Reimbursement
PDF template
A reimbursement program offering $100 for individuals and $200 for families toward qualifying fitness activities.
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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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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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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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Harvard Pilgrim Weight Management Reimbursement Form
PDF template
A form for employees to claim reimbursement for weight management program fees through Harvard Pilgrim Health Care.
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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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MEMBERSHIP APPLICATION
PDF template
Application for membership in the Eastern District North Carolina Public Health Association for the 2024-2025 membership year
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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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Teacher Discount Membership Application
PDF template
Application for membership at Cabrillo Marine Aquarium with various membership levels and benefits for teachers and general public.
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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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EnhanceFitness Post Program Evaluation Form
PDF template
A survey assessing participant experience and physical activity levels in the EnhanceFitness program.
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EFTA Field Trip Sharing Program Membership Application
PDF template
Application for clubs to join the Eastern Federation of Mineralogical Societies Field Trip Sharing Program
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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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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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B2B E List System Guidelines And Open House Luncheon Information
PDF template
Guidelines for professional communication and usage of email lists for real estate brokers within the Aspen Board of Realtors.
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Memberclicks E List System Guidelines And Open House Luncheon Information
PDF template
Guidelines and terms of use for a professional real estate email communication system for Aspen Board of Realtors members.
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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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Emergent Accident, Injury, And Illness Benefit Program For Students
PDF template
Policy detailing Missouri State University's insurance program for student medical emergencies and accidents when health services are closed.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Complaint Form
PDF template
A form for employees to formally file workplace complaints or request informal resolution of workplace issues.
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See template
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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See template
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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See template
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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See template
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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See template
EMPLOYEE CONTRIBUTION FORM
PDF template
A form allowing employees to establish, modify, or continue payroll deductions for foundation donations.
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See template
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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See template
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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See template
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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See template
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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See template
Employee Disciplinary Action Form
PDF template
Formal document used to record and document workplace disciplinary actions and violations by employees.
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See template
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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See template
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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See template
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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See template
Employee Emergency Medical Form
PDF template
Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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See template
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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See template
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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See template
Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple professional competencies and setting future goals.
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See template
Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple skill and competency areas.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Employee Payroll Deduction Form
PDF template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Employee Time Off Request
PDF template
A form for employees to request time off for various reasons, requiring supervisor approval.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Disciplinary Action Form
PDF template
A formal document used to record and document employee misconduct, policy violations, and disciplinary actions.
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See template
Employee Write Up Forms Packet
PDF template
Comprehensive packet of forms for documenting employee workplace issues, complaints, and disciplinary actions.
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See template
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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See template
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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See template
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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See template
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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See template
Membership Cancellation Form
PDF template
Form for members to cancel their GS1 Thailand membership and understand associated terms and conditions.
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See template
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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See template
NeurOptimal Client Informed Consent Form
PDF template
Legal document outlining the terms and understanding of NeurOptimal brain training, emphasizing it is not a medical treatment.
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See template
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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See template
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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See template
Enroll A Member NYSLRS Quick Guide
PDF template
A step-by-step guide for personnel contacts to enroll new members in the New York State and Local Retirement System online platform.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Westtown Township Health And Wellness Registration And Insurance Form
PDF template
Registration form for Westtown Township's fitness programs including Pilates and Yoga, with health history and consent sections.
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See template
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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See template
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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See template
Environmental Health Assessment Form
PDF template
A comprehensive form to assess individual and family exposure to environmental chemicals through food, living conditions, and personal care products.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
EPAR Timesheet
PDF template
A standard timesheet form for tracking employee work hours and payroll information.
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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
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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See template
Employee Resource Document
PDF template
A comprehensive resource document for employees providing emergency contacts, academic information, and campus resources.
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See template
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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See template
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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See template
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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See template
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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See template
ERS Pension Deduction Cancellation Form
PDF template
Form for retirees to cancel automatic health benefit premium deductions from their ERS pension
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See template
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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See template
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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See template
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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See template
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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See template
ESP Performance Review
PDF template
A comprehensive evaluation form for assessing employee performance across multiple job characteristics and skills.
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See template
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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See template
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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See template
Retirees Association Life Membership Contribution Form
PDF template
A form for retirees to make a non-refundable contribution to the ETSU Retirees Association Endowed Scholarship Fund.
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See template
Carter County PERSONNEL PERFORMANCE REVIEW FORM
PDF template
A comprehensive form for evaluating employee performance across multiple job competency categories.
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See template
Semester Evaluation Form
PDF template
A comprehensive form for clubs to report on their semester activities, membership, leadership, and goals.
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See template
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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See template
Event Submission Form
PDF template
Form for dTERRA members to submit event details for compliance and marketing approval for representing the company at events.
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See template
MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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See template
SilverFit Out Of Network Reimbursement Form
PDF template
A form for members to request reimbursement for out-of-network fitness facility expenses under the Silver&Fit program.
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See template
Exercise Waiver And Release Form
PDF template
A legal document releasing fitness facilities or trainers from liability for potential injuries during exercise activities.
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See template
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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See template
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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See template
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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See template
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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See template
G Adventures Confidential Medical Form
PDF template
A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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See template
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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See template
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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See template
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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See template
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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See template
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
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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
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A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
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EXTENDED LEAVE REQUEST FORM
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Texas City ISD Extended Leave Request Form
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A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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Extra Service Checklist
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Procedural guidelines for university employees seeking approval for additional work assignments beyond standard employment duties.
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Eyeglass Reimbursement Form
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EnrollmentChange Form
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EnrollmentChange Form
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Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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EyePAC Contribution Form
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A voluntary contribution form for supporting ophthalmic surgeons' political interests through eyePAC membership tiers.
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Direct Deposit Request Form
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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
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Change Of Address Form Benefit Recipient
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Change Of Address Form
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Wisconsin Medicaid Services Application
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Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
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Medicaid Asset Assessment
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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
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Puget Sound Benefits Trust Short Term Disability Claim Form
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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
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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
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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
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A form for employees to update their contact information with the Puget Sound Electrical Workers Trust Funds.
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Enrollment Form F33
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Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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Disability Claim Form
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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
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Form WT 4A Worksheet For Employee Withholding Agreement
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Change Of Address Form
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Change Of Address Form
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Form 943 EmployerS Annual Tax Return For Agricultural Employees
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IRS tax form for reporting wages, social security taxes, Medicare taxes, and federal income tax withholding for agricultural employees.
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FAA Child Care Subsidy Program Monthly Invoice Form
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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
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Appendix 1 To FAA NATCA FFCRA MOU
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A document for employees to request emergency leave related to COVID-19 under the Families First Coronavirus Response Act.
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Financial Assistance Checklist
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Application for financial assistance for YMCA membership and programs, allowing individuals to request reduced-cost membership based on income and need.
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Friends Of ACU Library (FACUL) Membership Form
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Faculty Assembly (FA) Payroll Deduction Form
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9 Month Faculty Cancellation Form For Deferred Pay
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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 Payroll Authorization Form
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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
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Payroll Deduction Form
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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
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FacultyStaff Payroll Deduction Form
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FacultyStaff Payroll Deduction Form
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Fair Hearing Request Form
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Westtown Township Health And Fitness Registration And Insurance Form
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Registration form for fitness programs with health history and medical information collection
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Fall 2023 Veterans Education Benefits Enrollment Form
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Study Order Form
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Order form for purchasing FAMIC study reports and executive summaries with payment and membership options.
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Emergency Sick Leave Request
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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
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ELIGIBILITY AND BILLING FORM
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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
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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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YMCA OF ORANGE COUNTY Family Guides (Program Registration)
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Registration form for the YMCA Family Guides Program in Orange County, allowing families to sign up for program membership and events.
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Family Medical Leave Request Form
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A form for Rappahannock County Public Schools employees to request family or medical leave with required documentation from healthcare providers.
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Michigan Department Of Natural Resources Annual Family Membership Application
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Annual family membership application for the Michigan Department of Natural Resources Outdoor Adventure Center, allowing up to five family members free admission for one year.
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APPLICATION FOR GRANT OF FAMILY PENSION
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Application form for requesting family pension benefits from Bank of Baroda Pension Fund Trust after the death of a pensioner.
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Florida Association Of Public Art Professionals Annual Membership Dues
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Membership form for non-profit organization supporting public art professionals in Florida with different membership tiers.
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Educational Benefit Tax Exemption Frequently Asked Questions
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A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
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Annual Conference FAQS
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Frequently asked questions about registration, membership rates, and conference details for the Pennsylvania Library Association annual conference.
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Frequently Asked Questions (FAQs) (Part Time Worker Trainer)
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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
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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
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Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
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Dual Benefits Reimbursement Form
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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
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Direct Deposit Request Form
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A form for authorizing direct deposit of paychecks into a credit union account.
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Faxed Timesheet Policy
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Policy outlining rules and procedures for submitting timesheets via fax for regular payroll processing.
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FBLA Collegiate Membership Form
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Membership form for Future Business Leaders of America-Collegiate organization, designed for students preparing for business careers.
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Friends Of Beckman Mill Membership Form
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A membership form for joining Friends of Beckman Mill, a non-profit organization dedicated to preserving a historic mill and park site.
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Joinder To Operating Agreement
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A document for joining a Faith Builders Special Purpose Entity and contributing funds for educational scholarships with potential tax benefits.
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Retiree Enrollment Form
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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)
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California state form documenting a foster child's eligibility for AFDC-Foster Care benefits and personal information.
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MEMBERSHIP FORM (Jan Dec)
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Annual membership registration form for businesses, organizations, and individuals in Fountain City, Wisconsin.
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FONTBONNE COMMUNITY CONNECTION 2016 2017 MEMBERSHIP FORM
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Membership form for making annual donations to the Fontbonne Community Connection with various payment and contribution options.
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FCCLA Chapter Membership Form
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A student membership form for joining the FCCLA organization at Pleasant Grove Junior High School, focused on leadership and community service.
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FCCLA Chapter Membership Form
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A membership form for students interested in joining the Family, Career and Community Leaders of America (FCCLA) organization at Pleasant Grove Junior High School.
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FBI Direct Deposit Form
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A form for FBI employees to authorize electronic payroll deposit into one or more bank accounts
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Claim For Dismemberment Benefits
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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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FEDERAL EDUCATION ASSOCIATION MEMBERSHIP CHANGE OF ADDRESS FORM
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A form for Federal Education Association members to update personal contact information, employment status, and address details.
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American Legion Auxiliary Department Of New York PresidentS Message
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Monthly communication from the President of the American Legion Auxiliary Department of New York, highlighting recent activities and organizational updates.
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U.S. Citizens And Resident Non Citizens Federal State Withholding Forms
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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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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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Fellowship Application
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Application form for membership recognition in the Association of Energy Engineers (AEE) fellowship program.
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Application For Fellowship
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Application form for becoming a Fellow member in arbitration or mediation through examination, reciprocity, or special waiver.
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Fellowship Application Form
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Application form for professionals seeking fellowship status with the Institute of Chartered Accountants of Ghana
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Health Benefits Claim Form
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A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT LEAVE REQUEST FORM
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Form for employees to request leave under the Families First Coronavirus Response Act for COVID-19 related reasons
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Leave Request Form Families First Coronavirus Response Act Employee Paid Leave
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A form for employees to request paid or unpaid leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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Families First Coronavirus Response Act (FFCRA) Leave Request
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Form for employees to request paid sick leave and expanded family medical leave related to COVID-19 pandemic
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COVID 19 LEAVE REQUEST FORM
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A form for employees to request leave due to COVID-19 related reasons under the Emergency Paid Sick Leave Act.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA) LEAVE REQUEST FORM
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A form for employees to request paid leave under the Families First Coronavirus Response Act for various COVID-19 related reasons.
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Membership Form
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A membership form for joining the Friends of the Gates Public Library, offering various membership levels and volunteer opportunities.
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UHC WTIA (EnrollCancelWaiverChanges)
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A comprehensive form for employees to enroll, modify, or cancel health insurance benefits and personal information.
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Central Ohio Retired Firefighters 4 Unit Membership Application
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Membership renewal form for retired firefighters and their families in the Central Ohio region, with dues and optional purchases.
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AccidentIncident Report Form
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A comprehensive form for documenting workplace accidents, incidents, and related details for reporting and prevention purposes.
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Alachua County Education Association Payroll Deduction Authorization
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Form authorizing automatic payroll deduction for union membership dues for Alachua County Education Association members.
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20242025 Unified Membership And Annual Payment Authorization Form
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Form for educators to authorize membership and annual dues payment for professional education associations
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Standard Charter Order Form
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Official form for establishing a new DeMolay International chapter with details about chapter members, advisors, and organizational information
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Change Of Address Notice
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Official form for updating member contact information with the New York City District Council of Carpenters Benefit Funds.
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American Chemical Society Division Membership Application
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Application form for joining a division of the American Chemical Society with various membership categories and payment options.
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Confidentiality Agreement
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A comprehensive confidentiality agreement outlining information protection requirements for employees and contractors of A & T.
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Direct Deposit Form For NYS Employees
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A form for New York State employees to set up, modify, or cancel direct deposit of their salary into bank accounts.
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Redemption Chapel Payroll Direct Deposit Form
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A form for employees to provide bank account details for direct deposit of payroll earnings.
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Direct Deposit EnrollmentChange Form
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A form for employees to enroll in or modify direct deposit banking information for payroll purposes.
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DOTM FORM 1024 FFCRA SICK LEAVE REQUEST
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A form for employees to request paid sick leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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Employee Direct Deposit Agreement
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A form allowing employees to specify bank account details for electronic payroll direct deposits across multiple accounts.
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Membership Form
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Membership application form for the Victoria Women's Transition House Society that allows individuals to join and support the organization's mission of gender equality and supporting women and children experiencing violence.
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Loan Application Form
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A loan application form for University of the Philippines employees with different loan amount limits based on employee classification.
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AGREEEMENT AND AUTHORIZATION TO DEDUCT
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A loan authorization form for the UP Provident Fund's Remote Learning Support loan, detailing borrower agreements and payment terms.
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Report Of The Interview Committee For Presbytery Membership
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A formal document used by the Presbytery of Giddings-Lovejoy to evaluate candidates for pastoral calls and presbytery membership.
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Employee Handbook
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Comprehensive guide detailing company policies, employee benefits, conduct expectations, and workplace guidelines for employees.
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Medical Freeze Request Form
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A form for requesting a temporary freeze on a membership due to medical reasons with specific conditions and documentation requirements.
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Membership ApplicationSignature Card
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Application and agreement for establishing membership and various account types with Treasury Department Federal Credit Union
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Membership Registration Form
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Multi-member registration form for youth club membership with demographic and contact information
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Campus Recreation Wellbeing Membership Form
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Membership registration form for Campus Recreation and Student Recreation Center (SRC) at California State University, Bakersfield
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Membership Form
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A comprehensive membership form for registering individuals and families with Christ Episcopal Church in Kensington, Maryland.
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Membership Form
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A membership and donation form for a non-profit organization supporting children and adults with developmental disabilities.
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Naturopathic Patient Intake Form
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Comprehensive intake form for new patients seeking naturopathic medical consultation, collecting detailed personal and health history information.
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Refund Request Form
PDF template
A form for requesting a refund for membership services under specific circumstances with required documentation.
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Sick Leave Request Form
PDF template
A form for employees to request sick leave and associated pay, to be processed by the payroll department.
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Membership Form
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Application form for joining the Woodbridge Pickleball Club, a non-profit organization dedicated to pickleball recreation and competitive play.
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TIME OFF REQUEST FORM
PDF template
A form for employees to request time off for various reasons including vacation, sick leave, or personal reasons.
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UEA EGGPAC Contribution Form
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A form for making political contributions to the United Egg Association Political Action Committee (EGGPAC) with membership and contribution details.
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Member Information And Dues Remittance Form
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Annual membership form for joining or renewing membership in the Assistance League of Ventura County with dues payment and member information collection.
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Paths To Health NM Tools For Healthier Living Referral Form
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A referral form for participants to join Paths to Health NM health programs with provider contact information.
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SDGR Membership Declaration
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Official membership declaration and consent form for members of the Salisbury Diocesan Guild of Ringers, including safeguarding and data protection agreements.
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Finance Forum Notes
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Internal meeting notes covering student employment I-9 process, IT training, year-end fiscal activities, and department invoicing procedures.
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Mansfield Independent School District Business Procedures Manual, Section 6 EmployeeStudent Travel
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Detailed guidelines for travel expenses, reimbursement, and approval process for Mansfield Independent School District employees and students.
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COVID 19 Paid Sick Leave Act Request Form
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Form for employees to request paid sick leave due to COVID-19 quarantine or isolation orders in New York State.
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FITNESS ASSESSMENT FORM
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A comprehensive form for evaluating an individual's physical fitness including body composition, cardiovascular fitness, muscular endurance, and flexibility measurements.
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Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
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Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
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Payroll Deduction For Fitness Center Membership
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A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
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Shepherd Village Fitness Centre Information Form
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Comprehensive guide for membership, fees, and usage of the Shepherd Village Fitness Centre for residents, staff, and community members.
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Fitness Class Registration Form
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Registration form for various fitness classes offered by Fermilab including abs, muscle toning, and yoga classes
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Fitness Class Registration Form
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Registration form for fitness classes at Fermilab including abs, muscle toning, and yoga classes with session details and pricing.
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Membership Benefits And Rates Guide For Douglas County Employees
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Comprehensive guide detailing fitness center membership options, rates, and benefits for Douglas County employees.
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Fitness For Life Medical Exam Compliance Form
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A medical exam compliance form for employees to document their wellness examination and health screening details.
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FITNESS INSTRUCTORPERSONAL TRAINER Insurance Program And Enrollment Form
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Insurance program designed for U.S.-based fitness instructors providing coverage for personal training and exercise activities.
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Sick Leave For Fitness Program Authorization Payment Form
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Form for City of Austin employees to request reimbursement for fitness-related expenses using sick leave credits, with a maximum annual reimbursement of $2,000.
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
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A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
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Payroll Deduction Form For The SSU Employee Fitness Plan
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Form for faculty and staff to enroll in Savannah State University's fitness plan with payroll deduction options.
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Harvard Pilgrim Fitness Reimbursement Form
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Form and instructions for health club membership reimbursement through Harvard Pilgrim Health Care for eligible members.
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2024 Fitness Reimbursement Program
PDF template
A program offering up to $300 per family annually for eligible fitness expenses for University System of New Hampshire employees and dependents.
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HealthFitness Center Reimbursement Form
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A form for Capital Health Plan members to request reimbursement for health and fitness center memberships up to $150 per family or member.
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Fitness Benefit Coverage Form Instructions
PDF template
Instructions and form for members to request reimbursement for fitness-related expenses through their health plan
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Fitness Reimbursement Form Instructions
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Instructions for submitting fitness facility membership reimbursement claims through Harvard Pilgrim Health Care.
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Fitness Studio Membership Form
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A membership form for joining the Wood Dale Park District Fitness Studio with membership options and liability waiver.
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Group Fitness Pass Student Billing Form
PDF template
A form for students to purchase an unlimited semester group fitness class pass charged to their student bill.
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Group Fitness Pass Student Billing Form
PDF template
Form for students to purchase unlimited access to group fitness classes with billing through student account
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PF 132 (10 18) SUNY Reimbursement Accounts Enrollment Form
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Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
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Direct Deposit Authorization
PDF template
A form for employees to authorize direct deposit of payments or reimbursements with bank account details.
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Reimbursement Form For Flexible Spending Account (FSA)
PDF template
Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
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MEDICAL FLEX REIMBURSEMENT FORM
PDF template
A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
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BESTflex Plan Election Form
PDF template
Document for employees to elect participation in flexible spending accounts for healthcare and dependent care expenses
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FM EXP TravelAuthorizationForm 001
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A form for obtaining prior authorization for out-of-state or out-of-country employee travel with specific conditions and usage guidelines.
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Additional Compensation Cancellation Form
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A form used to cancel or reduce additional compensation for faculty members at an educational institution.
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FAMILY MEDICAL LEAVE EMPLOYEE LEAVE REQUEST FORM
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A form for employees to request medical or family leave under FMLA and NJFLA regulations, documenting eligibility and reasons for leave.
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City Of Round Rock Request For FMLA Leave
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Official document for City of Round Rock employees to request Family and Medical Leave Act (FMLA) leave for various personal and family health situations.
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Leave Request Form Federal COVID 19 FFCRA
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A form for employees to request paid leave under the Families First Coronavirus Response Act (FFCRA) for COVID-19 related reasons.
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FAMILY MEDICAL LEAVE (FMLA) REQUEST FORM
PDF template
A form for employees to request Family and Medical Leave Act (FMLA) leave for various qualifying reasons including personal or family medical conditions, birth, adoption, or military-related leave.
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FAMILY OR MEDICAL LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave for various personal and family health-related reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request leave under the Family and Medical Leave Act for various personal and family health-related reasons.
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Family And Medical Leave (FML)Paid Parental Leave (PPL) Request Form
PDF template
A form for employees to request family and medical leave or paid parental leave, including various qualifying reasons for absence.
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Family Medical Leave Request Form (FMLA)
PDF template
Form for employees to request Family and Medical Leave for various personal and family health-related reasons.
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Direct Deposit Form
PDF template
Form for federal employees to set up or modify direct deposit and allotment payment arrangements for net salary and related payments.
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Farnsworth Middle School PTA Membership Form 2023 2024
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A membership form for supporting Farnsworth Middle School's Parent-Teacher Association and its educational programs
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FNIS Request Form
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Form for nonresident employees and students to provide immigration and personal information for tax withholding purposes at Northwestern University.
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FARTHEST NORTH PICKLEBALL CLUB MEMBERSHIP FORM
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Membership registration form for the Farthest North Pickleball Club with liability waiver and annual dues information.
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FNS 415 Interviewing
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Guidelines for conducting interviews for Food and Nutrition Services benefit applications, outlining interview requirements and interviewer responsibilities.
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Food And Nutrition Services Certification Applications FNS 415 Interviewing
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Guidelines for conducting interviews for Food and Nutrition Services benefits application process, detailing interview requirements and interviewer responsibilities.
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Wayland Friends Of The Arts Membership Form
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Membership form for supporting arts programs at Wayland Baptist University with various donation levels and membership categories.
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FRIENDS OF COLVIN RUN MILL MEMBERSHIP APPLICATION
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A membership form for individuals, families, and businesses to support the Friends of Colvin Run Mill organization.
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U.S. BANK FOCUS CARD Enrollment Form
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Enrollment form for obtaining a U.S. Bank Focus Card with personal and employment information collection
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FOHXG MEMBERSHIP FORM
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Membership form for joining the Friends of Halawa Xeriscape Garden, with options for membership levels and volunteer opportunities.
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MEMBERSHIP FORM
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Annual membership form for supporting local library programs and services through a $15 yearly contribution and optional volunteering.
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Food Delivery Checklist
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Comprehensive checklist for state agencies managing WIC food delivery systems, vendor management, and food benefit distribution.
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VSBA Food For Thought Competition Entry Form
PDF template
A competition by the Virginia School Boards Association to recognize school divisions for programs addressing childhood hunger, healthy meals, and student wellness
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FOOTWEAR SELECTION AND PROCUREMENT PROCEDURE
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Procedure for selecting and procuring protective footwear for employees with safety requirements and reimbursement guidelines.
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Foreign Change Of Address Form
PDF template
Form for updating international employee address and tax document delivery preferences at the University of Pittsburgh.
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Termination Refund Application
PDF template
A form for APERS members to request a termination refund with options for direct deposit or rollover of retirement benefits.
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PBGC Form 10 Post Event Notice Of Reportable Events
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A form for reporting significant events related to pension plans that may impact plan participants and financial stability.
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Form 11 LEAVE REQUEST FORM
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A form for employees to request various types of leave, including vacation, sick, and compensation time, with supervisor approval.
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PGA Professional Golf Management Program Application
PDF template
An application form for individuals seeking to join the PGA Professional Golf Management Program, outlining pre-requisites, documentation requirements, and eligibility criteria.
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BPA Gala Dinner Booking Form
PDF template
Booking form for the British Parachute Association's annual gala dinner event held in Nottingham.
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Change Of Address Form RetireesBenefit Recipients
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Official form for updating personal contact information for retirees and benefit recipients of Arkansas Retirement System.
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Sons Of Union Veterans Of The Civil War Department Annual Report (Form 35)
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Annual reporting form for departments of the Sons of Union Veterans of the Civil War to submit membership and organizational updates to National Headquarters.
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Individual Unemployability (IU Or TDIU) Intake Form
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A comprehensive intake form for veterans seeking total disability benefits based on individual unemployability due to service-related medical conditions.
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FORM 68 EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record and document employee workplace violations and disciplinary actions.
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Change Of Address Form
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Form for members to update their personal contact and mailing information with an organization.
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Dependency And Indemnity Compensation (DIC) Intake Form
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A form for surviving spouses, children, or dependent parents to apply for monthly compensation based on a veteran's service-connected death or disability.
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Form 941 For 2021
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Quarterly tax form for employers to report wages, tax withholdings, and social security/Medicare taxes to the Internal Revenue Service.
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Energy Assistance Program Change Of Address Form
PDF template
Form for updating contact and utility information when moving to a new address while receiving energy assistance benefits.
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SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
PDF template
A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
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Commonwealth Of Massachusetts EMPLOYEE REIMBURSEMENT FORM
PDF template
A form for Massachusetts state employees to submit expenses and mileage for reimbursement, including private auto mileage, meals, fares, and other expenses.
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VVA Election Report Form
PDF template
Form for reporting election results for Vietnam Veterans of America chapter and state council elections.
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FEDERAL TAX REFUND REQUEST
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A form for requesting a federal tax refund from the Office of the Comptroller for employees who are owed a tax refund for a specific tax year.
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FMLA LEAVE REQUEST FORM
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A form for employees to request family or medical leave, documenting leave details and employee information.
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COVID 19 LEAVE REQUEST FORM
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A form for employees to request leave related to COVID-19 situations and circumstances
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Permanent Mailing Address Form
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A comprehensive form for collecting personal and professional information for employment and retirement system membership in Ohio
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2022 Health Savings Account Payroll Deduction Form
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Form for employees to authorize payroll deductions for Health Savings Account (HSA) contributions in 2022.
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Accident Investigation Form (Example 2)
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A comprehensive form for documenting and investigating workplace accidents, collecting details about the incident, affected employee, and supervisor's assessment.
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Employer Sponsored Program How To File A Claim For Approval
PDF template
Comprehensive guide for employees on submitting claims through a healthcare benefits platform with detailed filing instructions and documentation tips.
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Member Interview Form
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A comprehensive form for gathering detailed personal information and preferences about a care member's activities, interests, and support needs.
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ORGANIZATION MEMBERSHIP FORM
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Annual membership form for joining the Organic Farmers Association as an organizational member with various contribution levels.
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Deduction Cancellation Form
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A form for university employees to request cancellation of a specific payroll deduction through Illinois State University's Payroll Office.
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Payroll Deduction Form
PDF template
A form allowing faculty and staff to authorize recurring payroll deductions for university donations or gifts.
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Planning And Evaluation Form
PDF template
A comprehensive form for documenting employee performance goals, objectives, and achievements for an annual performance review cycle.
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PhysicianS Approval Form
PDF template
Form for physician approval of patient fitness assessment and participation in exercise activities at AtlantiCare LifeCenter.
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IBEW LOCAL NO. 461 VARIABLE PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for IBEW Local No. 461 members to request pension benefits, including normal retirement, early retirement, or total and permanent disability benefits.
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IBEW LOCAL NO. 32 NECA PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for requesting pension benefits from the IBEW Local No. 32 NECA Pension Plan, allowing participants to apply for various retirement options.
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Plumbers And Pipefitters Local 333 Pension Fund Request For Application Form
PDF template
A form for requesting a pension application for members of Plumbers and Pipefitters Local #333 Pension Fund seeking retirement benefits.
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Form R Retiree Request Form
PDF template
A form for FedEx retirees to request travel tickets for themselves and eligible dependents using travel benefits.
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Prescription Drug Reimbursement Coordination Of Benefits Claim Form
PDF template
A form for submitting prescription drug reimbursement claims with details about medication, pharmacy, and patient information.
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Change Of Address Form
PDF template
Form for members to update their contact and address information with Greensboro Municipal Federal Credit Union.
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In Processing Forms Checklist
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Comprehensive checklist for new federal employees joining the Federal Retirement Thrift Investment Board (FRTIB) to complete required employment and benefits documentation.
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Messiah University Form Collection
PDF template
A comprehensive list of administrative forms used across various departments at Messiah University for different financial and administrative purposes.
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Promotion Request Form
PDF template
A form for requesting a promotion and pay increase for student employees at Riverside Community College District
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Leave Request
PDF template
A form for employees to request various types of leave with options for paid and unpaid leave categories.
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Change Address
PDF template
Guide for employees to update personal information and manage insurance-related documentation
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Payroll Deduction Form
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Form for staff to authorize payroll deductions for Wellness/Fitness Center membership at Palomar Community College District.
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Workplace Complaint Form
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A form for filing workplace complaints by employees at a university medical center, detailing procedures for submitting grievances through Employee and Labor Relations.
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Friends Of The Sherrills Ford Terrell Library Membership Form
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A membership form for joining the Friends of the Sherrills Ford-Terrell Library, allowing community members to support local library programs through various donation levels.
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Membership Form
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Form for joining or renewing membership in a wildlife conservation non-profit organization with various membership levels.
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Southern State Community College Employee Contribution Form
PDF template
A form for employees to make charitable contributions to the Southern State Community College Foundation through payroll deduction or direct payment
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Gift Authorization Form Employee Payroll Deduction
PDF template
A form allowing employees of Yuba Community College District to authorize recurring payroll deductions for foundation gifts and scholarships.
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Employee Donation Payroll Deduction Form
PDF template
A form for employees to make charitable donations to support various initiatives at the OCCC Foundation through payroll deductions or one-time gifts.
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Employee Payroll Deduction Pledge Form
PDF template
A form allowing employees to authorize recurring payroll deductions for charitable donations to the college foundation.
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Payroll Deduction AuthorizationChange Form
PDF template
A form for employees to authorize charitable donations through payroll deductions at Pierce College District.
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Payroll Deduction AuthorizationChange Form
PDF template
A form for Pierce College employees to authorize payroll deductions for charitable donations to the Legacy of Excellence Fund.
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Payroll Deduction Form
PDF template
A form for employees to enroll or modify payroll deductions for university foundation donations.
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Employee Performance Review
PDF template
A comprehensive form for assessing employee performance across multiple professional competencies and skills.
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Employee Performance Review
PDF template
A comprehensive document for assessing employee job performance across multiple professional competencies and behaviors
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Time Off Request Form
PDF template
A form for employees to request and record time off from work, requiring supervisor and manager approval.
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Frequently Asked Questions For Tuition Benefit
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Comprehensive guide explaining application process, deadlines, and details for tuition benefit programs at Augsburg University and partner institutions.
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Time Off Request Form Hourly
PDF template
A form for hourly employees to request and track paid time off hours based on service tenure and average worked hours.
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Join The Friends Personal, Gift, And Life Membership Form
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Membership form for joining Friends of Schmeeckle Reserve with various donation levels and membership options.
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Friends Of The Albany Public Library Membership Form
PDF template
Membership form for supporting the Albany Public Library with various donation levels and volunteer opportunities.
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Membership Form
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A membership form for supporting the Geology Museum with various membership levels and donation options.
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Friends Of The Willimantic Public Library Membership Form
PDF template
A form for individuals to join the Friends of the Willimantic Public Library and contribute to library support funds
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Friends Of The Nature Center Membership Registration Form
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Registration form for becoming a member of the Eleanor Buck Wolf Nature Center, offering various membership levels and options for individuals and families.
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Friends Of 1000 Islands Environmental Center Membership Form
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A membership form for supporting the 1000 Islands Environmental Center, offering various membership types and levels of community involvement.
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MEMBERSHIP FORM
PDF template
Membership form for joining the Friends of Mines Museum with options for student, individual, and family membership levels
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Membership Form For Friends Of The Rosemary Garfoot Public Library
PDF template
A membership form for individuals interested in supporting the Rosemary Garfoot Public Library through membership and volunteer opportunities.
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Friends Of The Plainville Public Library Membership Form
PDF template
Membership form for supporting the Plainville Public Library with various membership levels and donation options.
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UMBC Friends Of The Library Gallery Membership Form
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Membership form for supporting the UMBC Friends of the Library & Gallery through various donation levels.
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Friends Of Beckman Mill Membership Form
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A membership form for supporting the Beckman Mill historical site through various contribution levels.
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Friends Of The Kalamazoo Public Library Membership Form
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Membership form for supporting the Kalamazoo Public Library with various donation levels.
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Cal Poly Pomona Friends Of The Library Membership Form
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Membership form for supporting Cal Poly Pomona's library through various annual and lifetime membership levels.
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Friends Of The Round Rock Public Library Membership Form
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Membership form for joining the Friends of the Round Rock Public Library with various membership levels and fee options.
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Friends Of The Library Membership
PDF template
Annual membership form for supporting the Sierra College Library with various membership levels and book-loan privileges.
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FRIENDS OF THEATRE MEMBERSHIP FORM
PDF template
A membership form for supporting the School of Theatre through various donation levels with associated benefits and recognition.
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Enrollment Form
PDF template
Comprehensive enrollment form for fringe benefits including health care, life insurance, and retirement plans for carpenters in Western Washington.
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FAMILY FIRST CORONAVIRUS RESPONSE ACT (FFCRA) OREGON FAMILY LEAVE ACT (OFLA) LEAVE REQUEST FORM
PDF template
A form for employees to request leave under FFCRA and OFLA due to COVID-19 related circumstances
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Public Safety Officers Benefits (PSOB) Program History
PDF template
Document detailing the history and purpose of the Public Safety Officers' Benefits Act, which supports law enforcement and firefighter recruitment and retention.
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Section 125 Flexible Benefit Plan Direct Deposit Form
PDF template
A form for employees to authorize direct deposit of flexible benefit plan funds to a designated bank account.
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FSA Dependent Care Reimbursement Form
PDF template
A form for submitting dependent care expenses for reimbursement through a flexible spending account.
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Flexible Spending Accounts (FSA) Program EnrollmentChange Form
PDF template
Form for enrolling in or changing Health Care Flexible Spending Account (HCFSA) or Dependent Care Assistance Program (DeCAP) for Plan Year 2023
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2024 Flexible Spending Account EnrollmentChange Form
PDF template
A form for employees to enroll in or modify their Flexible Spending Account benefits for healthcare and dependent care expenses
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Enrollment Form Flexible Spending Account(S)
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A form for employees to enroll in healthcare and dependent care flexible spending accounts, specifying contribution amounts and acknowledging plan rules.
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Recurring Claim Form
PDF template
A form for employees to automate reimbursement of qualified expenses with fixed payments to a service provider.
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Discrimination Complaint Form
PDF template
Form for reporting discrimination complaints by students, employees, or other individuals within the college community.
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Fit Strong Data Collection Checklist
PDF template
Comprehensive checklist for leaders to manage Fit & Strong! workshop registration, participant tracking, and data collection processes.
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Employee Direct Deposit Banking Authorization Form
PDF template
A form authorizing an employer to deposit payroll funds directly into an employee's bank account
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Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
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Medical Release For Training Programs
PDF template
Policy outlining medical clearance requirements for students participating in firefighter training programs with strenuous activities.
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Friends Of UE Music Membership Form
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Donation form for supporting the University of Evansville's Department of Music through various membership levels and contributions.
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Full Time Member Membership Application Prior Service Purchase Form
PDF template
A form for Alabama retirement system members to purchase prior years of creditable service within the first two years of enrollment.
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PENSION BENEFIT APPLICATION FORM
PDF template
A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
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Fund Eligibility And Membership Section
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Document outlining eligibility requirements, enrollment procedures, and membership terms for a health insurance fund covering active and retired employees.
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Funeral Benefit Application Form
PDF template
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
PDF template
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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Membership Agreement Terms And Conditions
PDF template
Legal document outlining membership terms and conditions for Fitness World fitness centres in British Columbia.
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MEMBERSHIP AGREEMENT TERMS AND CONDITIONS
PDF template
A comprehensive agreement outlining the terms and conditions for membership at Fitness World fitness centres, including membership rights, services, and definitions.
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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
PDF template
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
PDF template
Form for Widener University faculty and staff to set up recurring or fixed payroll donations to university funds.
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Program Solicitation Sound Health Network
PDF template
Grant proposal guidelines for a program exploring connections between music, neuroscience, and health research and wellness
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Form G 615 (06 19) EmployerS Supply Requisition
PDF template
A form used by employers to request informational materials from the U.S. Railroad Retirement Board about retirement, survivor, unemployment, and sickness benefits.
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DR 1 Disability Benefit Application
PDF template
A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
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Contribution Form
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A document outlining ways to contribute to the Galena Foundation through membership, donations, and planned giving.
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Time Off Request Form
PDF template
A form for employees to request personal or sick time off, with details about coverage and documentation.
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Membership Form
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Form for joining or renewing membership in the UNL Garden Friends organization, with options for new membership and donations.
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Edgewood GASC Membership Form
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Membership application form for the Golden Age Social Club of Edgewood, Kentucky for senior citizens to join the organization.
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GASN Membership Application
PDF template
Application form for nursing students to join the Glendale Association of Student Nurses (GASN) and pay membership dues.
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Leominster Allotment Association Data Protection Act 2018 Consent Form
PDF template
Consent form for data protection and communication preferences for the Leominster Allotment Association members.
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Gemini Shippers Association Membership Information
PDF template
A document outlining membership details, benefits, and process for joining the Gemini Shippers Association for ocean freight shipping.
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IHSS General FAQ About CMIPS II
PDF template
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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Recreational Sports Membership Form
PDF template
Membership registration form for Texas A&M International University Recreational Sports Center for various customer types.
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Request For Leave Of Absence Form
PDF template
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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ACS CAN Membership Form
PDF template
A form for individuals to join and support the American Cancer Society Cancer Action Network (ACS CAN) with various donation levels.
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GENERAL CLAIM SUBMISSION FORM
PDF template
A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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General Assessment Form
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A comprehensive form assessing patient's sleep, mental health, work performance, chronic condition management, and medication adherence.
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Direct Deposit Authorization
PDF template
A form for employees to provide bank account details for direct payroll deposit.
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Personal Vehicle Use Form
PDF template
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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PSEA Gettysburg Summer Leadership Conference 2024 Region Scholarship Application
PDF template
Scholarship application for PSEA members to attend the summer leadership conference at Gettysburg College in July 2024.
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GFWC Membership Grant Application Form
PDF template
Grant application form for State Federations and Districts to support new and refederating women's clubs with $50 grants.
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Employer Notice Of Claim Long Term Disability
PDF template
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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Quartz Medicare Advantage (HMO) Quartz CashCard Reimbursement Form
PDF template
Form for Medicare members to request reimbursement for fitness memberships or medical transportation rides using their Quartz CashCard.
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MEMBERSHIP FORM
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A membership form for arts grantmaking organizations to join or renew annual membership with Grantmakers in the Arts.
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Army Nurse Corps Association Gift Membership
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Order form for giving a two-year membership to the Army Nurse Corps Association as a gift for various special occasions.
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Gift Membership Form
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A form for purchasing gift memberships to support the North Carolina Botanical Garden's programs and activities.
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Gift Membership Form
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A form for purchasing membership as a gift to another person in the League of Women Voters of Portland organization
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Gift Membership Form
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A form for purchasing gift memberships to Mass Audubon at various membership levels and contribution amounts.
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Friends Of The Oak Park Conservatory Gift Membership Certificate Purchase Form
PDF template
Form for purchasing gift memberships to the Oak Park Conservatory with options for basic and premium membership levels.
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Gift Membership Form
PDF template
A form for purchasing membership levels and gifting museum memberships with various benefit tiers
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Payroll Deduction Form For Charitable Contributions To The University Of California, Santa Barbara
PDF template
A form allowing employees to set up monthly charitable contributions to the UCSB Foundation's Sustainable Transportation Fund through payroll deduction.
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Employee Payroll Deduction Form
PDF template
A form allowing employees to authorize recurring or one-time payroll deductions for various college funds and programs.
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Request For Benefits ClaimantS Report Of Loss
PDF template
A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
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Short Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Global Direct Deposit And Payroll Distribution Authorization
PDF template
A form for authorizing payroll distribution to multiple credit union accounts, including savings, checking, and loan accounts.
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Golden Age Social Club Of Edgewood, KY, Inc. Membership Application
PDF template
Membership application for seniors in the Golden Age Social Club of Edgewood, Kentucky, covering personal and contact information.
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Council Representative Membership Form
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Application form for graduate students seeking representation in the Southern Illinois University Carbondale Graduate and Professional Student Council (GPSC)
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GPTC Employee Complaint Resolution
PDF template
A procedure establishing a uniform process for resolving employment concerns and encouraging fair communication between employees and supervisors.
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GRIEVANT INTERVIEW FORM
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A detailed form for documenting and assessing employee grievances and potential contractual disputes.
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Employee GrievanceComplaint Form
PDF template
A formal document for employees to file workplace grievances or complaints through a structured escalation process.
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Group Counseling Intake Form
PDF template
Comprehensive intake form for registering children in group counseling programs focusing on emotional wellness and support.
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Group Ex Operational Policies
PDF template
Comprehensive guidelines for accessing and using the University of Wisconsin-Stevens Point Group Exercise facilities and classes.
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Group Short Term Disability Claim Form
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A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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Statement In Support Of The Uniform Wage Garnishment Act
PDF template
Official endorsement by the American Payroll Association of the Uniform Wage Garnishment Act, highlighting its benefits for employers and standardizing wage garnishment processes.
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Payroll Delivery Form
PDF template
Form for employees to select their preferred method of receiving payroll payments, including direct deposit, pay card, or Western Union transfer.
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GS1 Identification Keys (GS1 ID Keys) Cancellation Form
PDF template
Official form for existing GS1 members to cancel their GS1 licence and identification keys
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Your Guide To Filing A Long Term Disability (LTD) Claim
PDF template
A comprehensive guide for filing a long term disability claim with Guardian, providing step-by-step instructions for completing the required forms and submission process.
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Guardian Life Insurance Enrollment Form
PDF template
Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
PDF template
Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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AC 2772 Direct Deposit Form For NYS Employees
PDF template
Comprehensive guide for New York State employees on completing the mandatory direct deposit form for payroll distribution.
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Payroll And Services Provided Information Sheet
PDF template
Document outlining payroll procedures, personnel action form requirements, and employee classification guidelines for Marshall University.
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Guide To Completing The Patent Application Form (Form No.1)
PDF template
Comprehensive instructions for completing a patent application with details on patent types, fees, and required information for the Intellectual Property Office of Ireland.
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WellnessHealth Screening Benefit Claim Form
PDF template
Insurance claim form for wellness and health screening benefits across accident, critical illness, hospital indemnity, and cancer plans.
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Job Aid Tax Withholding Updates ALL EMPLOYEES
PDF template
A step-by-step guide for employees to update tax withholding information using Employee Self Service in GUS HR system.
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Gym Reimbursement Form
PDF template
A form to help employees get reimbursed for fitness facility memberships and track workout sessions.
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Hawaii Automobile Dealers Membership Form
PDF template
Membership registration form for automobile dealers in Hawaii, allowing primary and associate memberships.
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2016 Haiti Mission Trip Payroll Deduction Form
PDF template
A form for employees of Morehouse School of Medicine to make a financial contribution to a Haiti Mission Trip through payroll deduction or direct payment.
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Interview Form
PDF template
A document used to collect details about alleged harassment incidents within a school district.
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MC Hardware Request
PDF template
A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
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Settlement Agreement Harper Et Al. V. Massachusetts Department Of Transitional Assistance
PDF template
A settlement agreement addressing access to benefits for individuals with disabilities at the Massachusetts Department of Transitional Assistance
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Wellness Reimbursement Form Instructions
PDF template
Instructions and guidelines for submitting wellness program and fitness reimbursement claims through Harvard Pilgrim Health Care.
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HAZARD REPORT FORM
PDF template
A standardized form for documenting workplace safety hazards, observations, and recommended corrective actions.
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HAZARD REPORT FORM
PDF template
A document for employees to report workplace safety hazards and for management to investigate and resolve potential risks.
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Hazard Report Form
PDF template
A comprehensive form for identifying, assessing, and reporting workplace safety hazards with risk assessment matrix.
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Hiram College Enrollment Form
PDF template
A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
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HEALTHCARE ADVOCATE TOOLS LINKS PHONE NUMBERS
PDF template
Comprehensive guide for AlaskaCare employees and retirees with contact information and resources for health insurance plans and provider networks.
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Family Household Income Statement
PDF template
Form for verifying household income and financial assistance for Child Care services through the Ohio Department of Job & Family Services.
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Tips For Claim Submission
PDF template
Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
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Eligibility And Enrollment Information For Employees
PDF template
A comprehensive form for employees to provide personal information and make flexible spending account elections.
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Change Of Address Form
PDF template
A form for updating personal contact information and address details for an individual or family.
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Student Health Services Health Evaluation Form
PDF template
Medical form used by students to document health status, current conditions, and activity clearance for university health services.
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HealthFlex Mandatory Premium And Coverage Waiver Form
PDF template
A form for employees to decline health insurance coverage and declare reasons for waiving enrollment in the HealthFlex plan.
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Male Health History Questionnaire
PDF template
Comprehensive medical questionnaire for collecting a male patient's health history, current concerns, and personal details.
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Retiree Health Cancellation Form
PDF template
A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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Health Insurance New EnrollmentWaiver Form
PDF template
A form for AmeriCorps members to enroll in or waive health insurance coverage during their program participation.
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HEALTH INVENTORY FORM
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10 Day Agreement Review Cancellation
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Health Risk Assessment Form
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Health Risk Assessment Rewards Program
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Portland Community College HSA Payroll Contribution Form
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DCH 1315 Health Risk Assessment
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Payroll Deduction Form HERO Employee Giving Campaign
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Disability Claim Form
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Statement Of Kurt DelBene On VA.Gov
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MEMBERSHIP ENROLLMENT FORM
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Membership HoldCancellation Form
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Homelessness Prevention Benefit Application For Assistance
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Homelessness Prevention Benefit Application For Assistance
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Hospice RevocationDischarge Form
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Exemption Certificate
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Daily Time Record
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Hourly Time Sheet Form
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Household Report Form
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Membership Form
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Reporting Attendance
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How To Submit A Claim For Critical Illness, Accident And Hospital Indemnity Insurance
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Short Term Disability Claim Form
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Employee Travel Authorization Settlement Form
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Stationary Order Form
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Accident Investigation Report
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Declaration Of Payroll Deduction
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HR 8 Leave Request Form
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Health Reimbursement Account (HRA) Claim Form
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Change Of Address Form
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Direct Deposit Form
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Employee Evaluation Form
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EmployeeS InjuryIllness Report Form
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Employee Time Off Request
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FMLA LEAVE REQUEST FORM
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CSEA Leave Request Form
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MSC Leave Request Form
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Supplemental Insurance Cancellation Form
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Sample Employee Resignation Form
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Open Enrollment And HR Benefits Communication
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HSA Payroll Deduction Form
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Kansas City, Missouri City Earnings Tax Withholding Information
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SUNY Geneseo Leave Request Form
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Changing Your Name AndOr Address
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Performance Review Form Hourly Employees
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Performance Assessment Form For Classified Exempt Employees
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Wellness Program Reimbursement Form
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Employee HSA Payroll Deduction Form
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HSA Contribution Form
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Health Savings Account 2023 Payroll Deduction Contribution Form
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Health Savings Account 2024 Payroll Deduction Contribution Form
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HEALTH SAVINGS ACCOUNT Voluntary Contribution Designation
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Health Savings Account (HSA) Contribution Form
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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 EMPLOYER CONTRIBUTION FORM
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HSA Enrollment Form
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Membership 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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Employee HSA Payroll Deduction Form
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Form for employees to authorize payroll deductions for health savings account contributions with detailed contribution limits and eligibility information.
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Health Savings Account Payroll Deduction Form
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Form for employees to set up payroll deductions for a Health Savings Account with High Deductible Health Plan coverage details.
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BlueFund HSA Payroll Deduction Form
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Disciplinary Action Form
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Historical Society Of The New York Courts Membership Form
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Discretionary Residency Benefit Application Form
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Financial assistance program for Ontario Works and ODSP recipients who are homeless, at risk of homelessness, or moving to more affordable housing.
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Hood Theological Seminary National Alumni Association Membership Form
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HUDESGSTEHP ES PREV DISCHARGE
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)
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Healthcare Worker Bonus Employee Inquiry Form Instructions
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Form for documenting in-classroom attendance for hy-flex courses to maintain VA education benefits eligibility.
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Disciplinary Action Form
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Record Of Employment
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Record Of Employment
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A form for documenting employment details for unemployment insurance claims in New York State.
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Employee Classification And Hiring Processes Audit Report 19 02
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Direct Loan Plus Loan Application Form
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ICAN Inquiry Form
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Employee Emergency Contact Form
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EMPLOYEE LEAVE REQUEST FORM
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Simple Printable Expense Report Form
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ICSVEBA 2021 Back To School E Kit Guide
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Federal Employees Health Benefits (FEHB) Premium Conversion Election Form
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Board Membership Form
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Intercultural Greek Council Chapter Guidelines For Membership Intake
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Pass The Torch Member Feedback Form Fall 2022
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Employee SystemsAccess Checklist Form
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Procedure III.3001.G.A, Employee Travel
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IncidentHazard Report Program
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Inactive Employee Change Of Address Form
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Form for updating mailing address for inactive employees at George Washington University for W2 tax purposes.
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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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A comprehensive form for documenting accidents, incidents, and injuries involving employees, volunteers, and youth participants at the University of Kentucky Cooperative Extension Service.
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Wayne State University Recreation And Fitness Center Incident Report Form
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Income Tax Withholding Instructions
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Instructions for employees on state and federal tax withholding procedures and submission requirements for Occidental Petroleum Corporation.
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How To Use Your New Caremark Prescription Drug Program
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Guide explaining new prescription drug coverage details for county employees through Caremark beginning January 1, 2011.
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Molloy University EmployeeIndependent Contractor Checklist
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Section 900 INDEX
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Indirect Membership Agreement
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Affidavit Form For Individual Members
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Gymnastics BC Individual Member Registration Form
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Individual Membership Form
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Individual Membership Form
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Kkua Mau IndividualProfessional Membership
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Individual Reimbursement Form
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49th Annual Training Institute REGISTRATION 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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Injury Incident Report Workers Compensation
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Saint Brigid Of Kildare Information Sheet For Inquiries
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Individual Request For Approval For Out Of State Travel
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EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
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DELL COMPUTER REQUEST FORM
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Intake Procedure For New Members
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IntakeReferral Form
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Refund Request Form
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State Income Tax Withholding Forms
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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 Organizing Assessment Form
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Internal Transfer Request Form
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Internship Application Form
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Application form for internship opportunities at a wellness facility offering personal training, exercise therapy, and rehabilitation services
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Interview Of Applicants For Membership
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Interview Of Applicants For Membership
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A detailed interview form for potential members of the Society of St. Vincent de Paul, designed to assess candidate suitability and commitment to serving those in need.
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Employee Direct Deposit Authorization Form
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Application Form For Invalidity Pension
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Official government form for applying for Invalidity Pension in Ireland, with detailed instructions for completion.
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Investigation Checklist Form
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IPA TRAVEL FORM
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Travel form for IPA members seeking assistance and travel arrangements between police sections.
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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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Implant Restorative Study Club Membership Form
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A membership form for joining the Implant Restorative Study Club with annual fee and contact information collection.
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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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Membership Application Form
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Application form for membership to the Islamic Society of Greater Dayton (ISGD) for individuals 18 and older
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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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WELLNESS CENTER LIABILITY WAIVER
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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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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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ITEM Coalition Membership Application Form
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I.T Maintenance Request Form
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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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Information Technology Services Purchase Requisition Form
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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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Application For Membership
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Membership application for individuals and organizations interested in mine rescue and safety
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Friends Of The John Curtis Free Library Membership Application
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Membership application form for supporting the John Curtis Free Library through various donation levels.
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Job Aide International Guest Lecturer (IGL)
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Job Related Training And Education Employee Request Form
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Membership Form
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Membership registration form for Bannockburn Community Club and Civic Association with optional voluntary contributions.
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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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Authorization, Agreement, And Certification Of Training
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HR Change Of Address Form
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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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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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Amenities Area Membership Application Bicycle Parking Form
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KPERS 15B Direct Deposit Agreement
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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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Peralta Community College District Reimbursement Form
PDF template
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
PDF template
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
PDF template
Form for requesting keys and access cards for college employees, outlining access and usage requirements.
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Key Electronic Access Request Form
PDF template
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)
PDF template
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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KEY (ACCESS) REQUISITION
PDF template
Form used to request new keys or access changes for employees at an educational institution
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Kensington Historical Society Membership Form
PDF template
Membership form for joining or renewing membership with the Kensington Historical Society with multiple membership levels.
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Membership Form
PDF template
Membership form for joining the Friends of Kings Gap, a chapter of the PA Parks and Forests Foundation.
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Aflac Cancer Wellness Claim Form
PDF template
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
PDF template
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
PDF template
Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
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2025 Value Added Benefits
PDF template
Comprehensive benefits guide for pregnant and new mothers, offering rewards, support programs, and additional healthcare services.
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KUDOS Nomination Form
PDF template
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
PDF template
A form for recognizing and nominating UNM-Gallup employees who demonstrate exceptional service and positive behaviors.
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2023 2024 Enrollment Form
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Enrollment form for members of the Arizona Education Association, covering membership classification and dues for the academic year.
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Revenue Form K 4
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
A detailed form to collect employee information, work details, and employment status for contractors and subcontractors.
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Labor Interview Form
PDF template
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
PDF template
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
PDF template
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
PDF template
A form for employees to document and claim disability benefits through the Labor Alliance Managed Trust Fund.
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Continuing Studies Appointment Form
PDF template
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
PDF template
Policy detailing how University of Michigan faculty and staff can submit reimbursement for business expenses incurred before October 14, 2009.
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Membership Form
PDF template
A membership form for joining a healthcare-focused organization in New Mexico with options for financial contributions and recognition.
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Associate Payroll Deduction Form
PDF template
A form for employees to authorize recurring or one-time payroll deductions for charitable contributions.
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LDSS 2642 Documentation Requirements
PDF template
A form detailing documentation needed to prove various eligibility factors for social services or benefits application.
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Department Leave Audit Form
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
Detailed guidelines for employees requesting a leave of absence, including required documentation for various types of leave.
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LEAVE REQUEST FORM
PDF template
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
PDF template
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
PDF template
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
PDF template
Procedural guidelines for employees to request leave, including submission, supervisor approval, and HR processing steps.
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Leave Request Form
PDF template
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
PDF template
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
PDF template
A form for employees to request time off, documenting leave details and supervisor approval.
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Leave Request Form
PDF template
A form for employees to request time off, specifying type and duration of leave.
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Leave Request Form 12 Month Employees
PDF template
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
PDF template
A form for employees to request leave related to COVID-19 public health emergency situations
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Leave Request Form
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
Form for employees to request vacation or personal leave time with supervisor approval
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Leave Request Form
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
A comprehensive form for employees to request various types of leave and for HR to track and approve leave requests.
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Membership Form
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A form for donors to make estate gift commitments to Providence Academy's Legacy Society
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MEMBERSHIP FORM
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A membership enrollment form for Law Enforcement Labor Services (LELS) union, allowing employees to authorize monthly dues deduction and join the union.
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MEMBERSHIP FORM
PDF template
Membership enrollment form for law enforcement professionals to join the Law Enforcement Labor Services (LELS) union.
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Disability Claim Form
PDF template
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
PDF template
Detailed instructions for employees to complete and submit extra duty and overtime timesheets for payment processing.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
PDF template
A comprehensive legal document that releases MetamorphiiFit Fitness Society from liability for potential risks and injuries during fitness programs and activities.
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Disability Claim Form
PDF template
A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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Library Associates Membership Form
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A membership form for individuals to join and support the Georgetown University Library at various contribution levels.
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LIFE INSURANCE FORM
PDF template
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
PDF template
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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Texoma Exposition Livestock Show Life Membership Purchase Form
PDF template
A form for purchasing life membership levels for the Texoma Exposition & Livestock Show with tiered contribution options.
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Lifetime Membership Registration Form
PDF template
Registration form for individuals to become lifetime members of the Girl Scouts organization, with options for self-registration or gifting a membership.
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PAID TIME OFF (PTO) REQUEST
PDF template
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
PDF template
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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Longview Independent School District Universal Direct Deposit Form
PDF template
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
PDF template
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
PDF template
A form certifying contractor compliance with the City of Pasadena's Living Wage Ordinance for municipal contracts over $25,000.
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Living Well At Washburn Award Nomination Form
PDF template
A form for nominating individuals for the Living Well at Washburn award, recognizing contributions to wellness at the university.
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Lifelong Learning Institute Registration Membership Form
PDF template
Registration form for James Madison University's Lifelong Learning Institute, allowing members to join and sign up for courses and trips.
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LLNS Prescription Drug Benefit For Anthem Members
PDF template
A summary of prescription drug benefits for Anthem members provided by CVS/Caremark, covering retail and mail-order pharmacy options.
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Lifelong Learning Program Membership Form 2020
PDF template
Annual membership form for Marshall University's Lifelong Learning Program offering educational benefits and access to events and resources.
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Membership Form
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Form for military and civilian employees at the Defense Supply Center Columbus to join the Leadership Development Council
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Loan Application Form
PDF template
A comprehensive loan application form for members of Thurles Credit Union, collecting personal, employment, and financial details.
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LOAN APPLICATION FORM
PDF template
Comprehensive guidelines for loan application process, detailing membership requirements, documentation, and loan disbursement conditions for Kanisa SACCO members.
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Medium Term Loan Application Form
PDF template
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
PDF template
A comprehensive form for employees to request extended time off for various personal, medical, or family-related reasons.
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