These forms are in either a .doc or a .pdf file format. To read and print the .pdf you may need to download the latest version of Adobe® Acrobat® Reader (free) from the Adobe site.
All forms must be printed, completed and signed before submission to the Payroll & Benefits Department. Electronic submission of forms is not permitted at this time.
New Hires Enrollments/Qualifying Events
Flexible Spending Accounts
AFLAC – Accident, Critical Illness and Hospital Indemnity
- Notice for employees on the benefits they may continue.
Cancer Insurance – Allstate
To continue coverage when terminating, call 800-521-3535
Individual Life Insurance