Benefit Forms    |    Leave Forms    |   Misc Forms   |   New Performance Evaluations    |   Links 

Benefit Forms

• Delta Dental Enrollment/Change - AFSCME
• Delta Dental Enrollment/Change - Teamsters and PD
• Deferred Compensation Enrollment Form
• Deferred Compensation Beneficiary/Name/Address Change
• Deferred Compensation Paycheck Contribution Election
• Anthem and Kaiser Enrollment/Change Form
• Kaiser Enrollment/Change Form(Supplemental)
• Medical Alternative Waiver
• VSP (Vision) Enrollment Form
• Lincoln Financial Life Insurance Beneficiary Form

• Catastrophic leave application
• Catastrophic leave donation form
• FMLA Request
• Military Leave Request
• Request for leave

• Address change
• Name Change
• Tuition/Education reimbursement
• Moonlighting Request Form

• AFSCME
• Teamsters
• Unrepresented

   Supervisor Guide to the Performance Evalution Process
   New Performance Evaluation Training PowerPoint
   Employee Self-Evaluation Page ONLY

Open Enrollment Information

• Lincoln Financial Life Insurance
• Lincoln Financial Enrollment Form (New Employee/Additional Life Insurance)
• Lincoln Financial Rate Sheet (Additional Life Insurance)
• American Fidelity Brochure
• HMO PPO Comparison
• 2024 Retiree Benefits Overview Guide
• 2024 Employee Benefits Overview Guide

Employee Information & Policies

• Electronic Media Use Policy
• Harassment and Discrimination Policy
• HIPAA Policies and Procedures
• Injury and Illness Prevention Plan
• Workplace Violence Prevention Policy
• 2024 Holiday Schedule

Benefit Vendor & Other Links

• American Fidelity
• CalPERS
• Empower Retirement
• Delta Dental
• VSP
• Employee Recognition Program
• Health Net
• Kaiser
• Anthem
• Claremont (Employee Assistance Program)
• PORAC
• MissionSquare (RHS)
• ScholarShare529