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Workers Compensation Pre-Designation of Physician Form |
Human Resources |
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VSP Vision Insurance Claim - No form required for vision services |
Human Resources |
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VSP Video Display Terminal (VDT) Claim Form |
Human Resources |
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VSP Out-of-Network Reimbursement Form |
Human Resources |
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Vision Insurance - Add Dependents |
Human Resources |
http://humboldt.edu/hsuhr/employee/benefits/documents/VSP-Dependents.pdf |
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Universal Availability Notice - 403(b) Plan Information |
Human Resources |
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Supervisor's Injury Prevention Report |
Contracts, Procurement and Risk Management |
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Staff Fee Waiver-Dependent |
Human Resources |
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SPF Workers' Comp Guide |
Sponsored Programs Foundation |
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SPF Out of Area WC Procedures |
Sponsored Programs Foundation |
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SPF Out of Area WC Procedures |
Sponsored Programs Foundation |
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Retirement Information |
Human Resources |
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Request for Service Credit - Service Prior to Membership |
Human Resources |
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PERS Declaration of Health Benefits |
Human Resources |
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Open Enrollment Letter for 2012 |
Human Resources |
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Letter/Options for Sanders Voluntary Insurances |
Human Resources |
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How to Make Changes During Open Enrollment |
Human Resources |
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How Service Credit is Earned |
Human Resources |
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Highlights of New Voluntary Plans |
Human Resources |
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Health Care/Dependent/Care Reimbursement Account Claim Form |
Human Resources |
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HBD-12 |
Health Benefits Enrollment Form - (Medical Benefits worksheet) |
Human Resources |
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Flex Cash Enrollment Authorization Form |
Human Resources |
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W-4 |
Employee's Witholding Allowance Certificate |
Human Resources |
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Employee's Claim Form For Worker's Compensation Benefits |
Human Resources |
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Employee Assistance Program (EAP) |
Human Resources |
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Domestic Partner Information |
Human Resources |
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Domestic Partner Forms |
Human Resources |
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Direct Deposit for Employee Reimbursements |
Financial Services |
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STD-692 |
Dental Plan Enrollment Authorization |
Human Resources |
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CSU Fee Waiver Program Information |
Human Resources |
http://www.humboldt.edu/hsuhr/employee/waiver/index.html |
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Career Development Plan |
Human Resources |
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CalPERS Beneficiary Designation Form |
Human Resources |
http://www.humboldt.edu/hsuhr/docs/benedesignee.pdf |
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Cal-Ore Life Flight Membership Program |
Human Resources |
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CAL-ORE Life Flight Membership Form |
Human Resources |
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Blue Shield Monthly Webinar (May) |
Human Resources |
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2013 FSA Grace Period |
Human Resources |
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