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Employee Benefits Forms
Click link to view and print forms
- Employee Information Sheet
- FW4 (pdf)
- G-4 (pdf)
- I-9 (pdf)
- District 2 Immunizations (pdf form)
- Employee Retirement
- Employees' Orientation Checklist
- Employment Acknowledgment Form
- Fair Labor Standards Act
- Flexible Benefits / Health Insurance Options Memo
- FLSA comp (pdf)
- Group Term Life Insurance
- Loyalty (pdf) (Must be Notarized sign at Orientation)
- Medical Form (pdf)
- Outstanding Wages (pdf)
- Selective Service Verification (If Applicable)
- Sexual Harassment Policy Form To Sign
- Sexual Harassment Policy (pdf)
- Credit Union (pdf form)
- Standards of Conduct (pdf)
- Authorization Agreement For Automatic Deposits
- Statement on Patient Privacy
- Acknowlegement of Confidential Requirements
- Acknowledgement of Workers' Compensation Treatment
- Acknowledgement of Unclassified Position (pdf)
- Acknowlegement of Responsibility To Maintain Currant License
- PAPERWORK FOR PART TIME HOURLY EMPLOYEES ONLY