Forms - Benefits

Department	Title/Details	Form Number	Direct Link
HR	VSP Video Display Terminal (VDT) Claim Form		Document vspvideodisplayterminalclaimform.pdf (243.46 KB)
HR	VSP Vision Insurance Claim - No form required for vision services
HR	W-4 - Employee's Witholding Allowance Certificate	W-4	http://www.irs.gov/pub/irs-pdf/fw4.pdf
HR	Work-Related Injury Reporting Procedure		Document workrelatedinjuryreportingprocedures2024.pdf (796.13 KB)
HR	Workers Compensation Pre-Designation of Physician Form		Document noticetonewemployeeswebsiteonly.doc (37.5 KB)
HR	Workers' Comp Quick Guide		Document wcprocessforsupvrev04-15.pdf (83.56 KB)

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