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Employee Forms

We have provided an extensive list of online employee forms that can be easily downloaded as a pdf file, printed and filled out. Should you have any questions about a form or if you are unable to find the form you are looking for, please let us know!

Empower (Great West) Governmental 457b Plans

Beneficiary Designation Governmental 457(b) Plan
Participant Enrollment Governmental 457(b) Plan 2014
Incoming Transfer/Direct Rollover Govenmental 457(b) Plan 2014

Federal Forms

Form I-9 Employment Eligibility Verification
Form W-4 Employee's Withholding Allowance Certificate
Social Security Administration Form SSA-1945

General Employee Forms

SCH Address and Name Change Form
SCH Direct Deposit Form

ICMA Deferred Compensation 457b Plans

ICMA Employee Enrollment
ICMA Contribution Change Form
ICMA Employee Information Change Form
ICMA Pre-retirement Catch Up Form
ICMA Beneficiary Designation

Leave Forms

Application for Leave
FMLA Application 8454-1614
FMLA Application

Occupational Injury

To be filled out by EMPLOYEE

Notify supervisor immediately if you are injured on the job.

Employee Report of Occupational Injury or Illness to Employer

To be filled out by SUPERVISOR

OSHA's Form 301 Injury and Illness Incident Report

Payroll Calendar

2015 Payroll Calendar


Beneficiary Designation (Tier I, II, III)
Beneficiary Designation (Tier IV)
PERS Plan Comparison Chart (Tiers I-IV)
PERS TRS General Plan Information

Premera Blue Cross

Blue Cross Enrollment and Change Application
Blue Cross Member Claim form
Premiums 2015
Prescription Drug Reimbursement Form


SBS Annuity Beneficiary Designation 401(a) Plan
2016 Voluntary Supplemental Benefits Information Booklet
State of Alaska Optional Benefits Premium Card 2016
Social Security Administration Form SSA-1945

Supplemental Group Insurance (Aflac)

Aflac Accidental Injury Claim Form 2014
Aflac Cancellation Notice
Aflac Cancer Wellness Claim Form 2014
Aflac Hospital Indemnity Claim Form 2014
Aflac Initial Disability Claim Form 2014
Aflac Life-Beneficiary Statement 2014

USAble Group Life Insurance

USAble Beneficiary Change Form
USAble Employee Benefits Summary
USAble Enrollment or Change Form
USAble Voluntary Life ADD Enrollment Form
USAble Evidence of Insurability Form