| FSA_Change_Form |
FSA Change Form
(192.67 KB)
|
Form |
January 6, 2016 |
PDF |
| Pre-Tax_Premium_Reduction_Form |
Pre-Tax Premium Form
(229.89 KB)
|
Form |
January 6, 2016 |
PDF |
| Domestic_Partner_Enrollment_Package |
Domestic_Partner_Enrollment_Package
(930.43 KB)
|
Form |
April 4, 2024 |
PDF |
| Time Reporter Group and Approver Changes Form |
DHR-VTHR_Time_Reporter_Group_Approver_changes_Form.xlsx
(9.9 KB)
|
Form |
November 16, 2015 |
Spreadsheet |
| Waiver of Direct Deposit Request Form |
DHR-VTHR_Waiver_of_Direct_Deposit_Request_Form.pdf
(160.74 KB)
|
Form |
May 23, 2018 |
PDF |
| Request for Time Entry - Delegates |
DHR-VTHR_Request_for_Time_Entry_Delegates.docx
(22.27 KB)
|
Form |
November 16, 2015 |
Word |
| Exempt Salary Request Form |
DHR-Exempt_Salary_Request_Form.pdf
(69.04 KB)
|
Form |
March 7, 2016 |
PDF |
| Notice of Eligibility and Rights & Responsibilities (WH-381) |
WH-381 Notice of Eligibility and Rights and Responsibilities FMLA Form.pdf
(225.92 KB)
|
Form |
August 29, 2018 |
PDF |
| Designation Notice (WH-382) |
WH-382 FMLA Designation Notice.pdf
(124.77 KB)
|
Form |
August 29, 2018 |
PDF |
| Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F) |
WH-380-F Family Member's Certification of Health Care Provider for Serious Health Condition FMLA Form.pdf
(202.09 KB)
|
Form |
August 29, 2018 |
PDF |
