Common Forms
- Employee Self Serve Portal Manual
- Activity Fund Disbursement
- Direct Deposit
- Technology Acceptable Use Policy & Form
- Leave Request
- Leave Donation
- Mileage Reimbursement
- Payroll Replacement Check
- Personnel Update
- Requisition Request
- School Travel Pay
- Tuition Assistance Form
- VA-4 State Tax
- W-2 Request
- W-4 Tax Form
- Pay Dates 22-23
- New Horizons Emergency Schedule
Open Enrollment
Optima Enrollment Packet
- Optima Enrollment Application
- 2019 Getting Started with Optima Health
- 2019 Getting Started w Optima Health
- Optima Health Website Flyer
- 18 MDLIVE-Optima_BIGs_72018
- HSA Contribution Election Form 2022-2023
- HSA Transfer
- HEQ Transfer Request Form
- health coverage waiver
- Transition of Care Assessment
- Out of Area Dependent form – enrolled-members
- Preventive Drug List
- form-doc-equity-preventive-drug-list-alpha
- Optima Standard Formulary
- OptumRx_Mail Order form
- OptumRx_FAQ-OptimaHealth_FINAL
- Optima_Options for Care_72318
- GymNetwork360
- Health Coverage Waiver
- Avesis Vision
- Dental
- List of 403b Companies
- 403b Agreement
- Legal Resources Brochure
- Legal Resources Enrollment Form
- Health Insurance Waiver Form
Flex Spending Forms
- FSA Employee Guide 2022
- How Flex Benefits Works
- Flex Spending Enrollment Form
- Benefit Card Election Form
- Using Your Benefit Card
- Dependent Care Reimbursement Claim Form
- Direct Deposit Form
- Limited FSA Medical Reimbursement Claim Form
- Medical Reimbursement Claim Form
- Online Claims Submission
- Spending Enrollment Form
- Transaction Substantiation Form
- FSA/HSA/HRA Notification of Termination Form
- Eligible Expense Listing
- Flex Rollover Letter
- Flex Rollover Frequently Asked Questions
- Flex Change of Address Form
- Flex Change of Status Form
- Flex E-Coupon
- Flex Mobile App
- Flex Web Access Flyer
- Limited FSA Flyer