Human Resources

FAMILY AND MEDICAL LEAVE ACT

• FMLA Poster (Revised January 16, 2009)

INSURANCE FORMS  

• Application and Policy Change Form
• Consumer LIfe Insurance Employee Enrollment Form
• Consumer LIfe Insurance Beneficiary Designatin Form
• Medical Mutual of Ohio Dental Claim Form
• Medical Mutual of Ohio Health Insurance Claim Form
• Medical Mutual of Ohio Vision Care Claim Form

PAYROLL FORMS

• Automatic Direct Deposit
• E-mail Direct Deposit Notice
• W-4 2012
• Form W-4 2013
• Pay Dates for 2012-13

SECTION 125 FLEXIBLE BENEFIT FORMS

• 2013 Flexible Benefit Plan Enrollment Form
• 2013 Enrollment Guide Stark
• 2013 Claim Filing Guide Stark 

Workers' Compensation Forms