Forms

Alphabetical Listing of all Forms

 

• Application for Employment 

• Application Review and Action Form

• Brief Information for New Employees

• Cell Phone Request Form
  
  
• Change of Personal Information Form

• Cigna Dependent Day Care Flexible Spending Account Enrollment/Change Form

• Cigna Group Dental Claim Form

• Cigna Group Medical Direct Claim Form

• Cigna Health Care Flexible Spending Account Enrollment/Change Form

• Cigna Tel-Drug: Prescription Home Delivery Forms

• Conflict of Interest Disclosure
  
  
• Dependent Care Expense Reimbursement Claim Form
  
  
• Direct Deposit (Authorization Agreement for Automatic Deposit)
  
  
• Employee Pre-Performance Appraisal Worksheet: Hourly Employees
  
  
• Enrollment Form (2008-09 Group Health Insurance Plan)
  
  
• First Report of Injury
  
  
• GLCA - Tuition Remission Exchange Program (TRE) - Policy can be found in Employee Guide
  TRE Application can be found on the GLCA web site, www.glca.org.
  
  
• Medical FSA Claim Form
  
  
• Performance Appraisal Form: Hourly Employees
  
  
• Performance Appraisal Form: Salaried Employees

• Performance Appraisal Guide: Hourly Employees

• Performance Appraisal Program: Hourly Employees

• Performance Appraisal Program: Salaried Employees

• Personal Information Form

• Personnel Action Sheet

• Reimbursements (Authorization Agreement for Automatic Deposit)

• Request to Fill a Position

• Retirement Program Salary Reduction/Deduction Agreement (for use after 01-Jul-08)
  
  
• Tuition Remission Application for Dependent attending DePauw University

• Tuition Remission Application for Spouse

• Tuition Waiver for Employees

Send completed forms to the Office of Human Resources, 313 South Locust Street, Greencastle, Indiana, 46135.