Forms
Tax Information

• WH-4 Indiana State Withholding Form

• 2013 W-4 Federal Tax form

Forms

• Flex Benefits Medical Claim Form

• Flex Dependent Care Claim Form

• Direct Deposit Form

Employee Discounts

• Easy Airport Parking Brochure

Retirement

• Summary Plan Description Retirement Plan (restated 1/1/2009)

• Summary Plan Description Supplemental Retirement Plan (restated 1/1/2009)

• Salary Reduction Agreement

Health Insurance

• CIGNA (Medical Insurance) Summary Plan Document for Active Employees

• CIGNA (Medical Insurance) Summary Plan Document for Retired Employess

• CIGNA (Medical Insurance) Enrollment Form

Life Insurance

• Basic Life Insurance Policy

• Beneficiary Change Form

• Life Insurance Claim Form

• Voluntary Life Policy

• Basic Life and Voluntary Life Enrollment form

Voluntary Accident Insurance

• AFLAC-Voluntary Accident Insurance Brochure

Flexible Benefits Plan

• Childcare Provider Form (W-10)

• Child Care (Dependent Care) Claim Form

• Medical Flex Claim Form

Dental Insurance

• Dental Insurance Claim Form

• Summary Plan Document

• Group Dental Highlight Sheet

• Dental Insurance Enrollment Form

Long Term Disability

• Long Term Disability Policy

• Long Term Disability Claim Form

Short Term Disability

• Short Term Disability Claim Form

• Short Term Disability Policy

Tuition Remission

• 2012-13 Application Form

• Wabash College Tuition Remission Policy

• GLCA Tuition Exchange Application Form

Supervisor Information

• Suffer or Permit to Work

• Retaliation Guidelines

• Wabash College Hiring Procedures

• Disciplinary Techniques for Supervisors

• The Hiring Process dos and donts

• Guidelines on Interview Questions

• Example of Interview Worksheet

Notices and Announcements

• 2012-13 Holiday Schedule

• First Report of Injury (Workers Compensation Report)

Employment Handbooks and other policies

• Whistleblower Policy

• Parental Leave Policy-Faculty

• Faculty Handbook

• Employment Guide (updated 8-5-09)

• Title IX Compliance Statement

• Parental Leave Policy-Hourly

• Parental Leave Policy-Staff

• Title IX Grievance Procedure for Staff and Hourly Employees

Employee Requests

• Request for Family Medical Leave

• Family and Medical Leave Policy

• Request for Workers Compensation Claim

Faculty and Staff Giving Information

• Payroll Deduction Form

• Annual Fund Information for Faculty and Staff

Vision Insurance

• VSP Highlight Sheet

• Vision (VSP) Enrollment Form