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For Staff

CESD Forms and Information

• Accident Analysis
• Agreement for Salary Reduction
• Authorization for Additional Pay Form
• Automatic Deposit Form
• Classified Employee Leave Request Form
• Coffee/Tea Fund Request Form
• Employee Emergency Information
• Licensed Employee Leave Request Form
• Notice of a COBRA Qualifying Event
• Physician's Release Form - FMLA/OFLA
• Physician's Release Form - Worker's Compensation
• Professional Development Requisition
• Reimbursement Request Form NEW - July 2011 - One-page version
• Reimbursement Request Form NEW - July 2011 - Two-page version
• Secondary Auto Deposit Form (US Savings Bond)
• Tax Sheltered Annuity (TSA) - 403(b) Compliance and Plan Information
• W-4 Form

Aflac Forms

• Change in Status Form
• Dependent Care and Medical Reimbursement Form
• Direct Deposit Option Form
• Medical Reimbursement Form
• Other Aflac forms and brochures (Flex One plan)

Other Aflac Information

• Denial Code Description Reference Sheet
• Flexible Benefits Plan Summary Plan Description