forms and documents

INGHAM COUNTY JOB DESCRIPTIONS

FROM A TO Z
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Employee Health Insurance and Related Forms

Enrollment and Change Forms

Lincoln Beneficiary Form

Humana Summary Form

Humana RX Summary

Rates (2017)

High Plan

Standard Plan

Base Plan

Delta Dental Summary

EMPLOYEE ADA REASONABLE ACCOMMODATION REQUEST FORMS

Employee Accommodation Request Form (ADA)

Employee ADA Authorization for Release of Medical Information

Employee ADA Medical Certification

ERGONOMIC ASSESSMENT REQUEST FORM

Tax Forms

State of Michigan Withholding Exemption

Workers Compensation Forms

Accident Report Form

Family Medical Leave Forms (FMLA)

Family Medical Leave Act (Slide Show Presentation)

FMLA Request Form

FMLA Tracking Sheet (Excel Form)

FMLA Tracking Sheet (Sample)