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1.  Dental Insurance - Delta Dental

• Summary of Dental Benefits
• Delta Dental Claim Form
• Delta Dental Enrollment Form

2.  Flexible Spending Account - Flexible Benefits Administrators

• Flexible Spending Accounts Plan - General Information
• Flexible Spending Accounts Employee Handbook
• Flexible Spending Accounts Plan - Memo
• Flexible Spending Accounts Plan - Election Form
• Flexible Spending Accounts Plan - Claim Form
• Flexible Spending Accounts Plan - Change in Status Form
• Flexible Spending Accounts Plan - Web Access
• Flexible Spending Accounts Plan - Address Change
• Flexible Benefits Plan - Using your Flexible Benefits Card
• Flexible Benefit Plan - Waiver of Participation                

3.  Medical Insurance - Southern Health

• Summary of Medical Insurance Benefits – HMO-1
• Summary of Medical Insurance Benefits – HMO-2
• Summary of Medical Insurance Benefits - POS
• Southern Health Enrollment Form HMO/POS
• Southern Health Claim Form
• Southern Health Drug Formulary
• Southern Health Drug/Prescription Frequently Asked Questions
• Southern Health Drug Pre-Authorization Form
• Southern Health Services Pre-Authorization Form
• Caremark Mail-In 90 Day Prescription Order Form
• Caremark Prescription Reimbursement

4.  Payroll

• Absence Report
• Direct Deposit
• Non-Scheduled Payment
• Payroll Advance
• Premium Conversion Information Sheet
• Form W-4 Employee's Federal Income Tax
  Withholding
• Form VA-4 Employee's Virginia Income Tax
  Withholding
• Form W-5 Earned Income Credit Advance
  Payment Certificate-2009
• I-9 Form    

5.  Performance Appraisal / Position Description

• Position Description Form
• Performance Evaluation
• Performance Evaluation – Department Head
• Certificate of Completion

6.  Recruitment & Hiring

• Background Check, Your Rights (Required)
• Background Check Disclosure (Required)
• Background Check Release (Required)
• Advertising Checklist
• Application for Employment - Ferrum College (Word Document)
• Application for Employment - Ferrum College (PDF)
• Fringe Benefits - Faculty
• Fringe Benefits - Staff
• Position Authorization Form
• Reference Check

7.  Retirement Plan 403(b)

• Salary Reduction Agreement
• Defined Contribution Retirement (DCR)
  Summary Plan Document
• Tax Deferred Annuity Retirement (TDA)
  Summary Plan Document
• EGTRRA Modifications Memo - July 2003
• EGTRRA Modifications to DCR Plan
• EGTRRA Modifications to TDA Plan

8.  Safety

• Click this link to View & Print Safety Forms

9. Tuition Waiver / Tuition Exchange / Professional Development

• Tuition Exchange Request
• Tuition Waiver - Employee
• Tuition Waiver - Dependent     
• Professional Development Policy & Application     

If you have questions about forms not listed above, please contact Human Resources at ext. 4235.