<sct-component id="090c7f6a815d9440" target_name="site-move-statement" style=";">site-move-statement</sct-component> <p><span style="color:Blue"><strong>Click on the links below to download the appropriate form.</strong></span><br /><strong><br />Benefit Enrollment and Beneficiary Forms</strong></p> <ul> <li><a href="/id090c7f6a8085c772" target="_blank">Medical Enrollment Form</a></li> <li><a href="/id090c7f6a8000f036" target="_blank">Special Enrollment Form</a></li> <li><a href="/id090c7f6a8000f043" target="_blank">Foster Child/Stepchild Questionnaire and Enrollment Form</a></li> <li><a href="/id090c7f6a8000f042" target="_blank">Handicapped Child Enrollment Form</a></li> <li><a href="/id090c7f6a8000f038" target="_blank">Out-of-State, Dependent Medical Enrollment Form</a></li> <li><a href="/id090c7f6a8066cda0" target="_blank">Wellness Incentive Enrollment Form</a></li> <li><a href="/id090c7f6a8120a807" target="_blank">Authorization to Mail Paycheck</a></li> <li><a href="/id090c7f6a8097560e" target="_blank">Declaration of Common Law Marriage</a></li> <li><a href="/id090c7f6a807ee0f4" target="_blank">Direct Deposit Form</a></li> <li><a href="/id090c7f6a8000f041" target="_blank">Domestic Partner Affidavit</a></li> <li><a href="/id090c7f6a8085c771" target="_blank">Dental Enrollment Form</a></li> <li><a href="/id090c7f6a81426a72" target="_blank">Employment Record</a></li> <li><a href="/id090c7f6a8000f03a" target="_blank">Flex Hours/Summer Hours Enrollment Form</a></li> <li><a href="/id090c7f6a8000f03e" target="_blank">Flexible Spending Account Enrollment Form</a></li> <li><a href="/id090c7f6a81378385" target="_blank">FMLA Certification Form for Employee's Health Condition</a></li> <li><a href="/id090c7f6a81378387" target="_blank">FMLA Certification Form for Family Member's Health Condition</a></li> <li><a href="/id090c7f6a81378386" target="_blank">FMLA Certification Form for Military Family Leave</a></li> <li><a href="/id090c7f6a81378383" target="_blank">FMLA Certification Form for Military Illness or Injury Leave</a></li> <li><a href="/id090c7f6a80415a67" target="_blank">Life Insurance Beneficiary Form</a></li> <li><a href="/id090c7f6a8000f037" target="_blank">Personal Change Form</a></li> <li><a href="/id090c7f6a8000f03a" target="_blank">Summer Hours/Flex Hours Enrollment Form</a></li> <li><a href="/id090c7f6a8066cd9b" target="_blank">TIAA-CREF Salary Reduction Agreement</a></li> <li><a href="/id090c7f6a8053e042" target="_blank">Tuition Rebate Form</a></li> <li><a href="/id090c7f6a81062b74" target="_blank">Tuition Reimbursement Program for PhD Program Application</a></li> <li><a href="/id090c7f6a81062b73" target="_blank">Tuition Reimbursement Request for PhD Program</a></li> <li><a href="/id090c7f6a81801646" target="_blank">Tuition Exchange Application Form</a></li> <li><a href="/id090c7f6a814021ce" target="_blank">Voluntary Reduction Program Request Form</a><br /></li> </ul> <p><strong>Employment Forms</strong></p> <ul> <li><a href="/id090c7f6a8150c153" target="_blank">Acceptable Documents to Complete I-9 Employment Form</a></li> <li><a href="/id090c7f6a81003dce" target="_blank">Additional Compensation (Overload) Form</a></li> <li><a href="/hr/employment/survey/applicantsurveyform.htm" target="_blank">Applicant Survey</a></li> <li><a href="/id090c7f6a8138bb32" target="_blank">Background Check Summary of Rights and Disclosure Form</a><br />&nbsp;&nbsp; Fax Disclosure Form to Human Resources at <br />&nbsp;&nbsp; <strong>515-271-4546</strong></li> <li><a href="/id090c7f6a8103ef8c" target="_blank">Employment Status Form</a></li> <li><a href="/id090c7f6a8000efd7" target="_blank">Exit Questionnaire</a></li> <li><a href="/id090c7f6a80f98ca2" target="_blank">Job Description Template - Faculty</a></li> <li><a href="/id090c7f6a8000efe1" target="_blank">Job Evaluation Request Form</a></li> <li><a href="/id090c7f6a8000f066" target="_blank">Learning and Development Leave Application</a></li> <li><a href="/id090c7f6a8000efda" target="_blank">New Hire Information Form</a></li> <li><a href="/id090c7f6a80f98ca1" target="_blank">Position Vacancy Form - Faculty</a></li> <li><a href="/id090c7f6a8000efe0" target="_blank">Position Vacancy Form - Staff</a></li> <li><a href="/id090c7f6a8000efe2" target="_blank">Position Description Questionnaire</a>&nbsp;</li> </ul> <hr /> <p align="left"><sct-component target_name="hr_mission_main_comp" id="090c7f6a8003f530" style=";">hr_mission_main_comp</sct-component></p> <p align="left"><strong>Claim Forms</strong></p> <ul> <li><a href="/id090c7f6a8000ef04" target="_blank">Medical</a></li> <li><a href="/id090c7f6a8000ef07" target="_blank">Dental</a></li> <li><a href="/id090c7f6a8000ef05" target="_blank">Vision</a></li> <li><a href="/id090c7f6a81801668" target="_blank">Flexible Spending</a></li> <li> <a href="/id090c7f6a8030dc81" target="_blank">First Report of Injury</a> <ul> <li><a href="http://www.concentra.com/Our-Locations/" target="_blank">Concentra Locations</a></li> </ul> </li> </ul> <p>&nbsp;</p> <p><strong>W4 Tax Forms</strong></p> <ul class="noindent"> <li><a href="http://www.state.ia.us/tax/forms/44019.pdf" target="_blank">State W4 Form</a></li> <li><a href="http://www.irs.gov/pub/irs-pdf/fw4.pdf" target="_blank">Federal W4 Form</a>&nbsp;</li> </ul> Forms Library