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Employee Benefits & Benfit Forms 12 documents
CAT:166
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Blue Cross Blue Shield Health Plan Summaries
document seq 0.00
file:312
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document seq 0.00
file:313
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Delta Dental Membership Enrollment Form
document seq 1.00
file:172
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Changes with Delta Dental Insurance
document seq 1.25
file:174
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Delta Dental Plan Summary and Rates for 2017
document seq 1.50
file:171
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Health Insurance Rates
document seq 2.00
file:311
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HSA Contribution Form
document seq 3.00
file:314
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Minnesota State Retirement System Personal Information Request (Should be sent by the employee to the contact information shown on the forms.)
document seq 5.00
file:176
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Minnesota Deferred Compensation Participant Enrollment Agreement (Should be sent by the employee to the contact information shown on the forms.)
document seq 5.50
file:175
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Supplemental Life and AD&D Insurance
document seq 6.00
file:178
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For use in changing address or beneficiary designation.
document seq 7.00
file:304
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Employer offered Health Savings Account Application
document seq 8.00
file:170
Forms 2 documents
CAT:179
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Send to hr@willmarmn.gov or deliver to City Hall HR Director
document seq 1.00
file:181
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Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
document seq 4.00
file:180
Policy & Procedure Forms 4 documents
CAT:165
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To be completed immediately after incident, even where there is no injury.
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file:167
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The First Report of Injury (FROI) form is the reporting document for all work-related injury claims. It provides basic information necessary to start the claim.
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file:168
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City of Willmar Personnel Policy and Procedures
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file:186
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Details on Human Resources policies, practices and procedures that apply to staff.
document seq 0.00
file:255