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FORMS
Authorization Form (for filing an FMLA or disability claim)
Beneficiary Form for Final Pay Check (Submit original to HR)
Beneficiary Form for Life Insurance (Submit original to HR)
Beneficiary Form for MBERP (Submit original to HR)
Beneficiary Form for Police and Fire Statutory Death Benefit (Submit original to HR)
Domestic Partnership Declaration Form
Domestic Partnership Termination Form
EyeMed Claim Form
EyeMed Out of Network Claim Form
Flexible Spending Account Claim Form
Flexible Spending Account Direct Deposit Form
Flexible Spending Account Enrollment Form
FMLA Policy
FOP Enrollment Form
General Employees Enrollment Form
General Employees Change Form
Hartford Life Claim Form
Humana Medical Claim Form
IAFF Enrollment Form
MetLife Dental PPO Claim Form
Retiree Change Form
Retiree Enrollment Form
US Legal Plan Cancellation Form
US Legal Plan Enrollment Form
Voluntary Benefits Cancellation Form