Form |
Use for |
|
Enroll in the Section 125 Flexible Benefits Plan and agree to paycheck deductions on a pre-tax basis |
|
Notice you receive from the town if your leave may be protected by FMLA |
|
Notice that your leave is protected under FMLA |
|
Certify your own medical leave is protected under the FMLA |
|
Certify your family member's condition as protected under the FMLA |
|
Request for military FMLA |
|
Certify serious medical condition of covered service member |
|
Change your address, phone and other contact information |
|
Determine federal income tax withholdings |
|
Document eligibility to work in the US |
