RCUH Affidavit of Dependency for Tax Purposes Form (B-16) | 3.520 |
RCUH Declaration of Domestic Partnership Form (B-14) | 3.215, 3.520, 3.520A |
RCUH Declaration of Termination of Domestic Partnership Form (B-15) | 3.530, 3.520A |
RCUH Employee Claimant Consent Form - Workers’ Compensation (Form D-26WC) | 3.580 |
RCUH Employee Claimant Consent Form – Non-Workers’ Compensation (Form D-26NWC) | 3.640 |
RCUH Family Leave Application Form: Care for Family Member (B-11) | 3.660 |
RCUH Family Leave Application Form: Care for Self/Own Condition (B-11a) | 3.660 |
RCUH Flexible Spending Plan Enrollment/Change Form (B-5F) | 3.530, 3.530A |
RCUH Group Health Insurance Enrollment/Change Form: Regular-Status Employees (B-5H) | 3.520, 3.540 |
RCUH Group Health Insurance Waiver Form: Regular-Status Employees (B-5Wb) | 3.340 |
RCUH Group Health ACA Insurance Enrollment/Change/Waive Form: Non-Recruited Employees (B-5A) | 3.340 |
RCUH Guidelines and Information on Domestic Partners/Reciprocal Beneficiaries | |
RCUH ID Card Application Form (E-18) | 3.610 |
RCUH Leave for Parent-Teacher Conference Request Form (B-1) | 3.520, 3.678 |
RCUH Life Insurance Change Form (B-5L) | 3.520, 3.540 |
RCUH Retiree Group Health & Life Insurance Enrollment Application (B-27) | 3.550 |
RCUH Supplemental Retirement Annuity (TIAA) Agreement for Salary Reduction Form (B-6) | 3.560 |
RCUH Tuition Reimbursement Program Application Authorization Form | 3.460 |
RCUH Victims Leave Form (B-21) | 3.650 |