Current Employee Benefits
App Info Sheet
PDF (101 KB)
Attendance Policy
PDF (153 KB)
Benevolent Sharing of Benefit Time
PDF (88 KB)
Colonial Life
PDF (77 KB)
Davevic Mobile app
PDF (733 KB)
Dental Guardian
PDF (116 KB)
Employee Assistance Program
PDF (82 KB)
Employee Navigator Open Enrollment
PDF (205 KB)
Flexible Spending Account
PDF (788 KB)
FSA Reimbursement Claim Form
PDF (120 KB)
FSA Debit Card
PDF (481 KB)
Health Reimbursement Arrangement HRA
PDF (93 KB)
HRA Reimbursement Form
PDF (100 KB)
Isolved
PDF (127 KB)
Legal Shield and ID Shield
PDF (96 KB)
Medical Highmark Performance Blue PPO
PDF (1432 KB)
Medical Highmark PPO Blue
PDF (1393 KB)
On Shift Time Request
PDF (99 KB)
On Shift Wallet
PDF (245 KB)
Pension Fidelity
PDF (125 KB)
Vision National Vision Administrators NVA
PDF (258 KB)
Referral Program
PDF (102 KB)
Tuition Assistance Program
PDF (125 KB)
Current Employee Fillable Forms
For team members — access, fill in, save, and then either print and turn in or email to HR.
2025 W41
PDF (3543 KB)
Address phone number name change
PDF (97 KB)
Benevolent Sharing of Benefit Time Donation Form
PDF (88 KB)
Copy of Pay for unused PTO HOL time
PDF (46 KB)
Direct Deposit Form
PDF (68 KB)
Electronic Waiver
PDF (239 KB)
Emergency Contact Update
PDF (48 KB)
Employee Leave Request
PDF (175 KB)
Employee Referral Form
PDF (43 KB)
FSA FORM UPDATED 2024 2025
PDF (217 KB)
HRA Claim Fillable
PDF (632 KB)
MISSED PUNCH REQUEST 2018
PDF (76 KB)
New Badge Request
PDF (52 KB)
Personal LOA 2
PDF (191 KB)
State Tax
PDF (352 KB)