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American River College Cosumnes River College Folsom Lake College Sacramento City College
Business Services

General Information
Benefits
Business Services Directory
Employees Only



Employee Benefits Department

 

FORMS

 

  403B:            Salary Reduction Agreement Form   Eligible Companies

  457:               Schools Credit Union       TIAA Cref                                                            TDS (Security Benefit)    CalPers

  FSA:              Enrollment Form    Reimbursement Form

  DCAP:           Enrollment Form    Reimbursement Form

  VSP:              Enrollment Form    Reimbursement Form

  Sick Leave Transfer:                    Request Form

  Sun Life Assurance:                      Beneficiary Form

  Vacation Disposition Form:          Form GS#64

  FMLA:                                           Physician Certification Form

  Health Insurance Forms:

  Domestic Partner:                         Affidavit of Domestic Partnership                                                          Termination of Domestic Partnership

  Adjunct Insurance Enrollment:     Certification form #114                                                            Inclusion of Sierra FTE (CCFS-361)

  Student Verification Form:            Kaiser    Health Net    PacifiCare

  Insurance Waivers:                        Medical  Dental 

  Insurance Cancellation Request:  Medical   Dental                                 (for regular permanent employees)                    

  Adjunct Insurance Cancellation:    Medical  Dental