Employee Information Page

Below are downloadable forms and information that are commonly requested by employees. Please refer to the Employee Opportunities Page for an Employment Application and IRS Form 8850 - Request for Work Opportunity Credit.

Cafeteria Plan Information

• Cafeteria Reimbursement Form (2010) Word Version
• Cafeteria Reimbursement Form (2010) PDF Version
• Medical Reimbursement Guidelines (PDF)
• Preferred Providers in Oregon
• Preferred Providers in California
• Western Benefits Insurance Application Form 302 (PDF)
• Dependent Verification Form (PDF)
• Medical Home Designation Form 261 (PDF)
• Medical Provider Preventative Prescription Form 266 (PDF)
• Western Benefits Major Medical Drug Report Form 325 (PDF)
• Preventative Drug List – Express Scripts (PDF)

Other Human Resource Documents:

• W4 (2010) Employee Withholding Allowance Certificate (PDF)
• I-9 Employee Eligibility Verification Form (PDF)
• Request for Leave Form #304