Direct Deposit - Authorization Form     

Please contact the Payroll Department, at ext. 2033 or 2034 if you have questions on the above forms. 

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Medical Insurance Forms

Aetna Medical Insurance Enrollment Form

Medical Claim Reimbursement Form

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Delta Dental Forms

Delta Dental Enrollment Form

Delta Dental Student Verification Form

Nominate My Dentist Form

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Retirement Plan

Salary Reduction Agreement for Trininty College Retirement Plan

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Life Insurance Forms

Life Insurance Enrollment and Change Form

Medical History Form
To be used when you are increasing your supplemental life insurnace during an open enrollment period.

Supplemental Life Insurance Calculation Sheet
To be used when determining rates for supplemental life insurance.

Life Insurance Conversion Form

Group Life Insurance Portability Application

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Flexible Spending Account Forms

Reimbursement Account Enrollment Form

Health Care Reimbursement Form

Dependent Care Reimbursement Form

Over the Counter Health Care Reimbursement

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Application for Tuition Remission at Trinity College