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Forms
FMLA Forms
Family & Medical Leave Poster
Family
&
Medical Leave
Act Application
Certification of Physician or Practitioner for Employee
Certification of Physician or Practitioner for Family Member
Certification for Serious Inury of Illness of Covered Servicemember
Certification of Qualifying Exigency for Military Family Leave
EMIA Forms
Explanation of Health Plan
Explanation of Dental Plan
2009-2010 Member Handbook
Link to Providers Search
Flexible Spending Account Summary
Flexible Spending Account Booklet
Flexible Spending Reimbursement Form
COBRA application
Medco Enrollment Form
Other EMIA Forms
Altius Forms
Explanation of Health Plan
Change/Delete Form
Link to Providers Search
Cobra Application
Employee Relations Forms
ADA
Grievance Intake
(part 1)
Grievance Intake
(part 2)
Probationary Release
Reprimand & Discipline
Miscellaneous Forms
Application for Benevolence Fund Monies
Recommendation for Faculty Employment
Waiver of Standard Employment Policy
Application for Voluntary Shared Leave Pool
COBRA Rates for 2008-2009
Long Term Disability
Weber State University
Ogden, Utah 84408