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Fayetteville Public Schools
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Human Resources
Benefits Forms
Name
Type
Size
Name:
AR Benefits Change Form
Type:
pdf
Size:
662 KB
Name:
AR Benefits Employee Election Form
Type:
pdf
Size:
662 KB
Name:
AR Benefits Affidavit of Spousal Healthcare Coverage
Type:
pdf
Size:
78.5 KB
Name:
Cancer Benefit Claim Form
Type:
pdf
Size:
39.5 KB
Name:
Critical Care Claim Form
Type:
pdf
Size:
162 KB
Name:
Hospital Claim Form
Type:
pdf
Size:
104 KB
Name:
Short Term Disability Claim Form
Type:
pdf
Size:
326 KB
Name:
Sick Leave Bank Donation Form
Type:
pdf
Size:
140 KB
Name:
Sick Leave Bank Request Form
Type:
pdf
Size:
22.6 KB
Name:
USABLE Wellness Benefit Claim Form
Type:
pdf
Size:
268 KB
Name:
Vision Claim Form
Type:
pdf
Size:
66.9 KB
Name:
403B-457 Enrollment Election Form
Type:
pdf
Size:
15.5 KB
Name:
NDBH Overview
Type:
pdf
Size:
205 KB
Name:
Supplemental Benefits Change Form
Type:
pdf
Size:
187 KB
Name:
Online Health Assessment and Tobacco Cessation Instructions
Type:
pdf
Size:
1.16 MB
Name:
Allstate Cancer-Wellness Claim Form
Type:
pdf
Size:
35.9 KB
Name:
2024 HSA Application Form
Type:
pdf
Size:
75.5 KB
Name:
USAble Accident Claim form
Type:
pdf
Size:
336 KB
Name:
PCP-Form-2021
Type:
pdf
Size:
253 KB
Name:
FPS TIAA CREF election form
Type:
pdf
Size:
42 KB
Name:
Benefits Contact List
Type:
pdf
Size:
222 KB
Name:
HSA Enrollment Information
Type:
pdf
Size:
686 KB
Name:
TIAA CREF Information
Type:
pptx
Size:
838 KB
Name:
2024 Employee Benefits Guide
Type:
pdf
Size:
6.8 MB
Name:
BCBS Claim Form
Type:
pdf
Size:
219 KB