City of Riverside, California - Human Resources Benefits - Benefit Forms

:: Benefit Forms

Health and Dental Forms

Blue Cross Forms

Kaiser Permanente

Student Certificate

Deferred Compensation Forms
Deferred Compensation 2008 Calendar/Schedule
Great West Deferred Compensation Forms
Enrollment/Application Form Salary Deferral Agreement Change Form Beneficiary Designation Participant Distribution Guide Death Benefit Claim Form	Suitability Profile Incoming Transfer/Direct Rollover Electronic Fund Transfer ACH Form Automated Minimum Distribution Distribution/Direct Rollover/Transfer Part Time Distribution Form
ICMA Deferred Compensation Forms
Enrollment/Change Form Loan Packet Direct Deposit Service Credit Buyback Packet Special Tax Notice 401(a) Loan Packet Transfer Out of ICMA	Beneficiary Designation Emergency Withdrawal Transfer Packet Payment Schedule Change 457/401 W4-P Withdrawal Packet

FMLA Forms

Flexible Spending Plan Forms

Health Reimbursement Program

Health Reimbursement Enrollment Form

Life Insurance/Long Term Disability

Retirement

CalPERS Beneficiary Designation Form

Open Enrollment Dates November 3, 2008 - November 21, 2008

Human Resources Office Hours

Monday-Friday . . . 8am-5pm PDT

Jobline (24-Hour)
951-826-JOBS

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