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  Type   Title Owner Modified Date Size Actions
  Document 2014-2015 Calendar of Pay Dates tfuller 07/17/14 167 KB
  Document 2015 Federal W-4 tfuller 03/18/15 113 KB
  Document 2015 NYS Tax Withholding Form tfuller 03/18/15 488 KB
  Document Benefit Resource Health Reimbursement Account (HSA) Form

pdf

tfuller 10/23/13 392 KB
  Document Dependent Eligibility tfuller 07/17/14 33 KB
  Document Direct Deposit tfuller 10/23/13 113 KB
  Document ERS - Beneficiary Form tfuller 10/23/13 212 KB
  Document ERS - Name Change Form tfuller 10/23/13 90 KB
  Document ERS Retirement Application tfuller 10/23/13 141 KB
  Document Excellus Enrollment Form tfuller 04/14/14 351 KB
  Document FLEX & HRA Claim Form tfuller 10/23/13 68 KB
  Document FLEX AND DEPENDENT CARE Change Form tfuller 10/23/13 73 KB
  Document FLEX AND DEPENDENT CARE Enrollment Form tfuller 10/23/13 64 KB
  Document Health Economics Dental Enrollment Form tfuller 10/23/13 78 KB
  Document OMNI (TSA - 403b) Enrollment Form

Type in form & print

tfuller 10/23/13 568 KB
  Document Summary of Benefits and Coverage - Blue Point 2 Extended tfuller 04/14/14 125 KB
  Document Summary of Benefits and Coverage - Blue Point 2 Select tfuller 04/14/14 123 KB
  Document Summary of Benefits and Coverage - Healthy Blue 15 tfuller 04/14/14 117 KB
  Document Summary of Benefits and Coverage - Healthy Blue 30 tfuller 04/14/14 117 KB
  Document TRS Beneficiary Form tfuller 10/23/13 37 KB
  Document TRS Enrollment Form tfuller 10/23/13 110 KB
  Document TRS Name Change Form tfuller 10/23/13 103 KB
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tfuller 10/23/13 0
  URL NYS Employee Retirement System tfuller 10/23/13 0
  URL NYS Teacher's Retirement System tfuller 10/23/13 0
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