Forms for Current Employees
Below is a list of forms for current employees. Click on the link to go directly to a particular form. All forms are in Adobe Acrobat (.PDF) format.
Most forms are editable online. Use the "Tab" key to move between fields while completing a form. Please complete the form and sign where required prior to mailing or faxing. If you fax the form, please mail the hard copy so that we have your original signature.
All forms should be returned to the Human Resources Office for processing.
Our Mailing address is:
Human Resources
35 Wheelbarrow Lane
East Haven, CT 06513
Our fax number is: 203-468-3918
Our phone number is: 203-468-3951
Insurance Forms
Anthem Reimbursement/Claim Form
Anthem Waiver of Coverage Form
Medicare Creditable Coverage Notice-2018
Health Savings Account Forms
2020 Payroll Deduction Form
2018-2019 Premium Cost Share for each Union
Flexible Spending Account Forms
Wageworks Website Registration Information
FMLA
FMLA Rights and Responsibilities
FMLA Families First Coronavirus Act