Forms

Administrative Regulations and Handbooks

  1. Non-Discrimination Policy (PDF)

Benefits and Incentives Forms

  1. Education Incentive Form (PDF)
  1. Health Savings Account Contribution Change Form (PDF)
  1. ICMA Deferral Change Form (PDF)

Calendars and Schedules

  1. Holiday Schedule 2025

Compensation and Payroll Forms

  1. Direct Deposit (PDF)
  2. Federal Withholding Form (PDF) 2025
  1. State Withholding Form (PDF)
  1. Pay Plan (PDF)

Disability and Insurance Forms

  1. VACORP Hybrid Disability Handbook (PDF)
  1. Hartford - Long Term Disability Claim Form (PDF)

Employee Information and Contact Form

  1. Emergency Contact Form - Change of Address (PDF)
  1. Verification Form for Annual Physical (PDF)

Workplace Health and Safety

  1. Company Nurse Contact Information (Workers Comp) (PDF)