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1727timesavers.aspxCOBRA (Health Insurance Continuation)Forms Affidavit of No Coverage By Another Group Health Plan National
8380timesavers.aspxHealth Information Privacy (HIPAA)Forms Authorization to Disclose Health Information National
96531timesavers.aspxSick LeaveForms California Paid Sick Leave Notice for Employees (English) National
96530timesavers.aspxSick LeaveForms California Paid Sick Leave Notice for Employees (Spanish) National
93100timesavers.aspxLeave of Absence (FMLA)Forms Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave Form (WH-385-V) National
79291timesavers.aspxLeave of Absence (FMLA)Forms Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave Form (WH-385) National
79290timesavers.aspxLeave of Absence (FMLA)Forms Certification of Qualifying Exigency For Military Family Leave Form (WH-384) National
80963timesavers.aspxLoansForms Consent to Payroll Deductions Form National
18687timesavers.aspxBenefits OverviewForms Educational Assistance National
1540timesavers.aspxLeave of Absence (FMLA)Forms Employee's Acknowledgement of Review of Employer Leave Policies National
1499timesavers.aspxDisability InsuranceForms Fitness for Duty Certification National
79484timesavers.aspxLeave of Absence (FMLA)Forms Fitness for Duty Certification National
79286timesavers.aspxLeave of Absence (FMLA)Forms FMLA Certification of Health Care Provider for Employee’s Serious Health Condition Form (WH-380E) National
79287timesavers.aspxLeave of Absence (FMLA)Forms FMLA Certification of Health Care Provider for Family Member’s Serious Health Condition Form (WH-380F) National
79289timesavers.aspxLeave of Absence (FMLA)Forms FMLA Designation Notice Form (WH-382) National
79487timesavers.aspxLeave of Absence (FMLA)Forms FMLA Employee Statement of Family Relationship National
2221timesavers.aspxLeave of Absence (FMLA)Forms FMLA Leave Periodic Status Report National
81314timesavers.aspxLeave of Absence (FMLA)Forms FMLA Leave Request Form for Employees National
79288timesavers.aspxLeave of Absence (FMLA)Forms FMLA Notice of Eligibility and Rights and Responsibilities Form (WH-381) National
79482timesavers.aspxLeave of Absence (FMLA)Forms FMLA Tracker 1: Set Schedule: Calendar/Fixed 12-Month Period National
79481timesavers.aspxLeave of Absence (FMLA)Forms FMLA Tracker 2: Variable Schedule: Calendar/Fixed 12-Month Period National
79480timesavers.aspxLeave of Absence (FMLA)Forms FMLA Tracker 3: Set Schedule: Year Measured from Date Employee's Leave Begins National
79483timesavers.aspxLeave of Absence (FMLA)Forms FMLA Tracker 4: Variable Schedule: Year Measured from Date Employee's Leave Begins National
75054timesavers.aspxHealthcare InsuranceForms Form for Notice of Group Plan Enrollment Rights National
86676timesavers.aspxJury Duty/ Court AppearanceForms Form to Notify Employee of Subpoena National
89968timesavers.aspxLeave of Absence (FMLA)Forms GINA Safe Harbor Statement for FMLA Medical Certification National
79486timesavers.aspxLeave of Absence (FMLA)Forms Health Insurance Portability and Accountability Act (HIPAA) Authorization to Disclose Health Information National
18688timesavers.aspxHealthcare InsuranceForms Healthcare Notices National
1513timesavers.aspxHealthcare InsuranceForms HIPAA Certificate of Group Health Plan Coverage National
10220timesavers.aspxHealthcare InsuranceForms HIPAA Notice of Special Enrollment Rights National
1514timesavers.aspxHealthcare InsuranceForms HIPAA Request for Additional Information for Determining Creditable Coverage National
82020timesavers.aspxSocial Security/MedicareForms Hiring Incentives to Restore Employment (HIRE) Act Employee Affidavit (W-11) National
81313timesavers.aspxLeave of Absence (FMLA)Forms Instructions to Supervisors on Company Obligation Under the FMLA National
1542timesavers.aspxLeave of Absence (FMLA)Forms Key Employee Notification National
78066timesavers.aspxLoansForms Loans and Pay Advances (Consent to Payroll Deductions Form) National
16233timesavers.aspxBenefits OverviewForms Matching Gift Form National
81722timesavers.aspxHealthcare InsuranceForms Model Employer CHIP Notice National
79114timesavers.aspxHealthcare InsuranceForms Model Individual Creditable Coverage Disclosure Notice National
79115timesavers.aspxBenefits Recordkeeping and DisclosuresForms Model Individual Creditable Coverage Disclosure Notice National
79117timesavers.aspxHealthcare InsuranceForms Model Individual Non-Creditable Coverage Disclosure Notice National
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