Payroll & Benefits Forms and Publications

• Dependent Care Information and Forms
• Department of Retirement Systems
• Department of Retirement Systems Deferred Compensation Forms
• Direct Deposit
• Health Care
• IRS Forms
• Life Insurance
• Long-Term Disability
• Medical Flexible Spending Account
• TIAA-CREF Retirement Annuity or Supplemental Retirement Annuity

Department of Retirement Systems
Beneficiary Form
Retirement Outlook newsletter
http://www.drs.wa.gov/

Department of Retirement Systems Deferred Compensation Program
Information and Forms

Direct Deposit
Direct Deposit Form - Staff/Faculty
Direct Deposit Form - Student/Hourly

Health Care
Dependent Student Certification Form
Employee Enrollment Guide (large PDF)
Medical/Dental Enrollment Change Form (PDF)
Spouse or qualified domestic partner certification (PDF)
Health Care Authority

IRS Forms
W-4 Form
W-5 Form (advanced earned income credit)

Life Insurance
Beneficiary Change Form
Life Insurance Change Form
Evidence of Insurability Form
Life Insurance Coverage Book (large PDF)
Non-Smoker Certification Form

Long-Term Disability
Enrollment/Change Form
Evidence of Insurability Form
Long-Term Disability Book

Medical Flexible Spending Account and Dependent Care Accounts
ASI Website
ASI Debit Card explanation/application
ASI Direct Deposit Form
ASI Medical Only Claim Form
ASI and Dependent Care (DCAP) Enrollment Form
Dependent Care Overview
ASI Medical and Dependent Care Claim Form

TIAA-CREF Retirement Annuity or Supplemental Retirement Annuity
Evergreen State College 401A Supplemental Retirement plan
Evergreen State College Retirement Plan (TESCRP)
Evergreen State College Voluntary Investment Plan (VIP)
TIAA-CREF Salary Reduction Agreement

TIAA-CREF enrollment packets are available in the payroll office for all other forms and information contact TIAA-CREF directly at www.tiaa-cref.org