Employee Forms

Change of Name, Address or Tax Forms:

W-4  Employee’s Withholding Certificate

SAU Change of Name/Address Form

NH Retirement Personal Information Change Form

How to Change Name/Address on your Credential or EIS

NH Department of Education Name Change form

Medical and Dental Insurance Forms:

HealthTrust InformationUpdate/Correction Form

Medical and-or Dental Application and Change Form

Dental Application and Change Form

Life, Long-Term Disability and or Short-Term Disability Application and Change Form

Kansas City Life Insurance Enrollment Form

Notice of Divorce, Legal Separation or Dissolution of Civil Union

INSURANCE BUYOUT REQUEST-Northwood

831 RETIREE Medical and Dental Application form

Flexible Benefit Plan Forms:

2015 SAU 44 Office FSA Enrollment Form

Family Medical Leave Act Forms:

FMLA Poster

FMLA Employee Request form

FMLA Employee Guide

Worker's Compensation Forms:

Worker's First Report of Injury