Forms and Policies
Downloadable forms:
Your Responsibilities
Compensation and Avoidance of Excess Benefits Policy
Employee Illness or Injury (Non Work Related) Policy
Fitness for Duty Policy
FMLA Healthcare Certification Form-CARE OF FAMILY
FMLA Healthcare Certification Form-EMPLOYEE
FMLA Medical Leave Request Form
Funeral Leave Policy
Jury Duty Leave Policy
Leave of Absence Application
Leave of Absence Policy
Leave Return to Work Process
Other Medical Leave of Absence Healthcare Certificate Form
Workers' Compensation and Modified Duty Policy
Health Benefits
Ameritas Claim Form
Ameritas Plan Details Brochure
Community Eye Care Plan
Community Eye Care Reimbursement Form
EAP Employee Assistance Policy
Employee Pharmacy Privileges Policy
Flores Dependent Care Claim Reimbursement Form
Flores Direct Deposit Set Up
Flores FSA Medical Guide Eligible Expenses
Flores Medical Claim Reimbursement Form
NHRMC Plan Facilities
UHC Claim Form
UHC Customer Issue Submission Form
Life & LTD
LifeKeys Services Brochure
Travel Connect Insert
Wellness
Business Center Walking Path
Cape Fear Walking Path
EFC Class Descriptions
EFC Class Schedule
NHRMC Walking Map
NHRMC Walking Path Inside
More Great Benefits
Adoption Assistance Application
Adoption Assistance Policy
CLC Childcare Reimbursement Form
College Foundation Enrollment Form
College Foundation Instructions
College Foundation Payroll Authorization
College Foundation Withdrawal Form
Employee Financial Assistance Application
Employee Financial Assistance Policy
Paid Days Off (PDO) Policy
PDO Donation Form
Tuition Assistance Application
Tuition Assistance Policy
WOW (Work on Weekends) Policy
Retirement
2013 Medicare Handbook
Directions for loans & hardships - VALIC
Pension Estimate Request Form
VALIC Enrollment Form
VALIC Hardship Withdrawal Form
Leaving NHRMC
COBRA Continuation of Coverage Rights
Exit Questionnaire and Interview Policy
Leaving NHRMC Employee Printable checklist
Termination of Employment Policy