Forms Available for Employee Download:

Cafeteria Plan Election Form - Page 1 (PDF Format)

Cafeteria Plan Election Form - Page 2 (PDF Format)

Cafeteria Plan Direct Deposit of Reimbursements Request Form (PDF Format)

Cafeteria Plan Declination of Participation Form (MS Word Format)

Cafeteria Plan Reimbursement Request Form (PDF Format)

2002 Form W-4 Tax Withholding Certificate (PDF Format)

State of Ohio 2002 Form IT-4 Tax Withholding Certificate (PDF Format)