Policies & Forms Directory

Allegiance | Parking Flex Spending Claim Form

Make a claim for reimbursement of parking expenses through your Allegiance Flex Advantage parking flexible spending account plan.

Jun. 27, 2016

Flexible Spending Worksheet

Determine your appropriate medical flexible spending account plan levels with this do-it-yourself worksheet.

Jun. 27, 2016

Direct Deposit Enrollment

Enroll in direct deposit to have your pay automatically placed in your checking or savings account.

Jun. 27, 2016

Payroll Advance Request

Request an advance on your pay.

Jun. 27, 2016

2016 IRS W-4

Complete your W4 to set your tax withholdings from your 2016 pay.

Jun. 27, 2016

Student Timecards | Summer 2016

Student timecard workbook for Summer 2016.

Jun. 27, 2016

Orientation Review Form

Review form for new employees' 90-day orientation period evaluation.

Jun. 27, 2016

Annual Performance Goals

Set annual performance goals with your supervisor.

Jun. 27, 2016

Performance Self-Evaluation Form

Evaluate your past-year performance as part of your annual review process.

Jun. 27, 2016

Performance Evaluation Form

Supervisors, complete your evaluation of your direct reports' performance.

Jun. 27, 2016

Pioneer Medical Rx Home Delivery Form

Form to order prescriptions by mail under the Pioneer Educator Health Trust medical plan.

Jun. 27, 2016

Pioneer Medical Specialty Pharmacy Summary

Information about specialty pharmacy care under the Pioneer Educator Health Trust medical plan.

Jun. 27, 2016

Pioneer Educators Health Trust Annual Report | 2011

Summary annual report for the Pioneer Educators Health Trust, 2011.

Jun. 27, 2016

Pioneer-Regence Dental Summary

A summary of coverage through the Pioneer Educators Health Trust Regence dental plan.

Jun. 27, 2016

Pioneer-Willamette Dental Summary

Summary of coverage through the Pioneer Educators Health Trust-Willamette Dental plan.

Jun. 27, 2016

Willamette Dental | Covered Services

A schedule of covered services through Willamette Dental under the Pioneer Educators Health Trust-Willamette Dental plan.

Jun. 27, 2016

Kaiser Permanente Group Agreement 2015

Group agreement for Kaiser Permanente medical plan, 2015

Jun. 27, 2016

Kaiser Permanente Medical Plan Summary

Summary of coverage through Kaiser Permanente medical plan

Jun. 27, 2016

Kaiser Permanente Travel Services

A brochure highlighting emergency and urgent care resources while traveling for Kaiser Permanente medical plan participants 

Jun. 27, 2016

Kaiser Permanente ERISA Notification, 2012

Annual legal notices from Kaiser Permanente, April 2012

Jun. 27, 2016

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