SEE Enrollee Forms

Announcements

There are no current announcements.

Enrollee Handbook

Download the SEE Enrollee Handbook

Forms

Applicant Record Form

Beneficiary and Emergency Contact

Benefits Summary

Break Policy

Business Cards

CANNOT DO list

Change of Work Hours

Check Release

Direct Deposit

Enrollee Assignment Categories

Enrollee Handbook acknowledgment

Enrollee Injury – See Workers Compensation section below

Family Medical Leave Request

FMLA Dept of Labor poster

Health Insurance Summary 2017

Health Insurance Waiver 2017

Holiday Schedule SEE 2017

Lost Payroll Check – contact your Project Director

Lost Check

Lost or Unavailable Receipt

Mileage and Misc Expense Report

Miscellaneous Advance Request

Miscellaneous Expense Report

Monitor’s Authorized Signature

Motor Vehicle Report Permission

Overtime Authorization

Payroll Deduction

Payroll Schedule 2017

Program information

Timecard Instructions

Training Request

Travel Expense Report

Travel Guidelines

Travel and Advance Request

UHC Rx Creditable Coverage

Weekend Travel Approval

W-4

Workers Compensation Information and Forms:

Workers Compensation Overview

Workers Comp What to do list

Workers Comp Enrollee Incident Report

Workers Comp Enrollee Refusal to Seek Medical Treatment

Workers Comp Witness Statement form

Workers Comp Supervisor’s Investigation Report

Telecommute Pilot Program in Region 10:

Telecommute overview

Telecommute Policy and Program

Telecommuting Request

Telecommute safety self-cert

Telecommuting Agreement

 

Washington DC Pre-Tax Transit Benefit

 

Links

Paychex payroll system

U.S. GSA Per Diem Rates

U.S. DOD (OCONUS) Per Diem Rates

U.S. GSA Privately Owned Vehicle (POV) Mileage Rates

Aetna Health Care (effective May 01, 2017) (835464)

MetLife Dental (effective September 01, 2015) (5994359 / SEE Program)

ZIPCAR — Join our NAPCA PERSONAL group, ask your Project Director for details!

 

2015 listening session summary