SEE Enrollee Forms


There are no current announcements.

Enrollee Handbook

Download the SEE ENROLLEE HANDBOOK (revised 6-2017)


Applicant Record Form

Beneficiary & Emergency Contact form

Benefits Summary

Break Policy

Business Cards


Change of Work Hours

Check Release

Direct Deposit Form

Enrollee Assignment Categories

Enrollee Injury – See Workers Compensation section below

Family Medical Leave Request

FMLA Dept of Labor poster

Health Insurance Summary 2017

Health Insurance Waiver 2017

Health Insurance Rx Creditable Coverage

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 Expenses

Monitor’s Authorized Signature

Motor Vehicle Report Permission

Overtime Authorization

Payroll Schedule 2017

Program information

Timecard Instructions

Training Request

Travel Expense Report

Travel Guidelines

Travel and Advance Request

Weekend Travel Approval



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



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)

Aetna Dental (effective September 01, 2017) (Aetna PPO/PDN with PPO II)

Aetna Vision (effective September 01, 2017)

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


2015 listening session summary