Forms

Employee Contact Information Change Form

Emergency Contact Information Change Form

NH Retirement System Change of Address or Name

Benefit Forms

Medical and Dental Application

Dental Application Change Form

Life Insurance and Disability Application

Anthem Subscriber Claim Form

Anthem Dependent Child Certification Form

Caremark Mail-In Prescription Form

Caremark Prescription Claim Form

Retirement Annuity Deduction Authorization for
Retiree Insurance Benefits


 

Payroll Forms

Form W4 (2010)

Payroll Direct Deposit Enrollment Form

Service Credit Union Deduction Form

Collective Bargaining Agreements

Raymond Education Association Contract 2007-2010

Raymond Educational Support Staff Contract 2009-2011

Professional Development

Professional Development Master Plan 2007-2012

 

403(b) Plan

403(b) New Employee Enrollment Packet

403(b) Existing Employee Enrollment-Change Packet

403(b) Vendor List

403(b) Election Form

Request For A Distribution

Request for a Contract Exchange Voucher

Request for a Hardship Withdrawal Voucher

Request For A Loan Voucher

Participant Website Instructions
 

Links

Local Government Center

Provider Directory for Anthem

Caremark - NH Participating Pharmacies

EyeMed Vision Care

Northeast Delta Dental Directory

New Hampshire Retirement System

 

Safety Committee Members

Tips on Slips and Falls