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Documents and Forms

Ameritus Dental / Vision Benefits

Summary DENTAL 2.1 – Stanislaus Regional

Full Procedure List – Stanislaus

Find A Provider

EyeMed Employee Flyer

Dental Member Flyer

Ameritas Mobile App

Vision.Dental Comparison

VSP Employee Flyer

Summary VISION 2.1 – Stanislaus Regional

Webinar with Ameritus Rep Lynn Nguyen – 1.16.26

Webinar with Ameritus Rep Lynn Nguyen – 1.20.26

Auto Accident or Incident-Injury Form

Auto Accident or Incident-Injury Form

Workers' Compensation Claim Form (DWC1)

Workers’ Compensation Claim Form (DWC1)

Form 5020

Form 5020

Personnel Rules

Personnel Policies

Code of Ethics

HACS Code of Ethics

Retention Policy

Retention Policy

W-4 2022

W-4 2022

Direct Deposit Form

Direct Deposit Form

Direct Deposit Change Form

Direct Deposit Change Form

Computer Purchase Program

Computer Purchase Form

CalPERS 457 Change Form

CalPERS 457 Change Form

Request for Seasonal Worker

Request for Seasonal Worker Form

Request for Temporary Worker

Request for Temporary Worker Form

HCV/Eligibility Dept. Directory

HCV/Eligiblity Dept. Directory

Agency Budgets '18 vs. '19

Agency Budgets ’18 vs. ’19

In Lieu Vacation - Pay Request

In Lieu Vacation – Pay Request Form

Davis Bacon Record of Employee Interview Form 11

Davis Bacon Record of Employee Interview Form 11

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