VZ Forms

Social share icons

MetLife Dental Forms 

DOCUMENT
metlife_dental.pdf
Jun 15, 2020
metlife_dental.pdf

Davis Vision Forms 

DOCUMENT
davis_vision.pdf
Jun 15, 2020
davis_vision.pdf

Summer Camp Application 

DOCUMENT
vz-2023-summer-camp-flyer-1.pdf
May 30, 2023
vz-2023-summer-camp-flyer-1.pdf
DOCUMENT
2023_dcrf_reimbursement_form_283828.pdf.pdf
May 30, 2023
2023_dcrf_reimbursement_form_283828.pdf.pdf

 

 

 

Dependant Care Application 

DOCUMENT
vz_-_2022_dcrf_application_7_7.pdf
Apr 14, 2023
vz_-_2022_dcrf_application_7_7.pdf

 

DOCUMENT
2023_dcrf_reimbursement_form_283828.pdf_332779_1.pdf
Apr 14, 2023
2023_dcrf_reimbursement_form_283828.pdf_332779_1.pdf

 

Health and Wellness Care Application

DOCUMENT
2023_health_and_wellness_flyer_2-7-23_332779_2.pdf
Apr 14, 2023
2023_health_and_wellness_flyer_2-7-23_332779_2.pdf

 

 

Defensive Driving Application                                 

                                                                                        

DOCUMENT
defensive-driving-final-draft-5-1-23-final.pdf
May 30, 2023
defensive-driving-final-draft-5-1-23-final.pdf

 

Pendant Application 

DOCUMENT
vz_-_2022_-_pendant_application_298558_3.pdf
Apr 14, 2023
vz_-_2022_-_pendant_application_298558_3.pdf

 

DOCUMENT
2023_pendant_quarterly_reimbursment_283828.pdf_332779_1.pdf
Apr 14, 2023
2023_pendant_quarterly_reimbursment_283828.pdf_332779_1.pdf

 

 

Educational Reimbursement Program               

DOCUMENT
2023-educational-reimbursment-5-2-23.pdf
May 30, 2023
2023-educational-reimbursment-5-2-23.pdf

 

FMLA forms will be sent directly from Sedgwick, upon initiation of a claim as of February 1st 2020.  The reporting process remains the same beginning with a call out to your supervisor or absence administrator.