Forms
Human Resources
Katherine Christopher, Human Resources Manager
Montville Town Hall, 2nd Floor
310 Norwich-New London Tpke.
Uncasville, CT 06382
Office Hours: 8:00 a.m. – 4:30 p.m. Monday-Friday
Tel: 860.848.3030 Ext. 354
Fax: 860.848.4534
For your convenience, the following forms are available to download and print:
Employment
Application for Employment
Waiver and Release
Health Insurance Information
- Anthem Claim All
- Enrollment and Change Form
- Generic Select Program
- Mail Order Rx
- Creditable Coverage Memo
- Creditable Coverage Disclosure Notice
- Initial Cobra Notification
Miscellaneous
- EAP Letter to Employees
- Employee Direct Deposit Enrollment Form
- Emergency Travel Assistance Services
- I-9 Form
- Leave Request Form
- Leave Request Process
- Mileage Reimbursement Form
- Record of Emergency Notification
- Request to Attend Conference/Workshop/Seminar
- Request to Attend Conference Flow Chart
- Sun Life Assurance Company of Canada Group Enrollment Form
- Tuition Reimbursement Form
- United Way Enrollment Form
- United Way Information
- W-4 2011 CT
- W-4 2011 Federal
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