New Hire Packet | Forms

Please complete the forms listed on this page.

1. W4 2021
2. Beneficiary Designation Form
3. Received Union Contract
4. Confidentiality Declaration
5. Conflict of Interest Reporting Statement DS 6016
6. Delta Dental Voluntary Application
7. Direct Deposit Enrollment Form
8. Drug-Free Workplace Policy Notice
9. Confidential Equal Opportunity Employee Questionnaire
10. Emergency Information
11. HBD-12
12. I-9 Employment Eligibility Verification
13. Calpers Member Recipricol Self-Certification (rev 7-27-18)
14. NEW Revised Adult Abuse Form
15. NEW Revised Child Abuse Form
16. Permission to share photograph
17. RCEB Conflict Regulations
18. RCEB Union Membership Application
19. Unum
20. Whistleblower Policy
21. Everbridge Employee Form
22. Everbridge Mass Notification Fact Sheet
23. Vision Enrollment Application
24. Vision Information C 25 Copay
25. Vision Rate Sheet
26. Statement of Conduct
27. Summary of Benefits and Coverage
28. 2021 Medical Rates
29. 2021 Health Benefits Summary
30. 2021 Dental Rates
31. 2021 Dental Benefit Summary