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Home » Government » City Clerk » Human Resource Files for Employees

Human Resource Files for Employees

Employee Change of Address – Complete form and return to the City Clerk’s Office for further processing.

2012 FSA Reimbursement Form – Complete form and submit to address listed on form.

Equal Employment Opportunity Plan

Health Insurance

Schedule of Benefits Face Sheet

Schedule of Benefits Summary (SBC)

Prior Authorization List

Standard Plan & Updates

Dental Insurance

Delta Dental Insurance Booklet

AttachmentSize
Equal Employment Opportunity Plan137.5 KB
Delta Dental Benefits Booklet567.83 KB
Standard Plan469.58 KB
Prior Authorization List122.68 KB
EmployeeChangeofAddress.pdf12.52 KB
2012 FSA Reimbursement Form28.8 KB
2013 Personal Care Schedule of Benefits Face Sheet25.07 KB
2013 Personal Care Schedule of Benefits Summary (SBC)98.12 KB

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City Hall - 208 N. 19th St. - Mattoon, Illinois 61938
Open Monday-Friday 8:00 a.m.-4:30 p.m.

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