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  • Home  >  Human Resources  >  HR Forms
    Human Resources
    Forms

    Dental

    • Delta Dental Claim Form
    • Delta Dental Enrollment/Change Application

    Health Care

    • Wellmark/Walgreen's RX Mail Order Form
    • Wellmark/Catalyst Rx Prescription Drug Claim Form
    • Wellmark Application for Health Insurance
    • Wellmark Group Information Update Form
    • Wellmark Patient Claim Form
    • Wellmark Primary Care Selection Form

    Vision Plan

    • Vision Service Plan Enrollment Form
    • Vision Service Plan Out of Network Claim Form

    Additional Forms

    • Affidavit of Extended Family Relationship
    • Dependent Care Reimbursement Claim Form
    • Dependent Life Insurance Form
    • Flexible Benefit Enrollment Form
    • Flexible Spending Account Claim Form

    Payroll & Taxes

    • Direct Deposit Form
    • I-9
    • W-4 Federal
    • W-4 State

    Class Registration

    • Class Registration Form (Electronic) for Full-time and Retirees Only
    • Class Registration Form for Adjunct Employees
    • Human Resources Home
    • Meet Our Staff
    • HR Forms
    • Background Check Forms
    • EEO/AA Statement
    • Campus Security Report
    • Contact Us


    • ©2012 Kirkwood Community College
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    • 6301 Kirkwood Blvd. SW
    • •
    • Cedar Rapids
    • •
    • IA
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    • 52404
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    • 319.398.5411
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    • 800.332.2055
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    • infocenter@kirkwood.edu