Columbia College - Human Resources

Forms

All Columbia College Employees should complete the following forms:

• 2009 W-4 Form
• Federal I-9 Form

All Full-time employees must also complete the following forms:
(These must be completed even if you are declining the coverage.)

• Benefit Election Form
• Benefit Change Form
• Health Insurance Enrollment Form
• Dental Insurance Enrollment Form
• Voluntary Vision Enrollment Form
• ASI Cafeteria Plan Enrollment Form (Flexible Spending plan)

Benefits forms that employees may need:

• ASI Claims Form
  Claim form for Flexible Spending plan
• Dental Claims Form
  To submit dental claims to Assurant Employee Benefits.

Employee State Withholding Allowance Certificates

Alabama Arkansas Georgia Illinois Indiana Louisiana Michigan Missouri

New York North Carolina California Kansas Kentucky Massachusetts Virginia

Columbia College Forms

• Application for Employment
• Background Check Release
• Travel Expense Form
• Direct Deposit Authorization

Note: Current employees can find more HR forms on eServices.

More information about employee benefits

• Health Insurance More information on health insurance:
  • Base plan
  • Buy-up overview
  • or go to the United Healthcare Web site.
• Dental Insurance More information on dental insurance or visit the Assurant Web site.
• Voluntary Life Insurance: More Information on Voluntary Life Insurance or visit the Assurant Web site.
• Voluntary Vision Plan More Information on Vision plan or visit the VSP Web site.

Questions should be directed to Columbia College Human Resources office at (573) 875-7255 or toll-free at (800) 231-2391, ext. 7255; or call The Insurance Group at (800) 752-3376.