Medical/Dental/Vision Forms

• Davis Vision Claim Form

• Dental Expense Claim Form

• Disability (Sedgwick) Behavioral Health

• Sedgwick Release Form

• Verizon Claim Form - Blue Cross Blue Shield

• HMO Prescription Changes

• Medical Plans Detailed (new) (SPD)

• Dental Plan Detailed (SPD)

• Vision Plan Detailed (SPD)

• Disability Plan Detailed (SPD)

• Long-Term Benefits Detailed (SPD)

• Health and Wellness Flyer

• Health and Wellness Application

Interconnect Forms

• Group Dental Claim Form

• Medical Claim Form

• Vision Claim Form

Scholarship Forms

• Union Plus Scholarship - Deadline, January 31, 2026

• Joe Beirne National Scholarship - Deadline, April 30, 2026

• CWA 1109 Anthony J Matarazzo Jr. - Deadline, May 31st, 2026

• Nettworth Financial Group Scholarship - Deadline, May 31st 2026

Verizon Forms

• All Programs Flyer

• 2026 Summer Camp Flyer

• 2026 Summer Camp Application

• DCRF Reimbursement Form

• 2026 DCRF Enrollment Application

• 2026 Pendant Application

• 2026 Pendant Reimbursement Form

Leave

• ADL - Anticipated Disability Leave
  Application
  Guidelines
  Toolkit

• CNC - Care of Newborn Child Leave
  Application
  Guidelines
  Toolkit

• EEL - Enhanced Education Leave

  Application
  Guidelines
  Toolkit

• FCL - Family Care Leave
  Application
  Recertification Application
  Guidelines

• GRW - Gradual Return to Work
  Guidelines

• Military/Enhanced Military Leave
  Guidelines
  Toolkit

• Personal Leave of Absence (Includes Education, Civic, Union, or Personal Leave)
  Application
  Guidelines
  Toolkit