Forms
Affidavit of Current Marriage Form
A legal document and a sworn statement to verify that two people are married.
Benefits Office Change (BOC) Form
Form to utilize for benefit changes with regards to life events and agency transfers.
MedMutual Life Evidence of Insurability
A record of a person’s past and current health events to verify whether a person meets the definition of good health.
RTA Payroll Deduction Form
Form to utilize when signing up for employee discounted monthly RTA passes.
VSP Member Reimbursement Form
Form to utilize when services are rendered from an out of network provider.