Benefit forms

---

Any questions on forms or plans, please contact:
Megan DeVinny
mdevinny@gisu.org
​(802) 372-6921 ext. 2002

Employee Online Resource Directions

For employees who are enrolled in benefit plans, please click button to access online resources to make the most of your plan.

---

Health Reimbursement Arrangement

• HRA Claim Form​
• Direct Deposit Form

---

Flexible Spending Account (Cafeteria Plan)

• Enrollment Book​
• Claim Form
• Recurring Expense DCAP Claim Form

---

Procedural Forms

---

• Incident Reporting Procedure 
  • Incident Only Form
  • First Report of Injury Form​​

---

Family Medical Leave Act

• Request Form

Americans with Disabilities Act

• ​Request Form