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TIAA-CREF Retirement

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Anthem Health Insurance

Guardian Dental Insurance

Avesis Vision Insurance

Colonial Life

Mutual of Omaha


Anthem Health Insurance Application

Anthem Health Insurance Termination Form

Health Insurance Election Form

Delta Dental Application

Delta Dental Benefit Summary Option 1

Delta Dental Benefit Summary Option 2

Avesis Vision Application

Avesis Vision Summary

Anthem Option 1  Core Plan Summary

Anthem Option 2 Buy Up Plan Summary   

LWC Core Plan Medical Benefit Summary

LWC Buy-up Plan Medical Benefit Summary

LWC Employee Benefit Summary

Ameriflex Flexible Spending Enrollment Application

Ameriflex Flexible Spending Summary Plan Document

Mutual of Omaha Beneficiary Designation Form 

Short Term Disabilty Claim Form

EarQmily Discount Hearing Plan Fa





Direct Deposit Form

Absence Request Form

2015-2016 Bi-Weekly Pay Schedule

2015-2016 Monthly Pay Schedule

2015-2016 Federal Work Study Pay Schedule

Banner Web Time Entry for User's

Banner Web Time Entry for Approver's 

Timesheet Quick Sheet

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New Hire

I-9 Form

W-4 Form

K-4 Form

Background Check Form

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First Report of Injury - Workers Compensation


TIAA - Defined Contribution Instructions

TIAA - Supplemental Instuctions

Nationwide Enrollment Kit

Nationwide Retirement Application

Nationwide Beneficiary Change Form

Retirement Authorization Deduction Form


Return completed forms to the Human Resources Office.

Admin Building

Contact Us:

Human Resources Office

210 Lindsey Wilson Street

Columbia, KY, 42728

Phone: (270) 384-8203

Fax: (270) 384-7373





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Every Student, Every Day
2008 Lindsey Wilson College
210 Lindsey Wilson St. Columbia, Ky 42728
Local: (270) 384-2126
Fax: (270) 384-8200
Toll Free: (800) 264-0138