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Documents 1-24 of 24

Date	Title	Views	Size
07/25/2024	Separation of Employment	46	148 KB
06/07/2024	2024 Iowa W-4	64	1,398 KB
06/07/2024	2024 Federal W-4	56	1,006 KB
06/07/2024	457 Enrollment Contribution Change Form	53	74 KB
06/07/2024	Dental Enrollment Form	59	954 KB
06/07/2024	Wellmark Enrollment Form	69	141 KB
10/07/2021	2022 FSA Election Form	344	173 KB
10/07/2021	2022 HSA Election Form	316	28 KB
05/18/2021	EBS Flex Enrollment Form Mid-Year	483	233 KB
05/18/2021	EBS Flex Change Form	395	220 KB
04/28/2021	City of Fort Dodge Statement on Equal Opportunity	10606	301 KB
04/15/2020	Wellmark Application for Health Ins Form 7/1/2020	623	1,026 KB
10/23/2019	ICMA-RC Payroll Deduction Roth IRA Enrollment form	644	218 KB
10/23/2019	ICMA-RC Change Form	653	151 KB
01/12/2018	MFPRSI Address Change Form	617	89 KB
12/01/2016	Background/Personal History Packet	637	404 KB
12/01/2016	Waiver of Liability	628	9 KB
12/01/2016	Vision Statement	573	61 KB
12/01/2016	Physical Statement	725	65 KB
12/01/2016	Authorization for Release of Testing Information	553	37 KB
12/01/2016	Authorization & Release	1093	12 KB
05/31/2012	IPERS Enrollment/Beneficiary Designation	1074
01/27/2012	Municipal Fire and Police Beneficiary Designation	746	285 KB
01/27/2012	Discrimination-Harassment Complaint Form	1102	13 KB