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Documents 1-24 of 24

Date	Title	Views	Size
07/25/2024	Separation of Employment	52	148 KB
06/07/2024	2024 Iowa W-4	66	1,398 KB
06/07/2024	2024 Federal W-4	58	1,006 KB
06/07/2024	457 Enrollment Contribution Change Form	55	74 KB
06/07/2024	Dental Enrollment Form	62	954 KB
06/07/2024	Wellmark Enrollment Form	71	141 KB
10/07/2021	2022 FSA Election Form	346	173 KB
10/07/2021	2022 HSA Election Form	318	28 KB
05/18/2021	EBS Flex Enrollment Form Mid-Year	485	233 KB
05/18/2021	EBS Flex Change Form	396	220 KB
04/28/2021	City of Fort Dodge Statement on Equal Opportunity	10665	301 KB
04/15/2020	Wellmark Application for Health Ins Form 7/1/2020	624	1,026 KB
10/23/2019	ICMA-RC Payroll Deduction Roth IRA Enrollment form	647	218 KB
10/23/2019	ICMA-RC Change Form	655	151 KB
01/12/2018	MFPRSI Address Change Form	619	89 KB
12/01/2016	Background/Personal History Packet	638	404 KB
12/01/2016	Waiver of Liability	629	9 KB
12/01/2016	Vision Statement	574	61 KB
12/01/2016	Physical Statement	727	65 KB
12/01/2016	Authorization for Release of Testing Information	556	37 KB
12/01/2016	Authorization & Release	1094	12 KB
05/31/2012	IPERS Enrollment/Beneficiary Designation	1076
01/27/2012	Municipal Fire and Police Beneficiary Designation	748	285 KB
01/27/2012	Discrimination-Harassment Complaint Form	1105	13 KB