Document Center

Document Center

Browse Documents
Browse All |  Home |  By Type |  By Department |  By Topic
Documents 1-25 of 52
Date Type Title Views Size Info
10/07/2021 pdf 2022 FSA Election Form 36 173 KB Details icon
10/07/2021 pdf 2022 HSA Election Form 31 28 KB Details icon
05/18/2021 pdf EBS Flex Enrollment Form Mid-Year 89 233 KB Details icon
05/18/2021 pdf EBS Flex Change Form 81 220 KB Details icon
04/01/2021 pdf EBS Request for Reimbursement 159 128 KB Details icon
10/15/2020 pdf FSA Mobile App Flyer 131 251 KB Details icon
10/15/2020 pdf EBS Flex Spending Enrollment Form 136 173 KB Details icon
04/15/2020 pdf Wellmark Application for Health Ins Form 7/1/2020 338 1,026 KB Details icon
04/14/2020 pdf Two Rivers HSA Request to Transfer Form 217 76 KB Details icon
04/13/2020 pdf Two Rivers HSA New Account Information Form 241 213 KB Details icon
04/07/2020 pdf Telework Agreement 299 213 KB Details icon
04/01/2020 pdf FCCRA Emergency Leave Request Form 321 551 KB Details icon
01/03/2020 pdf 2020 Iowa W-4 299 1,173 KB Details icon
01/03/2020 pdf 2020 Federal W-4 289 784 KB Details icon
10/23/2019 pdf ICMA-RC Payroll Deduction Roth IRA Enrollment form 395 218 KB Details icon
10/23/2019 pdf ICMA-RC Change Form 418 151 KB Details icon
09/20/2019 pdf Dependent Care Claim Form 264 149 KB Details icon
09/19/2019 unknown HSA Enrollment Form 2020 277   Details icon
09/19/2019 pdf WageWorks FSA Enrollment Form 2020 266 103 KB Details icon
09/19/2019 pdf Wellmark Enrollment Form 392 1,007 KB Details icon
04/04/2019 pdf David Dollar Submission Form 383 519 KB Details icon
04/04/2019 pdf David Dollar Program Overview 360 221 KB Details icon
03/26/2019 unknown Overnight Per Diem 520   Details icon
03/26/2019 xlsx Single Day Per Diem 455 134 KB Details icon
09/07/2018 pdf New Accident Report 392 1,160 KB Details icon
Documents 1-25 of 52

Contact Us

Communications
City Hall
819 1st S Ave
Fort Dodge, IA 50501
Get Directions

  • Phone: (515) 576-4551
  • Staff Directory
  • Office Hours:
    Monday - Friday
    8:00 A.M. to 4:30 P.M.

Stay Connected:

Facebook Twitter Click to Take A Video Tour of Fort Dodge