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All of the PDF files below require Adobe Acrobat 5.0 or higher to open them.  There is a link at the bottom of this page for a free download if needed.

 

Union Forms / Downloads

Statement of Occurrence

First Step Grievance

Extra Lines for Above Forms

CWA 2275 Expense Form

CWA Occupational Safety and Health Manual

2003 Verizon / Potomac Contract

2008 Verizon / Potomac Contract

Other / Older CWA Virgina Verizon Contracts

 

 

Verizon Forms / Downloads

↓ Microsoft Word files ↓

Personnel Records Release Form (20-1078)

Verizon Direct Deposit Form (20-1061)

Phone Concession In-Franchise Form (20-1545)

Phone Concession Out-Franchise Form (20-1589)

Payroll duplicate check Form (20-1127) 

Application for Pension Form (20-1068)

Verizon Regional Attendance Plan

 

↓ PDF files ↓

Personel Records Release Form (20-1078)

Phone Concession Out-Franchise Form (20-1589)

 

 

Dental Forms / Downloads

MetLife Dental Form

 

 

Davis Vision Forms / Downloads

Claim/Direct Reimbursement Form

Personal Representative Designation Form

Request for Amendment to Records Form

Request for Access/Copies of your Records Form

Privacy Grievance Form

Disclosure of Accounting Request Form

Privacy Practices / Notice

Records Restriction Request Form

Authorization of Disclosure of Protected Health info Form

 

Cigna / Downloads

Medical Claim Form

Medical Claim Form With FSA Roll-Over

 

Misc.

National Labor Relations Act

Basic Guide to the National Labor Relations Act

Universal Test Battery Study Guide

Technitian Mini Course

FMLA Letter

FMLA Certification Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                             

 

     

                           

                                              

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