Forms useful to DCA Employees Only

You can left click to open if your computer has the software mentioned on the right of each form in red and then print.  Alternatively, you can Right Click on any one of these forms and choose "Save Target as" and save the form to a destination folder for future use.  Please note that PDF Format can be read and printed by a free reader called Adobe Acrobat which can be downloaded free from www.Adobe.com

Absence Request Form       2011 Discretionary Hour TimeKeeper  in PDF Format       DCA Holiday List for 2011 in PDF

        2012 Discretionary Hour TimeKeeper  in PDF Format       DCA Holiday List for 2012 in PDF

Travel Expense Reimbursement Form 2011 for use for Miles after July 1   in Excel Format  Travel Expense Reimbursement Form 2011 for use for Miles after July 1   in PDF Format

Health and Dental Choice Form (2011-12) in PDF format   Aetna Health Enrollment Form for 2011-2012   in PDF format

        Go to Aetna's website to find a Doctor (in QPOS network)


Delta Dental Enrollment Form  in PDF format

                        Check for a Dentist Participating in Delta Dental Insurance

Hartford Enrollment Form

Hartford Short Term Disability Claim Form

Payroll Bank Change Form in PDF format        Pension Plan Contribution Change Form  in PDF format

Latest Quarterly Fund Performance Data (Pension Plan) in PDF format

2011 W-4 for Tax Deductions in PDF Format                     Current W-9 Form in PDF Format

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