City of Bowling Green Employee Forms

Insurance Forms

• CoreSource Dental Claim Form-Return to address on form
• CoreSource Medical Claim Form-Return to address on form
• Caremark Order Form-Return to address on form
• CoreSource Flexible Spending Reimbursement Form-Return to address on form
• Coresource Status Change & Enrollment Form-To be completed only in the event of a qualifying status change.  Completed form must be returned to the Personnel Department within 30 days of the event.  Please contact the Personnel Department for additional instructions.
• Sun Life Beneficiary Designation Form-Can be completed with a family status change or at any time.  Return to the Personnel Department
• Authorization for Release of Protected Health Information-Return to Personnel Department with any supporting documentation, if any.

General Forms

• Application for Leave
• Employee Change of Information Form
• State of Ohio Tax Form 2008
• Federal Tax Form (W-4) 2008