Benefits Forms List

Written By Steve Glenn

Updated at February 5th, 2025

In This Article:

Public

If you are unable to find the form that you are looking for, please contact Benefits: 865-594-1686

Form

Revised Description

BO-121

11/08

Tax Shelter Payroll Deduction/Change Authorization

BO-133

10/12

Classified Sick Leave Bank Request

BO-135

1/13

Certified Sick Bank Enrollment Request

BO-138

1/13

Classified Sick Bank Enrollment Request

BO-149

8/11

Certified Sick Leave Physician's Statement

BO-150

8/11

Certified Sick Leave Bank Request

BO-161

11/08

Payroll Deduction/Change Authorization

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