Forms
Most forms are in PDF format (as indicated by the 
) and require a PDF viewer such as Adobe Reader.
Accident
Employment Forms
Flexible Spending Accounts
- Benefits Concepts Claim Form
- Group Name: Haverford College
- Group Number K26903
- Dependent Care Spending Account Eligible Expenses Brochure
- Medical Care Spending Account Eligible Expenses Brochure
Medical Insurance
- Benefit Election Forms
- Caremark 90-Day Prescription Mail Order Form
- Davis Vision Claim Form
- Out-of-Network Claim Form
- Personal Choice 10/20/70 Reimbursement Claim Form
- This form is used for reimbursement of maternity hospital, inpatient hospital, outpatient surgery, inpatient psychiatric, inpatient serious mental illness, and substance abuse (detox/days and inpatient rehab).
Payroll
Pension (Retirement)
- Pension Election Form (College's Contribution)
- Salary Reduction Agreement (SRA) (Employee's Contribution)
Miscellaneous
- Employee Release to Obtain a Motor Vehicle Report
- Directory Update (Update your Directory Information)
- Transit Check
See the Business Office website for additional forms: http://www.haverford.edu/business/forms.php.