All EUTF Forms
Active Employees
Reference
Payment of Health Benefits Premiums
Enrollment/Update Your Info
HSTA VB – only available to those who are currently enrolled in HSTA VB plans (formerly VEBA Members)
2023-24 Active Reference Guide |
Death Checklist |
New Hire Enrollment Guide |
Newborn Checklist |
ACH Deduction Authorization Agreement Form |
ACH Deduction Cancellation Form |
Administrative Rules |
Affidavit for Collection of Personal Property |
Appeal Form |
Chapter 87A |
General Affidavit |
2022-23 EC-1H Enrollment Form for HSTA VB |
2023-24 EC-1H Enrollment Form for HSTA VB |
Future Retirees
Reference
Medicare Part B Reimbursement
Payment of Health Benefits Premiums
2023 Retiree Highlights Guide |
2024 Retiree Highlights Guide |
Death Checklist |
Medicare Checklist |
Pre-Retirement Checklist |
Direct Deposit Agreement Form |
Administrative Rules |
Affidavit for Collection of Personal Property |
Appeal Form |
Chapter 87A |
General Affidavit |
Retirees
Reference
Medicare Part B Reimbursement
Payment of Health Benefits Premiums
2023 Retiree Highlights Guide |
2024 Retiree Highlights Guide |
Death Checklist |
Medicare Checklist |
Direct Deposit Agreement Form |
Administrative Rules |
Affidavit for Collection of Personal Property |
Appeal Form |
Chapter 87A |
General Affidavit |
Forms Index
Forms & Documents Index