FORMS & DOCUMENTS

Catastrophic Illness

Find forms regarding Catastrophic Illness.

New Employees

Find the New Employee Benefits Guide and other New Employee documents.

Sworn Employees

Find LAwell Program forms specifically made for Sworn Employees.

Domestic Partnership Affidavit

Find the necessary forms for filing or terminating Domestic Partnerships.

Cash-in-Lieu Affidavit

Find the Cash-in-Lieu Affidavit packet.

Dental Insurance

Find forms and information regarding Delta and EAA Dental plans.

Vision Insurance

Find forms and information regarding EyeMed Vision Insurance.

Life Insurance

Find the Medical History Statement (MHS) and other necessary forms to enroll into Life Insurance coverage.

Disability Insurance 

Find the Medical History Statement (MHS) and other necessary forms to enroll into Disability Insurance coverage.

Tax-Advantaged Accounts

Find claims forms and other information regarding LAwell Tax-Advantaged Accounts.