Human Resources Forms

Basic


CALPERS MEDICAL
Health Premium Rate Chart - Effective 2025 New!
CalPERS:
CalPERS Website Forms: https://www.calpers.ca.gov/page/forms-publications
CalPERS Long-Term Care: https://www.calperslongtermcare.com/
 
New York Life:
City of Carson- Class 1 - BTL, VTL, AD&D, STD, LTD Enrollment Form
City of Carson- Class 2 - BTL, VTL, AD&D, STD, LTD Enrollment Form
City of Carson- Class 3 - BTL, VTL, AD&D, LTD- Enrollment Form
City of Carson- Class 4 - BTL, VTL, AD&D Enrollment Form
City of Carson- Class 5 - BTL, VTL, AD&D Enrollment Form
City of Carson- Class 6 - BTL, VTL, AD&D Enrollment Form
City of Carson- Class 7 - BTL, VTL, AD-D- Enrollment Form
City of Carson- Class 8 - BTL, VTL, AD-D- Enrollment Form
City of Carson- Class 9 - BTL, VTL, AD-D- Enrollment Form
 
New York Life - Group Life Insurance :
Additional Travel Protection
Evidence of Insurability Form
Employee Assistance and Wellness Support
Financial Legal Estate Support
Health Advocacy
Health Care Support
How to Submit a Life or Accident Claim
Beneficiary Designation Form
Beneficiary Designation Form
Life and Accident Claim
Tips for Completing a Life Accident Claim
Survivor Assurance Program
 
PARS (Public Agency Retirement Services)
Orientation Flyer
PARS - General Information (PDF)
PARS - Request for Distribution (Fillable PDF)
PARS - Designation of Beneficiary Form (PDF)
 
PRINCIPAL DENTAL:
https://www.principal.com/providers/dental-providers
Principal Dental Benefits - Dental Expense Coverage (PDF)  
Provider Operations Guide (PDF)  
Principal Dental Access Benifits (PDF)  
 
 
SUPERIOR VISION:
https://superiorvision.com/
Superior Vision Insurance Enrollment/Change Form
Superior Vision COBRA Enrollment/Change Form
Group Vision Care Insurance Certificate
 
CIGNA
CIGNA EAP
EAP
Counceling of Work/Life and Legal/Financial Services (Employee Assistance Program Overview)
Employee Orientation to the EAP
2024 EAP Brochure
2024 EAP Wellness Webcasts Calendar
 
OTHERS:
City of Carson Benefits Contact List (PDF)
LegalShield Legal Protection (PDF)
 
VOYA 457 DEFERRED COMPENSATION: https://www.voya.com/
 
New Hire Clearance Packets
Standard New Hire Packet
Adults Aquatics New Hire Clearance Packet   
Part-Time Minors New Hire Clearance Packet  
Part-Time / Temp / Sports Officials (Non-Minors) New Hire Clearance Packet
 
Volunteer Clearance Packets
Volunteer Requirements List
Discrimination and Harrassment Prevention Policy
Volunteer Discrimination and Harassment Prevention Policy Acknowledgement
Risk Management - Safety
 

City Hall Contact

701 E Carson Street
Carson, CA 90745
(310) 830-7600, 7 AM - 6 PM
Monday - Thursday
24-hour automated: (310) 952-1700

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