Personnel Information & Forms

Here are some General Forms you may need to update your personnel file, and request absences or cafeteria reimbursement.  Please print the pages that you need, and return the W-4 and Direct Deposit Forms to Pat Beck at ESU 10.

W-4 form

Automatic Deposit


Complete the absence request form and turn it in to your supervisor for authorization. You can type your information into the highlighted fields on this form before printing it.

Mail the Cafeteria Claim Form to: 
    Almquist, Maltzahn, Galloway & Luth, PC
    PO Box 1407
    Grand Island, NE  68802-1407
Or scan the claim form and receipts and send as an email with attachement to flexplan@gicpas.com.

For any other forms or personnel information that you may need, please contact Pat Beck at ESU 10.

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