ET-4560
Form Active Employee / Local Employer / State Employer

USERRA Certification

Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.

ET-2533
Form Local Employer / State Employer

Employee Transaction Report

Employers may be required to report prior year adjustments to employee hours, earnings or employee-paid required contributions by completing and submitting this report.

Parking Account

A Parking Account allows you to pay for eligible work-related expenses with pre-tax dollars.

Plan Year
  • 2024
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits

Parking Account

A Parking Account allows you to pay for eligible work-related expenses with pre-tax dollars.

Plan Year
  • 2025
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits

Dependent Day Care Account

A Dependent Day Care Account is a pre-tax benefit used to pay for eligible day care expenses for qualified dependents in order for you (or your spouse) to work, look for work, or attend school full-time.

Plan Year
  • 2024
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits