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Employee Forms

Many of the following forms are on line fill-in PDFs and require Adobe Acrobat Reader to access.

USG/DSC Health Benefits Forms

Indemnity Plan Health Benefits Claim Form (pdf, 1916K)

PPO Health Benefits Claim Form (pdf, 710k)

Pharmacy Benefits Claim Form (pdf, 556k)

Dental Benefits Claim Form (pdf, 828K)
USG/DSC Financial Forms

Travel Request Form (pdf)

Travel Expense Form (pdf)

Mileage Chart (pdf)

Hotel Tax Exemption Form (pdf)
Teachers' Retirement of GA Forms

TRSGA Forms
Internal Revenue Service Forms

IRS Home Page and Forms Search
Social Security Forms

Social Security Forms Page

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University System of Georgia
213 N. College Dr. 
Dalton, GA 30720

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Department phone: 706.272.4436
Department fax: 706.272.4588
Toll-free phone: 800.829.4436
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Email contact: webmaster@em.daltonstate.edu
Last modified: May 10 2004 12:00:27.
An Affirmative Action Program
Equal Opportunity Institution