Human Resources Forms and Office Locations – Government Agency in Santa Barbara County, CA

To promote a County culture where the employees can do their best work, so the community can live its best life.

All 20 forms

Form Title	Topics
Additional Flex Debit Card Request Form
Combined Coverage (complete if both Spouse and Dependent are County employees
Commuter Benefit Reimbursement Form
Compass Accident Insurance Enrollment Form
Compass Critical Illness Enrollment Form
Declaration of Disability for Over Age Dependent Child Form
Declaration of Domestic Partnership
Delta Dental Enrollment/Status Change Form
Detailed Description of Qualifying Events per HIPAA Special Enrolment rules and IRS Section 125
Direct Deposit Form
Enrollment Form
FSA Dependent and Healthcare Enrollment form
Parking Only Expense Reimbursement Request Form
Qualifying Event - Change in Status Form
Transition of Care Request Form
VSP Benefits
VSP Claim Form
VSP Enroll Form
Waiver of Medical/Dental Coverage
Wellness Benefit Reimbursement Claim Form

1 contact point

Address:
1226 Anacapa Street
Santa Barbara, CA 93101

Phone numbers:

Fax numbers:

Emails:

Hours of operation: