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Forms |
Benefits Documentation
Salaried Non Represented Benefit Enrollment
2022 OE- DayForce Payroll FAQ
2023 Annual Enrollment Guide - Salaried
USW Represented Benefit Enrollment
2023 AE - USW Active Enrollment for Healthcare Eligibility Change Form
2023 AE - USW Active FSA Enrollment Form
2023 Annual Enrollment Guide - Represented
401K-Represented
Access to Hrly 401k Accnt
Cleveland-Cliffs Hourly USW Plan SPD
Hardship Withdrawl
In Service Withdrawl
Pay Out Request
Rollover Contribution
Special Tax Notice
Address
Change Of Address
Employee Information Change Form
Bids
Technical Sequence
Kote Permanent Vacancy Bid
Tek Permanent Vacancy Bid
Caremark - CVS USW Represented Only
CVS Caremark Mail Service Order Form
CVS Caremark Prescription Reimbursement Form
Civil & Human Rights
Civil & Human Rights Complaint Form
Civil & Human Rights Process Flow
Claim Forms
Davis Vision Claim Form
Highmark Medical Claim Form
Salaried Non-Rep Medical Claim Form
Spouse Prem Reimbursement Form
United Concordia Dental Claim Form
Craft Assist
IN Craft Assist Form
Eligibility
Highmark Disabled Dependent Form
Spousal Coverage Status Inquiry Form 7.19
Reimbursement Applications
EWW (Exempt - Form Policy)
Jury and Witness Duty (Form Policy)
Military Statement of Service (Form Policy)
Tuition Assistance Program Approval Form
Tuition Assistance Program Policy
Vacation Advance Request
Sal Non Represented - Documents
2023 Carrier Contact Information - Salaried
2023 Salaried Holiday Calendar
Cleveland-Cliffs Salaried Savings and Investment Plan SPD
Salaried (Non-Represented) Employee Benefits Summary 2023
Salaried Healthcare-Life-401k Benefit Options at Termination for EEs 1-1-22
Salaried Non-Rep Summary of Benefits
USW Represented - Documents
2023 Holiday Calendar Hourly
Employee Retiree Referral Form
Skill Matrix Certification
USW - 2023 CDHP Summary of Benefits
USW - 2023 PPO Prescriptions Summary of Benefits
USW - 2023 PPO Summary of Benefits
USW Active Wage SHWF SPD 01-01-2019
USW Cliffs HAI Verification Form 2023
USW Contact Information
USW HRA Information
USW HRA Plan Details
USW HRA Reimbursement Form & Instructions
USW Pre-Medicare Retirees Wage SHWF SPD 01-01-2019
USW Retiree Wage PIB 01-01-2019
USW Active Wage PIB SPD eff 01-01-19
Express Scripts - Salaried Non-Represented Only
ESI_Benefit_Coverage_Request_Form
Get_Started_With_Home_Delivery_From_ES_Pharmacy
Registering_With_Express_Scripts_Mobile_App
Transitioning_To_Express_Scripts_FAQ
Leave Requests (FMLA) & (LOA)
Family Medical Leave
FMLA Form WH-380-E - Health Care Provider Form for Employee
FMLA Form WH-380-F - Health Care Provider Form for Family
FMLA Form WH-381 Notice of Eligibility & Rights and Responsibilities under FMLA
FMLA Form WH-382 - Designation Notice
FMLA Form WH-384 - Qualify Exigency for Military Family Leave
FMLA Form WH-385 - Military Family Leave
FMLA Form WH-385 - Veteran Military Family Leave
Leave of Absence
Flex Spending
Dependent_Elder_Day_Care_Spending_Account_Claim_Form
FSA SPD
Healthcare_Spending_Account_Claim_Form
2023 AE - USW Active FSA Enrollment Form
HIPAA Requests
Authorization for Release
HIPAA Authorization for Release Form - Incapacitated Employee
HIPAA Authorization for Release Form
HIPAA Privacy Notice
About the HIPAA Privacy Rule
Request for Accounting of Disclosures
Request for Amendment of PHI
Request for Confidential Communications
Request for Restrictions
ICD
Career Development Centers
EDP ICD
EDP Issuance 14
Provider Status Application
Requst For Infomation
Tuition Assistance Application & Book Reimbursement
Tuition Assistance Guidelines
Tuition Assistance Process Flow
Life Insurance
Beneficiary Designation Form - Salary
Beneficiary Designation Form-Union
Evidence of Insurability Form - Long
Evidence of Insurability Form - Short
Life Certificate of Coverage - 9231
Life Certificate of Coverage - 9231-01
Opt Life and AD&D - Rates
Opt Life and AD&D Enrollment - Union
Short Term Disability
Physician Report
STD Guidelines
Step Placement
Step Placement Form fillable
Union Hall
Union Hall Rental Agreement
