INSTRUCTIONS: ALABAMA NEW EMPLOYEE — OPEN ENROLLMENT SALARY REDUCTION AGREEMENT DEPENDENT PREMIUM CONVERSION PLAN (Form IB08)

Alabama state employees use form IB08 to enroll in or opt out of the Dependent Premium Conversion Plan during period of Open Enrollment only. This document can be obtained from the website maintained by the Alabama State Employees' Insurance Board.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 1: Enter your name in the first blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 2: Enter your Social Security number in the second blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 3: Enter your street address in the third blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 4: Enter your city, state and zip code in the fourth blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 5: Enter your work telephone number, including the area code, in the fifth blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 6: Enter your home telephone number, including the area code, in the sixth blank box.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 7: Place a check mark next to the first statement if you are electing to enroll in the Dependent Premium Conversion Plan and authorize Alabama to redirect part of your salary to pay premiums with pretax dollars for dependent premiums.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 8: Place a check mark next to the second statement if you are not electing to enroll in the Dependent Premium Conversion Plan.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 9: Enter your signature on the next blank line.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 10: Enter the date on the last blank line.

Alabama New Employee — Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan IB08 Step 11: Mail the form to the address given at the bottom of the page.

INSTRUCTIONS: ALABAMA FLEXIBLE SPENDING ACCOUNT ENROLLMENT APPLICATION (Form PEEHIP FSA)

To enroll in an Alabama flexible spending account administered by the public education employer's health insurance plan, file a form PEEHIP FSA. This document can be obtained from the website of the Retirement Systems of Alabama.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 1: The first section concerns the subscriber. On the first line, enter your Social Security number or PiD number, first name, middle name or initial and last name.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 2: On the second line, enter the subscriber's mailing address, city, state and zip code.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 3: On the third line, enter the subscriber's date of birth, home phone number and work phone number. Indicate whether you are male or female with a check mark.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 4: On the fourth line, indicate whether you are single, married, divorced, legally separated or widowed with a check mark.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 5: On the fifth line, enter your employer or school system, email address and date of employment.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 6: The next section concerns healthcare flexible spending accounts. Indicate whether you wish to enroll in this program with a check mark.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 7: If enrolling, indicate whether you choose a flex debit card, traditional reimbursement or manual reimbursement with a check mark. 

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 8: Enter your monthly and annual contribution amounts.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 9: The next section concerns dependent day care flexible spending accounts. Indicate whether you wish to enroll in this program with a check mark.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 10: Enter your monthly contribution amount on the first blank line if enrolling.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 11: Enter your annual contribution on the second blank line.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 12: Enter your signature on the third blank line.

Alabama Flexible Spending Account Enrollment Application PEEHIP FSA Step 13: Enter the date on the last blank line.

INSTRUCTIONS: CONNECTICUT INDEPENDENT EXPENDITURE STATEMENT FOR AN ENTITY (SEEC Form 26)

Legal entities such as businesses use a form SEEC Form 26 to document their independent expenditures in a Connecticut election. This document can be obtained from the website of the government of the state of Connecticut. After two pages of instructions, this document begins on the third page.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 1: Enter the name of the entity in box 1.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 2: Indicate the tax exempt status of the entity by checking "501(c)," "527" or "N/A" as applicable in box 2.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 3: In box 3, enter the mailing address of the entity.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 4: In box 4, enter the principal business address of the entity.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 5: In box 5, enter the name and title of the CEO or functional equivalent of the entity.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 6: In box 6, give the telephone number and email address of the CEO or functional equivalent.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 7: In box 7, enter the name of the individual authorized to file independent expenditure statements.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 8: In box 8, enter the telephone number and email address of the individual authorized to file independent expenditure statements.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 9: In box 9, enter the name of the agent for service of process in Connecticut.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 10: In box 10, enter the address of the agent for service of process in Connecticut.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 11: In box 11, enter the telephone number and email address for service of process in Connecticut.

Connecticut Independent Expenditure Statement For An Entity SEEC Form 26 Step 12: Complete items 12 through 15 on the first page as directed, then complete items 16 through 19 on the second page as instructed.

INSTRUCTIONS: CONNECTICUT EXPEDITED PROCESS TRACK CONSENT OF PARTIES (Form JD-CV-56)

When two parties are involved in a Connecticut case that is eligible for the expedited process track, they must complete a form JD-CV-56 to give their mutual consent to this process. This document can be obtained from the website maintained by the Connecticut Judicial Branch.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 1: In the first blank box, enter the name of the case.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 2: In the second blank box, enter the docket number, if known.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 3: In the third blank box, enter the street number and name and zip code of the judicial district court.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 4: The first numbered statement you are acknowledging states your case is eligible for processing as as expedited process track case.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 5: The second numbered statement you are acknowledging states you are consenting for your case to be placed on the expedited process track.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 6: The third numbered statement states that you are consenting to waive your right to trial by jury, your right to a record of the proceedings, and your right to appeal.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 7: The top half of the table provided is for the plaintiffs. In the first column, the name of each plaintiff should be printed or typed.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 8: In the second column, each plaintiff should enter their signature.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 9: If applicable, the attorney for each plaintiff should enter their signature in the third column.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 10: The bottom half of the table provided is for the defendants. In the first column, the name of each defendant should be printed or typed.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 11: In the second column, each defendant should provide their signature.

Connecticut Expedited Process Track Consent Of Parties JD-CV-56 Step 12: In the third column, each defendant's attorney, if applicable, should provide their signature.

INSTRUCTIONS: CONNECTICUT EXPERT DISCOVERY SCHEDULE PROPOSAL OR REQUEST FOR SCHEDULING CONFERENCE (Form JD-CV-115)

When the plaintiffs and defendants in a Connecticut court case can agree on an expert discovery schedule, they can jointly propose it using a form JC-CV-115. This form can also be used to request a scheduling conference if these two parties cannot reach agreement. This document can be obtained from the website of the Connecticut Judicial Branch.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 1: Enter the docket number in the first blank box.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 2: Enter the name of the case in the second blank box.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 3: Enter the address of the court in the third blank box. 

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 4: Check box A if you are proposing either an initial or amended expert discovery schedule. Indicate which this is with a check mark.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 5: On the next blank line, enter the date on which the plaintiff will disclose health care provider witnesses.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 6: On the next blank line, enter the date on which the plaintiff will disclose all other expert witnesses. 

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 7: On the next blank line, enter the date on which the defendant will disclose health care provider witnesses.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 8: On the next blank line, enter the date on which the defendant will disclose all other expert witnesses.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 9: Complete the rest of Section A as directed.

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 10: Section B should be checked if a Scheduling Conference is being requested. 

Connecticut Expert Discovery Schedule Proposal Or Request For Scheduling Conference JD-CV-115 Step 11: Section 11 requires all attorneys to detail their names and the party they are representing. The form should then be submitted to the court for approval or rejection.