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Forms


Staff Forms

pdf AOS Fraud Reporting System Notice
pdf Asset Transfer Form- Fillable
pdf Asset Transfer Form
pdf Dental Claim Form
pdf Gifts and Donations Form
pdf HIPAA Notice of Privacy Practices
pdf Annuity Provider List
pdf Direct Deposit Authorization Form
pdf IRS W-4 Form
pdf Ohio Employee Withholding Certificate IT4 Form
pdf WV Employee Withholding Certificate IT104 Form
pdf 2012-2013 Payroll Schedule
pdf Health Plan Enrollment Form
pdf Travel Expense Report 2013
Belmont Career Center |  110 Fox Shannon Place |  St. Clairesville, OH   43950 |   740 695 9130
Harrison Career Center |   82500 Jewett Road |  Cadiz, OH   43907 |  740 942 2148


©2013 BHCC