Human Resources

Tracy Gipson
Payroll and Human Resources/Administrative Assistant
769-757-0061 Phone
769-757-0060 Fax
Full-time Employment Forms
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.pdf2025-11-07Direct Deposit
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.pdf2024-07-10Certified Employment Application
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.pdf2024-07-10Form W-4
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.pdf2024-07-10Drug Free Workplace
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.pdf2024-07-10Form I-9
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.pdf2024-07-10Health Application Coverage
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.pdf2024-07-10MS Withholding Form
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.pdf2024-07-10New Health Options
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.pdf2024-07-10PERS Beneficiary 1B
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.pdf2024-07-10PERSMemberApplicationForm1
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.pdf2024-07-10UNUM Life Flyer
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.pdf2024-07-10UNUM Life Enrollment Change Form
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.pdf2026-01-13Ameritas Vision
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.pdf2026-01-13Dental
Access your myBlue account (for your insurance information or to print your cards):
VERIFICATION REQUESTS:
We are dedicated to protecting our employees' information. For this reason, we use Verifent to confirm verification of employment and/or verification of income (VOE/VOI) requests are legitimate, and a valid permissible purpose exists as defined by the Fair Credit Reporting Act (FCRA). Verifiers seeking employment and/or income information for our employee's must submit V0[/V0l requests through Verilent.
Verifiers Need to REGISTER
Verifiers are required to register at Verifent , click on the "Let's Get Started Now" button, click on the "Verifier's" icon, scroll to the bottom of the page and click the "Register Now" button ( one-time event). After registration is complete, verifiers may submit verification requests. These requests will be fulfilled as quickly as possible.
Once registered, what information do I need to obtain a verification?
You will need the following:
- Organization Code B5425A
- Consumer's date-of-birth
- Last four digits of the consumer's Social Security Number
- Proof of consumer consent for any verification
2. When prompted, enter our unique organization code: B5425A
3. Please be prepared to provide the employee's date of birth and last four digits of
the Social Security Number.
For additional information on this process, please visit Verified.




