HR Documents

All forms should be returned to 

Document Title
Document Link
Address ChangeAddress Change
2023 W-4 2024 W-4 IRS
2023 W-4P2023 W-4P (IRS) Pension
Delaware W-4DE W-4

City of Dover Direct Deposit

(submit with voided check or bank letter)

Direct Deposit

I-9 Employment Verification 

(Submit page 1 with page 3 documents)

I-9 Paper Version (10/31/2022)
457 Enrollment or Change Form457 EnrollmentChangeForm

Delta Dental Changes (Qualifying Event)

Delta Dental Change
Highmark Health Insurance Changes (Qualifying Event)Highmark BCBS Changes
Aetna Health Insurance Changes (Qualifying Event)Aetna Health Insurance Changes

VBA -Vision Benefit of America 

(Qualifying Event)

Vision Changes Form

Employees who need to make changes to their health, dental, or vision insurance have 30 days from the date of the life qualifying event to do so.

What Is A Qualifying Life Event?

  • Becoming newly married or divorced.
    • documentation of marriage or divorce decree 
  • Having a baby or adopting a child.
    • documentation of social security card and birth certificate will need to provided once received 
    • when adopting confirmation of adoption date will need to be provided
  • Experiencing a death of the insurer in the family.
    • documentation copy of death certificate 
  • Losing health insurance coverage due to job loss.
    • letter or document from previous employer stating loss date