Information for Wetzel County Hospital Employees
WETZEL COUNTY HOSPITAL
304-455-8000
"Take Good Care!"
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Click Here for free WVHA
WCH Employee Annual Funds

The WCH E.R.C. encourages employees to
donate to and support these organizations
(click on organization title to learn more):

American Cancer Society

United Way of the Upper Ohio Valley
(Click for form or more information)

    General Employment Forms

Expense Report

Paycheck Direct Deposit Request

Paid Time Off Request

Family Medical Leave Request

Seminar/Education Request


    Dental & Optical Enrollment

Guardian Enrollment Form

Guardian Change of Info Form

Dental Insurance Claim Form


    Retirement Plan Forms

401k Enrollment Form Page 1

401k Enrollment Form Page 2

401k Enrollment Beneficiary Form Page 1

401k Enrollment Beneficiary Form Page 2


    Health Insurance

Blue Cross/Blue Shield Insurance Enrollment Form p.1

Blue Cross/Blue Shield Insurance Enrollment Form p.1


    Confidential Employee Assistance (EAP)

Employee Assistance Program
Employee Forms