Benefit Forms:
Beneficiary Designation - Ameren Retirement Plan (Cash Balance Account)	Form
Beneficiary Designation - Alternate Payee Beneficiary Designation*	Form
Dental / Optical Reimbursement Plan — Principal For Locals 309, 649, 1439, 1439-South	Form
Dental / Vision Reimbursement Plan — Principal	Dental Form Vision Form
VSP Out of Network Reimbursement Form	Form
FSA Automatic Reimbursement - Principal	Form
FSA Reimbursement Direct Deposit Authorization — Principal	Form
FSA Request for Reimbursement - Principal	Form
Limited FSA Request for Reimbursement — Principal Applicable only to management and CILCO Local 51 employees enrolled in the Health Saving PPO Medical Plan	Form
Medical GHP Reimbursement - Emergency Out-of-Network Claim	Form
Medical Principal Reimbursement	Form
Other HR Forms:
FMLA Certification Form Use only when you know prior to an event you will need FMLA time.	Form
HIPAA Authorization for Use or Disclosure of Employee Protected Health Information (For request to access, inspect, or copy medical records from the Group Health Plan, contact Employee Benefits at ext. 42179 (314.554.2179) for the appropriate form.)	Form
Local 1455 Notification of Doctor Appointment	Form
Request for Consideration	Form
Retirement Election Form	Form

For assistance, please contact 877.7my.Ameren.

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