top of page

Madison County HR

Untitled design (10).png

FORMS

Untitled design (25).png

Untitled design (56).png

Untitled design (55).png

RETIREMENT & DEFERRED COMP

Untitled design (24).png

Untitled design (26).png

LIFE

& OTHER

Virtual Outprocessing

Complete all out processing forms, exit survey, and find more information here

Health / Dental & Vision

Dependent Cancellation

Vision Add / Drop

Declination of Coverage

OptumRX Reimbursement

Vision Cancellation

Payroll

Pre-Tax Authorization

Flex (FSA) Enrollment

Flex (FSA) Reimbursement

Flex (FSA) Direct Deposit

Life & Other Forms

Lincoln Life Enroll

Lincoln Life Cancel

Request for Outside Employment

Transitional Light Duty Request

Lincoln Life Change

Colonial Life Cancel

Accomodation Request

Request for Appeal

Lincoln Beneficiary Update

Colonial Cancer Cancel

Name Change Request

Wellness Screening Form

Athens State Discount

FMLA & Leave

Leave Transfer (Department)

FML / Parental Leave Request

Sick Leave Bank Application

Medical Emergency Certification

Certification for Family Member

Certification for Employee

Sick Leave Bank Enroll

Retirement & Deferred Comp

Beneficiary Change

Other ERS Forms

ERS Address Change

RSA-1

Enrollment Packet

Beneficiary Designation

Investing Elections

Authorization to Defer Comp

Nationwide

Enrollment Form

Beneficiary Change

Divorce Proceedings

bottom of page