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Madison County HR

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FORMS

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RETIREMENT & DEFERRED COMP

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LINCOLN

& 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

Vision Cancellation

OptumRX Reimbursement

Payroll

Pre-Tax Authorization

Flex (FSA) Enrollment

Flex (FSA) Reimbursement

Flex (FSA) Direct Deposit

Lincoln & Other Forms

Lincoln Life Enroll

Lincoln LTD Enroll / Cancel

Lincoln Critical Illness Insurance

Request for Outside Employment

Transitional Light Duty Request

Athens State Discount

Lincoln Life Change

Lincoln STD Enroll / Cancel

Lincoln Beneficiary Update

Accomodation Request

Request for Appeal

Colonial Life Cancel

Lincoln Life Cancel

Lincoln Accident Insurance

Name Change Request

Wellness Screening Form

Colonial Cancer Cancel

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

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