employment applications
employment applications
ncdor labor law
policies
Tax forms
direct deposit
e-verify forms
FAMILY MEDICAL LEAVE ACT (FMLA)
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
- WH-381 Notice of Eligibility and Rights & Responsibilities
- WH-382 Designation Notice
- WH-384 Certification of Qualifying Exigency for Military Family Leave
- WH-385 Certification for Serious Injury or Illness of a Current Service member
- WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
INSURANCE FORMS
MedCost – Health Insurance (1-800-217-5097)
- Change Form 040 MIT, MBS
- Cost Estimator Flyer
- Digital ID Card
- Enrollment Form 065 MDL, MIT, MBS
- M599 Town of Biscoe MED 3000 30-40 Schedule
- Member Account Flyer
- MIT Wellness Participation 2019-2020
- MIT Wellness Participation Checklist
- Naturally Slim Flyer
- PCM Healthier You NCLM
- SmartStarts Precious Gift NCLM
- Teladoc
- Trestle Tree
MetLife – Dental Insurance (1-800-275-4638)
AlwaysCare – Vision (1-888-729-5433)
Transamerica - Life Insurance (1-888-763-7474)
AFLAC – Supplemental Insurance (1-800-992-3522)
USABLE - Short-term Disability, Long-term Disability, Accidental Death & Dismemberment (AD&D), Life Insurance
– (1-800-370-5856)
retirement Contacts
401k – Prudential Retirement
- Address and Name Change Form
- Beneficiary Designation Form
- Employer Change Form
- Enrollment Form
- Investment & GoalMaker Election and Contribution Change Form
- One Time Contribution Form
- Report of Termination/Request for Distribution Form
- Request for Hardship Form
- Request for Minimum Distribution Form
- Request for Systematic Disbursement Form
- Rollover Pre-Approval Form
- Service Credit Purchase Form
- Special Tax Notice
457b - Prudential Retirement
- Address and Name Change Form
- Beneficiary Designation Form
- Employer Change Form
- Enrollment Form
- Investment & GoalMaker Election and Contribution Change Form
- One Time Contribution Form
- Report of Termination/Request for Distribution Form
- Request for Minimum Distribution Form
- Request for Systematic Disbursement Form
- Request for Unforeseen Emergency Form
- Rollover Pre-Approval Form
- Service Credit Purchase Form
- Special Tax Notice
- Voluntary In-Service Disbursement Form