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

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

Payroll

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

Lincoln Life Change

Lincoln STD Enroll / Cancel

Lincoln Beneficiary Update

Request for Appeal

Colonial Life Cancel

Lincoln Life Cancel

Lincoln Accident Insurance

Athens State Discount

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

bottom of page