Personnel

Instructions: Please send Human Resources a completed copy of the form(s) for processing. You may send the Flexible Spending Account Claim / Reimbursement form directly to Elkin & Associates for payment. Elkin & Associates claims fax line is (800) 598-6844.

Applications/Forms

• Direct Deposit Enrollment Form [PDF]
• Employment Application [PDF]
• Flexible Spending Account Claim Form [PDF]
• Flexible Spending Account Claim Form Instructions [PDF]
• Form NC-4 [PDF]
• Form W-4 [PDF]
• Gym Reimbursement Form [PDF]
• Retirement System Change of Beneficiary, Address, or Personal Information [PDF]
• Request for Outside Employment [PDF]
• Transfer Request Form [PDF]
• Travel Authorization Form [PDF]
• Travel Expense Form [PDF]
• UHC Health & Dental Enrollment/Change Form [PDF]
• UHC Dental Claim Form [PDF]
• UHC Life Insurance Beneficiary Designation Form (City Paid) [PDF]
• Voluntary Unpaid Leave Form [PDF]
• Vacation Donation Form [PDF]

Personnel-related Web Links

• NC Retirement System
• NC 401(K)
• United Healthcare
• Lincoln Financial Dental