Forms and Miscellaneous Policies

Listed on this page is a link to forms that may be helpful to you as an employee and the following miscellaneous policies and notices; Policy for Posting Documents, Energy Savings Policy, Policy to Dispose of Surplus Property, HIPPA Notice of Privacy Practices and the ADA Compliance Policy.

Forms

W-4 Form Prescription Mail Order Delivery Form Flexible Spending Reimbursement Form (FSA) Flexible Spending Reimbursement Form Retirement Make-up Contribution Form Mass Mutual Withdrawal Request From County Claim Form

Miscellaneous Policies

Employee Handbook Policy for Posting Documents Energy Savings Policy Dispose of Surplus Property HIPPA Notice of Privacy Practices ADA Compliance Policy Cuming County Pandemic Policy for Employees Families First Coronavirus Response Act FFCRA Poster
 
 
It is required that each employee receive a copy of the Health Reimbursement Arrangement Adoption Agreement.  The adopted agreement details the county's deductible reimbursement program to County Employees enrolled in the County Medical Plan. Adoption Agreement (Health Reimbursement Arrangement) - Download pdf [gravityform id="38" title="true" description="true"]
 
 

It is required that the 2017 HIPAA Special Enrollment Notice is distributed to employees by their employer.  Please review the notice and complete the information below. 2017 HIPAA Special Enrollment Notice [gravityform id="48" title="true" description="true"]

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