Below are listed forms active employees may use and submit to the Payroll Clerk.
Anthem – Coverage Change
AFLAC – Coverage Change
Colonial – Coverage Change
Dental Care Plus – Coverage Change
Colonial – Beneficiary Change
Deferred Comp – Beneficiary Change
Retirement Systems – Beneficiary Change
Hartford Life – Beneficiary Change
Deferred Comp – Address Change
Retirement Systemts – Address Change
Perscription Form
Direct Deposit Form
Outside Employment Form
Sick Leave Sharing Form
Updated Emergency Contact Sheet
Occupational Drug Screening Form
Cemetery Lots – Payroll Deducted
If you have any questions, please contact:
Shavonna Huffman
Payroll Clerk/Deputy City Clerk
859.734.2383 ext. 104
shuffman@harrodsburgcity.org