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
