HR Forms
The following commonly requested employee forms are provided for your convenience:
- INPRS (formerly PERF)- Change of Beneficiary
- Mutual of Omaha Life Insurance - Change of Beneficiary
- Workers' Compensation First Report of Injury/Illness
Retiree
Additional Forms
Maintaining up-to-date information on yourself and your dependents is a vital part of receiving efficient, effective and timely coverage. Please report your life event on ESS within 31 days if you have a change in family status such as:
-
Address change
-
Birth
-
Adoption/Legal Guardian
-
Marriage
-
Divorce
-
Loss of coverage - spouse plan
Some issues and information changes may also involve changes to your Payroll deduction.
For issues involving Payroll, please contact Nicole Stocks at 775-5158.
Contact Us
Diane Foster, Human Resources Director
- Office: (765) 775-5108
Email Us
Email Us
Site Design and Content Management