Employee Forms


PDF files can be filled out on-line; however, you will need to print them out and bring them to the Payroll Department.



Insurance Erollment Form


AirMed Application

Employee Links

Virginia Retirement

Minnesota Life

Anthem Blue Cross Blue Shield

Mark III Employee Benefits





Virginia Tax Withholding Form



Payroll Forms


Direct Deposit Request Form

Sick Leave Sharing Application

Sick Leave Sharing Donation

BC/BS Name / Address Change


Beneficiary Designation


VRS Member News Online


Subscribe to the VRS Member Newsletter

This site is designed for County residents and visitors to use for informational purposes. If there is any information not contained in this website, that you feel may be helpful to Lee County residents, please let us know. Email Us