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

Taxes

 

FEDERAL TAX WITHHOLDING FORM

 

Virginia Tax Withholding Form

 

 

Payroll Forms

 

Direct Deposit Request Form


Sick Leave Sharing Application


Sick Leave Sharing Donation


BC/BS Name / Address Change

VRS

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