Employee Services will be closed Monday, Sept. 2, to commemorate Labor Day. The department will reopen at 8 a.m. Tuesday, Sept. 4. Enjoy your holiday!
Benefits Enrollment/Change Form for Retirees
Purpose
This form allows for retirees to either enroll in a benefits program or change their current benefits enrollment program.
NOTE: This form must be submitted within 31 days of your date of eligibility or qualifying life event.
Last updated: 6/2024