Benefit Forms

• Health, Prescription & Dental Benefit Waiver Form
• Medical Enrollment/Change Form
  Tab through to complete the form. Use this form for new enrollment and to make changes in coverage. Upon completion submit to Human Resources Benefits Division.
• Certification for Dependent Children to age 26
  Complete and submit to the Human Resources Benefits Division.
• Flexible Spending Account Claim Form
  You will need to print this form. Complete and submit directly to Insurance Administrator's of America.
• Flexible Spending Enrollment Form
  Tab through to complete the form. Print, sign and return to the Human Resources Benefits Division.
  

• Application for Retirement PRFS (Updated)
• Application for Retirement PERS (Updated)
• Application for Disability Retirement PERS (2009)
• Application for Disability Retirement PFRS (2009)
• Change Retirement Application Form (Updated)
• HR-22 Affidavit of Dependency
• Retirement Facts PERS
• Retirement Facts PFRS
• Horizon Dental Enrollment/Change Request
• Horizon Student Verfication Information

• How to Apply
• NJ Civil Service Commission
• Important Information for Law Enforcement Applicants
• Job Openings
• New Employee Orientation
• Employee Benefits