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	CONTACT: Macon County Human Resources 5 West Main Street Franklin, NC 28734 Tammy Keezer, Director (828) 349-2020 Nina Parrott, HR Analyst/Safety Coordinator (828) 349-2287 Polly Crunkleton, HR Specialist (828) 349-2031 Amy Breedlove, HR Generalist (828) 349-2595 HELPFUL LINKS Human Resources Training		Macon County • Human Resources Form Downloads NC Retirement System NC Local Government Employees' Retirement Handbook NC Law Enforcement Officers Retirement Handbook for Sworn Officers Form 2DB-Designating Beneficiary for Death Benefit Form 2RC-Designating Beneficiary for Retirement System Return of Contributions Form 5-Withdrawing Your Retirement Form 6-Claiming Your Monthly Retirement Benefit Form 45-Purchasing Retirement Credit for Part-Time Employment Form 170-Authorizing Direct Deposit Form 443-Purchasing Retirement Credit for Temp Employment Form ESSR-Certifying Employee Status under Reemployment Laws(NC Retirement System) Updating Your Addresses or Name(Not for Regularly Employed and Contributing Members) Empower Choosing your NC 401k and NC 457 Plan Investments 401k Enrollment Form 401k Beneficiary Form 457b Enrollment Form 457b Beneficiary Form Accident, Injury and Worker's Comp Non-Employee Accident Report Accident Report Form / Drug Test Form Workers Comp Management Accident Investigation Report Workers Comp Employee Accident Report Workers Comp Witness Accident Report Workers Comp Authorization to Disclose Information Workers Comp Return to Work Workers Comp myMatrixx Pharmacy Form Property & Liability - Auto Claims Employee Accident Report Supervisor Investigation Report Colonial Colonial - Request for Service-Address Changes Colonial - Emp term but want to keep insurance Employment Forms Macon County Emergency Contact Information Background Check Driver Disclosure Form Overtime Request Medical Release to Return to Work Payroll Change Authorization Personnel Action Form Emp. Exit Interview Direct Deposit Written Warning Temporary Teleworking Agreement Grant Funded Position Letter Request for Outside Employment Change Reporting Forms NC401K Request for Name and/or Address Change Macon County Emergency Contact Information Macon County Change Report Form Address and/or Name Change Form MetLife Beneficiary Form - 2023 Travel Travel Request and Authorization Travel Reimbursement starting January 1 2025 Travel Reimbursement thru December 31 2024 Family Medical Leave Your Employee Rights under FMLA - English Sus derechos como empleado según la FMLA - Español Employee Family Medical Leave Act Training Slides Supervisors Family Medical Leave Act Training Slides Employees' Guide to FMLA Fact Sheet #28: The Family and Medical Leave Act Military Family Leave Entitlements DOL Notice Eligibility Rights Responsibilities Employees' Instructions for FMLA Request for Leave and Notification Certification of Health Care Provider Employee's Serious Health Condition Certification of Health Care Provider Family Member's Serious Health Condition Medical Release to Return to Work Notification of Return to Work from FMLA Voluntary Shared Leave Employee Shared Leave Policy Request for Voluntary Shared Leave Donation Form for Voluntary Shared Leave LWOP Request for Leave Without Pay Notification of Return to Work from LWOP Tax Forms NEW W-4 2025 Federal Withholding NC Employee's Withholding Allowance Certificate NC-4EZ Employee's Withholding Allowance Certificate

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© 2010 Macon County, North Carolina
5 West Main Street • Franklin, NC 28734
Phone: 828-349-2000