Employee Resources
Employee Forms:
Allegiant Care Life Beneficiary Change Form
Direct Deposit Authorization Form
Employee Demographic Change Form
Health Trust - Life, LTD and/or STD Change Form
NHRS Pre-Retirement Beneficiary Change Form
Full-Time New Hire Packet (to be completed by all new full-time employees)
Allegiant Care Enrollment (for Police Dept personnel)
Health Trust Enrollment (for Non-Union personnel)
Part-Time New Hire Packet (to be completed by all new part-time employees - non-benefit position)
Note: Any department-specific forms will be provided separately during orientation.
CHIPRA Model Notice - January 2024