Employee & Supervisor Information

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If you need either of the injury or illness forms, please contact the Manager's Office or the Finance Department immediately.

Helpful Links

ICMA - Deferred Compensation
MassMutual - Retirement Plan
PERS - State of Alaska Public Employees' Retirement Tier I - III
Empower- State of Alaska Public Employee's Retirement Tier IV

Airlift Northwest - AirCare for Southeast Alaska and Washington
Apollo MT - Emergency Medical Transportation
LifeMed Alaska - 24-Hour Medevac

Aflac - Supplemental Insurance
American Fidelity - Supplemental Insurance/Flexible Spending

Injury or Illness

  1. Certification of Health Care (PDF)
  2. Certification of Health Care Family (PDF)
  3. Employee Incident Report Form (PDF)
  4. Family and Medical Leave Act (FMLA) Certification (Family Member) (PDF)
  5. Family and Medical Leave Act (FMLA) Certification (PDF)
  6. Family and Medical Leave Act (FMLA) Guide (PDF)
  7. Physician Return to Work Recommendations (PDF)
  8. Workers Comp Injury Form - Employee (PDF)

Helpful Documents

  1. American Fidelity Benefits Overview (PDF)
  2. Aflac Overview (PDF)
  3. ICMA Quick Registration Form (PDF)
  4. MassMutual 457 Beneficiary Form 2014 (PDF)
  5. MassMutual 457 Enrollment Form 2014 (PDF)
  6. MassMutual Salary Deferral Change Form (PDF)
  7. Texas Life Highlight Sheet (PDF)