New Mexico, USA

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Saturday August 17th, 2019

Employee Forms


Authorization for Direct Deposit Form.pdf

Employee Application for Leave.pdf

Employee Leave Donation Request.pdf (To be completed by employee needing leave donated.)

Employee Leave Donation Form.pdf (For the employee who would like to donate leave.)


BCBS EPO 500 Summary of Benefits and Coverage.pdf

BCBS EPO 1000 Summary of Benefits and Coverage.pdf

BCBS HSA 2600 Summary of Benefits and Coverage.pdf

New Health Insurance Marketplace Coverage Options (Notice of exchange DOL form).pdf


Change in PERA record.pdf (Return completed form to Human Resources.)

Employees who wish to request an estimate of benefits (must be within 3 years of retirement); cost calculations for air time, with drawn service, or military service; prepare a service credit verification or request a PERA Retirement Kit should submit a PERA Request Form.pdf This form may be mailed directly to PERA.

This is a link to Public Employee Retirement Association of New Mexico