HR Forms and Information

Human Resources Forms Repository

Adobe Acrobat allows users to save data and some HR forms may be completed online, printed, signed, and forwarded to the HR office by mail or in person.  Saving forms on a personal computer is encouraged for record keeping purposes.

Mississippi State Health Insurance

• Provider Search
• Rates and Coverage
• My Active Health
• Application for Coverage 

State Life Insurance

• Life Insurance Enrollment Change Request

Public Employee's Retirement System of Mississippi (PERS) 

• Form 1- Membership Application
• Form 1B-Beneficiary Designation
• Form 1C- Change of Information
• Form16- Advanced Application 
  • Contact PERS for an Estimate Benefits to determine whether you are eligible to file an Advanced Application 

Wellness Center

• C3 Wellness Center Waiver