Account Maintenance Forms For Your Employees in Receipt of Benefits

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To maintain an account when you are already receiving a benefit, you need a form for…

Authorizing Direct Deposit	Form 170
Choosing Income Tax Withholding Preferences	Form 290
Selecting Health Coverage Through the State Health Plan	Form HM
Updating Your Addresses or Name	Form COA

To maintain an account while you are receiving a disability benefit, you need a form for…

Reporting Your 2007 Income To Continue Your Retirement System Disability Benefit	Form 237
Reporting Your 2007 Income To Continue Your Benefit Through the Disability Income Plan	Form 296
Reporting Your 2007 Income to Continue Your Disability Salary Continuation Plan Benefit	Form 297
Medical Report for Eligibility Review of Short-Term Disability Benefits	Form 7AR
Reporting Earnings to Your Employer During the Short Term	Form 702
Medical Report for Eligibility Review of Short-Term Disability Benefits	Form 703
Agreeing to Accept Long-Term Benefits through the Disability Income Plan of N.C.	Form 705
Reporting Earnings Monthly While Receiving Extended Short-Term or Long-Term Benefits	Form 707