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FRANKLIN COUNTY PERSONNEL/SELF INS. DEPARTMENT 355 WEST MAIN STREET MALONE, NY 12953 (518) 4811677 or (518) 4811665SICK TIME USAGE REPORT Employees Name:Civil Service Title:PERSONNEL OFFICE USAGE
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How to fill out franklin county personnelself ins

01
Obtain a copy of the Franklin County Personnel Self Insurance form.
02
Read the instructions provided on the form carefully.
03
Fill out your personal details such as name, address, contact information, and social security number.
04
Provide information about your current health insurance coverage, if any.
05
Indicate the type of coverage you are seeking from Franklin County Personnel Self Insurance.
06
Specify the effective date for the coverage.
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Review the completed form for accuracy and completeness.
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Sign and date the form.
09
Submit the form to the designated Franklin County personnel or insurance department.

Who needs franklin county personnelself ins?

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Franklin County personnel are the individuals who need Franklin County Personnel Self Insurance.
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It is typically offered to employees of Franklin County to provide them with insurance coverage for various situations such as disability, accident, or illness.
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The specific eligibility criteria may be determined by the county's policies and employment status.
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Franklin County personnel self insurance is a type of insurance coverage provided to county employees.
All Franklin County employees are required to file for personnel self insurance.
To fill out Franklin County personnel self insurance, employees need to complete the required forms provided by the county HR department.
The purpose of Franklin County personnel self insurance is to provide coverage and protection to county employees in case of work-related injuries or accidents.
The information reported on Franklin County personnel self insurance includes personal details of the employee, job title, department, and any relevant medical information.
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