Please complete the applicable forms and return to Human Resources:

Federal Tax Form (W-4)

NC State Tax Form (NC-4)

NC State Tax Form (NC-4EZ)


You MUST also update your forms on Employee Self Serve.  If changes are not made in both places, your changes will not be accepted. 

We recommend changes to beneficiaries be made directly on the corresponding websites for faster processing.  Links to the websites can be found under "Employee Benefits Information & Forms.  Changes may also be made by completing the forms and returning to Human Resources.

Life Insurance Beneficiary Form

401k Beneficiary Form

457 Beneficiary Form

Retirement Beneficiary Form

Retirement Beneficiary Death Benefit Form

Under HIPPA and PPACA, employees may only drop or add dependents from coverage for one of the following reasons (qualifying life event):

1. Open Enrollment

2. Change in family status (marriage, divorce, birth of child, adoption of child, child ages off of coverage

3. Gains or losses in employment (spousal coverage, new employment, loss of employment or eligibility through employer)

4. Becomes eligible for, or loses eligibility for, Medicaid or State Children’s Health Insurance Program

Please bring proof of Qualifying Life Event to Human Resources within thirty (30) days of the “qualifying life event” for the change to be processed.  If change is not requested and proof is not provided within 30 days, the change will not take place until Open Enrollment.

Thank you for your interest in Harnett County employment opportunities. Applicants should expect a 3-4 week review period after a job posting has closed.

You can check the status of your application at any time by accessing your account with NeoGov.