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Change of Information Form for Cayuga County Employees

  1. Instructions
    Please enter your name as it is on file with Human Resources, Payroll, and Benefits. Choose the items you want to update and enter the updated information.
  2. Contact Preference*
  3. Change*
    Choose the item(s) you want to change/update
  4. Benefits*
    Choose the Benefit(s) you want changed or have questions on. A benefit consultant will contact you.
  5. Are your mailing and physical address*
  6. Please include name, relationship, address, home phone, work phone, cell phone, e-mail of the emergency contact
  7. Attestation*
  8. Leave This Blank:

  9. This field is not part of the form submission.