Retiree Forms

Update Contact Information with Henrico County

• Personal Change Information -Online
• Personal Change Information -Downloadable
• Please return completed forms to tay151@henrico.us or fax them to 804-501-4426. 

Additional Forms

• Health Enrollment Form
• Dental Enrollment Form
• Naming a Beneficiary
• VRS Forms
• Anthem Direct Draft Authorization Form
• Delta Dental Direct Draft Authorization Form
• Social Security Administration Online Services

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