This internal website is for City of San Rafael employees. The public website is

Just Married? Update these forms

Congratulations on getting married! We wish you a lifetime of love and happiness! Red Heart on Microsoft Red Heart on Microsoft

Please fill out the forms below and return to HR. Don’t forget to provide a copy of your marriage certificate (for spouse) and birth certificates (if adding children).

Employee Emergency Information Sheet

Health Enrollment:

Dental Enrollment:

Vision Enrollment:

(select bargaining groups only)

Life Insurance:

(for regular employees, greater than 75% FTE)

Deferred Comp Beneficiary Designation Forms:

Marin County Employees’ Retirement Association:


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