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Member Services


Click here to visit the CCSO Alumni Association Web site.

Medical Claim Forms
The following documents are provided for the convenience of the Collier County sheriff's Office members and their families:

FSA Reimbursement Form

This form is used for Dependant Care Reimbusement
and MedFlex Claims

Health Provider List

 Health Plan Amendment
Collier County
If you need to find a provider outside of Collier County, you can check Aetna or call 1-800-343-3140. If you have questions call Meritain Health at 1-800-925-2272 on-site representative at 239-252-0850.

Meritain Fliers
Meritain - Change of Status Form
My Meritain - Web Guide
Meritain - How to Read Your Member EOB
Meritain - How to Read Your Member Statement

Insurance Forms - Fax all Meritain claims to 763-852-5057
Click here to get ALL Meritain Insurance Forms

Click here to see a Envision Rx list of all prescriptions covered on the preferred list

Sick Leave Forms

Sick Leave Bank Use Form and Instructions
Family Leave Care Giver Form 
Physician's Statement - LEO
Physician's Statement - Jail
Physician's Statement - Civilian (Office/Inside)
Physician's Statement - Civilian (Outside)

Please direct any questions to CCSO Human Resources.

Click for the Members Assistance Program.