Human Resources Forms
| Description of Form or Document | Explanation |
| Donated Time Eligibility form | |
| Employee Donation of Time Form | |
| Voluntary Time Bank Procedures | Final Version Distributed January 2008 |
Download the New Hire Paperwork Checklist First!
| Description Of Form Or Document | Explanation |
|---|---|
| Disqualification Language | |
| Qualifying Rating Sheet | |
| Qualifying Nameplates |
| Description Of Form Or Document | Explanation |
|---|---|
| Retirement Member Enrollment Form | (attach acceptable proof of birth) |
| Notice to Prospective Members FORM 415 | |
| Beneficiary Designation Form Instructions for Active Members | |
| Beneficiary Designation Form | |
| Termination of Employment |
Benefits - Full/part Time Employee
| Description Of Form Or Document | Explanation |
|---|---|
| Medical Provider Network Brochure | 2 Page Brochure |
| Acknowledgment Form Confirming Receipt Of Wc And Mpn Brochures | |
| Dwc-time To Hire Pamphlet | 7-1-13 |
| Post Offer/ Pre-placement Screening Passportpassport Us Healthworks (word Document) |
See Intranet Forms |
| Post-offer Medical Testing Program Department Instructions/overview | 2015 |
| Family Medical Leave Of Absence Policy | January 2009 |
|
Medical Certification Of Health Care Provider For Family Leave Employee |
2014 |
|
Medical Certification Of Employee Pregnancy Related Disability |
2014 |
| 2014 | |
| Medical Certification For Serious Injury Or Illness Of A Covered Service Member For Fmla/military Caregiver Leave | 2014 |
| Certification Of Qualifying Exigency Military/fmla | 2014 |
| Medical Certification Care Of Veteran | |
| Your Rights And Responsibilities Under The Fmla | 2013 |
| Management Short Term Disability Claim Statement | |
| Health Insurance Exchange Notice |
