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 |
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Disqualification Language | |
Qualifying Rating Sheet | |
Qualifying Nameplates |
Description Of Form Or Document | Explanation |
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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 |
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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 |