New Hire Forms
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Risk Management
Agricultural Commissioner
Aging and Veteran Services
Animal Services
Assessor
Auditor
Alliance WorkNet
Behavioural Health & Recovery
Board of Supervisors
CEO
CEO-OES
CEO-RMD
Children and Families First Comm.
Clerk Recorder
County Counsel
Co-Op Extension
Community Services Agency
Child Support Services
District Attorney
Environmental Resources
General Services Agency
Health Services Agency
LAFCO
Law Library
Library
Parks and Recreation
Planning
Probation
Public Defender
Public Works
SBT
Sheriff's Office
Stanislaus Regional 911
StanCERA
Treasurer/Tax Collector
Select Appropriate Department
Benefits - Full Time Employee
Description of Form or Document
Explanation
Benefit Enrollment Form - Choose the Appropriate Form Based Upon The Bargaining Unit
PO1 ,PO2 ,PO3 ,PO4 ,PO5 ,PO6 ,PO7 ,PO8 ,
PO12 ,PO13
Universal Enrollment / Change Form
Revised 10-08
Life Insurance Enrollment Form
Form 47071a-2
Evidence of Insurability - For Additional Life Insurance over $100,000
Form 47228CA
Deferred Compensation - Enrollment packets from Hartford and Diversified. These packets are only distributed in a hard copy format. Available from Risk Management Division - Benefits.
Required for PO1,PO2,PO3,PO6,PO8. Other BU Optional. The Forms Are In The Back Of Packet.
Insurance Waiver & Proof of Other Insurance
Employee Elects to Waive Insurance Coverage
Benefits - Part Time Employee
PARS - Is an Alternative Retirement System for part time, temporary or seasonal employees
Retirement
Exit Interview
Other Forms