Human Resources Forms

• ADA Grievance Form
• Affidavit of Dependent Eligibility
• Anniversary Change Due to Leave Of Absence
• Benefit Application and Change Form
• Life Insurance Enrollment Form
• Evidence of Insurability Form (EOI)
• Beneficiary Change Form
• Retiree Enrollment Form
• Retiree Benefit Opt Out Form
• Bilingual Certification Request Form
• Direct Deposit Form
• Discrimination Complaint Form
• Employee Exit Interview Checklist Form
• Employee of the Month Nomination Form
• Employee Donation of Time Request Form
• Employee Personal Data Form
• Employee Relations Form
• Employee's Withholding Allowance Cert.(DE-4)
• Employee's Withholding Allowance Cert.(W-4)
• Extra Help Extension Request
• Family Care and Medical Leave Form

• Fighting Hunger Brochure 2016
• Filling a Temporary Vacancy Request
• HR Request Form
• IC Grievance Procedure and Grievance Form
• Military Leave
• Personnel Status Form
• Pregnancy Medical Leave Certification Form
• Reasonable Accommodation Request Form
• Request for Leave of Absence
• Request to Review Personnel File
• Requisition for Personnel Form
• Requisition-Financial Information Form
• Selection Certification Form - Regular
• Selection Certification Form - Extra Help
• Substitute Employee Request Form
• Under-Hire Promotion Request
• Workplace Violence Incident Report
• Working Out of Class Request

Risk Management Forms

• Authorization to Use Privately Owned Vehicle for County Business
• Company Nurse Hotline
• Employee Claim Form DWC-1
• Hazard Assessment & Correction Record
• Medical Provider Network English
• Medical Provider Network Spanish
• OSHA Quick Card Protecting Workers from Heat Stress - English
• OSHA Quick Card Protecting Workers from Heat Stress - Spanish
• Prescription Card
• Supervisor's Accident Investigation Form
• Take Home Vehicle Assignment Form
• Vehicle Accident Report
• Waiver/Release of Liability
• 2025 Employee Mandatory Training Calendar

Policies

• Career Paths Brochure
• Drug and Alcohol Policy
• Drug and Alcohol Policy Statement
• Employee Handbook
• Extra help Pilot Program
• Injury Illness Prevention Program

• Internship Program and Policy
• Rights of Victims Notice
• Sexual Harassment Policy
• Social Media Policy
• Tuition Reimbursement Policy
• Workforce Succession Planning Guide
• Workplace Violence Prevention Plan