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Forms & Resources
Downloads
Human Resources Forms
- 125 Cafeteria Plan Form (PDF)
- Application for Employment (PDF) Adobe 7.0 or higher required for Electronic Signature
- Application Transfer Request Form (PDF)
- Certification List Authorization (PDF)
- Change of Address Form (PDF)
- Complaint Form (PDF)
- Department Head Evaluation Form (PDF)
- Direct Deposit Form (PDF)
- Employee Evaluation Form (PDF)
- Form I-9 (PDF)
- Form I-9 Instructions (PDF)
- Job Description Questionnaire (PDF)
- Opt-Out Form (PDF)
- Personnel Action Form (PDF)
- W-4 Form (PDF)
- DE-4 Form (PDF)
- Request for Employee Identification Badge (PDF)
- Employee Health Screening Authorization Form (PDF)
- Request for Lactation Accommodation Form(PDF)
Monthly Insurance Breakdowns
- Operating Engineers Plan A 2022 (PDF)
- Operating Engineers Plan B 2022 (PDF)
- Operating Engineers Plan C 2022 (PDF)
- Operating Engineers Plan D 2022 (PDF)
- OE3 PublicWorks Plan A 2022 (PDF)
- OE3 Public Works Plan B 2022 (PDF)
- OE3 Public Works Plan C 2022 (PDF)
- OE3 Public Works Plan D 2022 (PDF)
- Confidential Unit 2022 (PDF)
- Department Head & Elected Officials 2022 (PDF)
- Probation 2022 (PDF)
- Sheriff's Department 2022 (PDF)
Operating Engineers Summary of Benefits & Coverage:
PERS Health Plans Summary of Benefits & Coverage:
County Memoranda of Understanding (MOUs)
- Confidential Unit (PDF)
- Crafts and Trade Unit (PDF)
- General Unit (PDF)
- Mid-Management (PDF)
- Probation Mid-Management Unit (PDF)
- Probation Unit (PDF)
- Sheriff’s Mid Management Unit (PDF)
- Sheriff’s Department Unit (PDF)
Resource
- Biweekly Pay Schedule 2021-2022 (PDF)
- Biweekly Pay Schedule 2022-2023 (PDF)
- 2022 Payroll Calendar (PDF)
- 2022 Payroll Calendar - GEU/MSU/SDU/SMU/CEU
- Personnel Rules (PDF)
- List of Official Plumas County Holidays (PDF)
- Employee Assistance Program Flyer (PDF)
- Equal Employment Opportunity Policy (PDF)
- Harassment Policy (PDF)
- CalPERS Retirement Information Booklet (PDF)
- Anti-Retaliation Policy (PDF)
- Background Investigations Policy
- Healthy Workplaces, Healthy Families Act of 2014 (PDF)
- Rights of Victims of Domestic Violence, Sexual Assault and Stalking (PDF)
- Accommodation Request Form
- Lactation Accommodation Policy (PDF)
- Interactive Process Documentation Form