Forms & Resources

Human Resources Forms

• 125 Cafeteria Plan Form (PDF)
• 125 Plan Document (PDF)
• 125 Compensation Reduction Disclosure (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)
• Request for Employee Identification Badge (PDF)
• Employee Health Screening Authorization Form (PDF)

Monthly Insurance Breakdowns

• Operating Engineers Plan A 2020 (PDF)
  
• Operating Engineers Plan A 2019 (PDF)
• Operating Engineers Plan B 2020 (PDF)
• Operating Engineers Plan B 2019 (PDF)
• Operating Engineers Plan C 2020 (PDF)
• Operating Engineers Plan C 2019 (PDF)
• Operating Engineers Plan D 2020 (PDF)
• Operating Engineers Plan D 2019 (PDF)
• Confidential Unit 2020 (PDF)
• Confidential Unit 2019 (PDF)
• Department Head 2020 (PDF)
• Department Head 2019 (PDF)
• Probation 2020 (PDF)
• Probation 2019 (PDF)
• Sheriff's Department 2020 (PDF)
• Sheriff's Department 2019 (PDF)

Operating Engineers Summary of Benefits & Coverage:

          Plan A
          Plan B
          Plan C
          Plan D

PERS Health Plans Summary of Benefits & Coverage:

         Care
         Choice
         Select
         PORAC