Employee Forms and Documents

Administrative Human Resources Forms

Hiring Tool Kit

Leave Forms

Payroll Forms

Risk Management Forms

Workers’ Compensation Forms

Administrative Human Resources Forms

• Bilingual Request Form
• Declination of Medical Coverage Form
• Department Employee Offboarding Checklist
• Grievance Form
• Outside Employment Form
• Performance Evaluation Form
• Performance Evaluation Form-Spanish
• Request to Fill Vacancy (RTF)
• Travel Authorization Form

Hiring Tool Kit

• Confidentiality Agreement
• Forced Ranking Sheet
• Forced Ranking Sheet Directions
• Form I-9 Document
• Interview Question Template
• New Hire Onboarding Checklist
• Personnel Action Form - PAF
• Recruitment Checklist
• NEOGOV SME "How-To" Video

Leave Forms

• FMLA Employee Serious Health Condition Certification
• FMLA Family Member Serious Health Condition Certification
• Leave of Absence Request Form

Payroll Forms

• 457 Catch-Up/50+/Leave Redemption Form
• 457 Plan Catch Up Election Form – VOYA
• Direct Deposit Form
• Medical Examination Reimbursement Form
• Mileage Reimbursement Form
• Sick Leave Donation Form
• Tuition Reimbursement Application (Confidential)
• Tuition Reimbursement Form (Confidential)
• Tuition Reimbursement Application (IAFF)
• Tuition Reimbursement Form (IAFF)
• Tuition Reimbursement Application (IUOE)
• Tuition Reimbursement Form (IUOE)
• Tuition Reimbursement Application (OPOA)
• Tuition Reimbursement Form (OPOA)
• Tuition Reimbursement Application (OPSMA)
• Tuition Reimbursement Form (OPSMA)
• Tuition Reimbursement Application (SEIU)
• Tuition Reimbursement Form (SEIU)
• Tuition Reimbursement Application (Top/Mid-Mgmt)
• Tuition Reimbursement Form (Top/Mid-Mgmt)
• Vacation Redemption Cash Out Form
• Wellness Policy Reimbursement Form (Management)

Risk Management Forms

• City Claim Form
• City Claim Form Instructions
• General Incident Reporting Instructions and Form
• Motor Vehicle Incident Report
• Report of Unsafe Conditions or Hazard

Workers’ Compensation Forms

• Workers Comp Injury Packet Instructions
• CorVel Injury Packet Instructions
• Report of Occupational Injury or Illness (CA Form 5020)
• Employee’s Claim for Workers’ Compensation Benefits (CA Form DWC-1)
• Body Diagram
• Supervisor’s Incident Investigation Report
• Physician’s Notice of Return to Work-Temporary Medical Restrictions- COO
• Temporary Modified Duty Agreement
• Temporary Modified Duty Agreement (Fire)
• CorVel Medical Provider Notice
• Voluntary Predesignation Form
• Employee Fact Sheet – Workers’ Compensation
• Time of Hire Workers’ Compensation Pamphlet
• Mileage Sheet
• Reporting Only - Declination of Medical Treatment