Employee Forms and Documents
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)
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