Administrative Human Resources Forms
Bilingual Request Form
401.9 KB PDF | Updated 06/03/24
Declination of Medical Coverage Form
658.55 KB PDF | Updated 06/03/24
Department Employee Offboarding Checklist
110.76 KB PDF | Updated 06/03/24
Outside Employment Form
191.59 KB PDF | Updated 06/03/24
Performance Evaluation Form
English
126.75 KB PDF | Updated 07/24/24
Performance Evaluation Form
Spanish
130.17 KB PDF | Updated 07/24/24
Grievance Form
99.27 KB PDF | Updated 06/03/24
Hiring Tool Kit
Confidentiality Agreement
11.59 KB PDF | Updated 06/03/24
Forced Ranking Sheet Directions
14.73 KB DOCX | Updated 06/03/24
Forced Ranking Sheet
18.09 KB XLSX | Updated 06/03/24
Form I-9 Document
899.28 KB PDF | Updated 06/03/24
Interview Question Template
36 KB DOC | Updated 06/03/24
New Hire Onboarding Checklist
52.65 KB DOCX | Updated 06/03/24
Personnel Action Form – PAF
251.47 KB PDF | Updated 06/03/24
Recruitment Checklist
51.5 KB DOC | Updated 06/03/24
NEOGOV SME “How-To” Video
4.74 MB MP4 | Updated 06/03/24
Payroll Forms
457 Catch-Up/50+/Leave Redemption Form
137.74 KB PDF | Updated 06/03/24
457 Plan Catch Up Election Form – VOYA
51.05 KB PDF | Updated 06/03/24
Direct Deposit Form
146.07 KB PDF | Updated 06/03/24
Medical Examination Reimbursement Form
128.11 KB PDF | Updated 06/03/24
Mileage Reimbursement Form
116.11 KB PDF | Updated 06/03/24
Sick Leave Donation Form
103.2 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (IAFF)
89.67 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (IAFF)
100.53 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (IUOE)
124.63 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (IUOE)
100.83 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (OPOA)
160.41 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (OPOA)
122.88 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (OPSMA)
105.33 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (OPSMA)
105.39 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (SEIU)
124.6 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (SEIU)
100.69 KB PDF | Updated 06/03/24
Tuition Reimbursement Application (Top/Mid-Mgmt)
107.12 KB PDF | Updated 06/03/24
Tuition Reimbursement Form (Top/Mid-Mgmt)
101.61 KB PDF | Updated 06/03/24
Vacation Redemption Cash Out Form
153.25 KB PDF | Updated 06/03/24
Leave Forms
FMLA Employee Serious Health Condition Certification
231.24 KB PDF | Updated 06/03/24
FMLA Family Member Serious Health Condition Certification
233.56 KB PDF | Updated 06/03/24
Leave of Absence Request Form
354.61 KB PDF | Updated 06/03/24
Acknowledgement of Payment of Insurance Cost
225.39 KB PDF | Updated 06/03/24
Risk Management Forms
City Claim Form Instructions
89.76 KB PDF | Updated 06/03/24
City Claim Form
89.14 KB PDF | Updated 06/03/24
General Incident Reporting Instructions and Form
58.58 KB PDF | Updated 06/03/24
Motor Vehicle Incident Report
68.5 KB PDF | Updated 06/03/24
Report of Unsafe Conditions or Hazard
61.59 KB PDF | Updated 06/03/24
Workers’ Compensation Forms
Workers Comp Injury Packet Instructions
146.21 KB PDF | Updated 06/03/24
CorVel Injury Packet Instructions
1.01 MB PDF | Updated 06/03/24
Report of Occupational Injury or Illness (CA Form 5020)
214.37 KB PDF | Updated 06/03/24
Employee’s Claim for Workers’ Compensation Benefits (CA Form DWC-1)
309.66 KB PDF | Updated 06/03/24
Body Diagram
173.37 KB PDF | Updated 06/03/24
Supervisor’s Incident Investigation Report
46.65 KB PDF | Updated 06/03/24
Physician’s Notice of Return to Work-Temporary Medical Restrictions – COO
310.02 KB PDF | Updated 06/03/24
Temporary Modified Duty Agreement
23.33 KB DOCX | Updated 06/03/24
Temporary Modified Duty Agreement (Fire)
23.27 KB DOCX | Updated 06/03/24
CorVel Medical Provider Notice
427.04 KB PDF | Updated 06/03/24
Voluntary Predesignation Form
1.72 MB PDF | Updated 06/03/24
Employee Fact Sheet – Workers’ Compensation
266.14 KB PDF | Updated 06/03/24
Time of Hire Workers’ Compensation Pamphlet
69.07 KB PDF | Updated 06/03/24
Mileage Sheet
55.09 KB PDF | Updated 06/03/24
Reporting Only – Declination of Medical Treatment
158.81 KB PDF | Updated 06/03/24