Forms Library
Forms are sorted alphabetically by Category
Benefits
FMLA Eligibility Determination Request
Hybrid Defined Contribution Plans (for VRS Hybrid Plan members only)
Employee Relations
Department Investigation and Recommendation for Discipline (Word)
Notification of Findings and Discipline (Word)
Employment
DMV Authorization (if applicable)
Learning
ELCP Application (Word)
Tuition Reimbursement / Education Leave Application
Payroll Forms
Retirement / Retiree
Anthem Direct Draft Authorization
Delta Dental Direct Draft Authorization
Personal Change Information (Online)
Social Security Administration Online Services
Physical Capabilities/Fitness for Duty Forms
Fire MTT (Medical Transport Tech) Physical Capabilities
Police Fitness for Duty Verification
Sheriff Office Return to Light/Full Duty Form
Safety
Aerial Life Pre-Use Inspection Checklist
Authorization to Obtain DMV Driving Record
Emergency Action Plan Template (Word)
Hazard Communication Program (Word)
Lock Out Tag Out Program (Word)
Respiratory Protection Program (Word)
Workers’ Compensation Forms
Workers’ Compensation Reporting Flowchart
Panel of Physicians for Workers’ Compensation
Employee’s Report of Injury for Worker’s Compensation
Supervisor’s Investigation Report for Workers’ Compensation
Workers’ Compensation Temporary Prescription ID Card (English)
Workers’ Compensation Temporary Prescription ID Card (Spanish)
Incident and Vehicle Accident Forms
Incident and Vehicle Accident Reporting Flowchart
Incident & Vehicle Accident Report
Incident & Vehicle Accident Report Supplemental Form to Add Additional Equipment/Property
Incident and Vehicle Accident Report Supplement Form to Add Additional Vehicles