Forms Library
Forms are sorted alphabetically by Category
Benefits
- Anthem Health Enrollment Form
- Delta Dental Enrollment Form
- Flexible Spending Account (FSA) Enrollment Form
- FMLA Eligibility Determination Request
- Hybrid Defined Contribution Plans (for VRS Hybrid Plan members only)
- LTD Buy Up Enrollment
- MetLife Statement of Health
- Naming a Beneficiary
- Qualifying Event Benefits Change Form
- Short-Term Disability Enrollment Form
Employee Relations
- Department Investigation and Recommendation for Discipline (Word)
- Investigation Warning
- Notification of Findings and Discipline (Word)
- Property Receipt
- Request for Grievance Hearing
Employment
- HR Action Form
- HRMS Access
- CDL Clearinghouse Consent
- DMV Authorization (if applicable)
- Personal Information Update
- Position Action
- Secondary Employment Request
- Termination
Learning
Payroll Forms
Retirement / Retiree
- Anthem Direct Draft Authorization
- Delta Dental Direct Draft Authorization
- Dental Enrollment
- Health Enrollment
- Retiree Personal Information Change
- Social Security Administration Online Services
- VRS
Physical Capabilities/Fitness for Duty Forms
- Physical Capabilities Form
- 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
- Physical Capabilities Form
- Workers’ Compensation Temporary Prescription ID Card (English)
