Forms for City Employees
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- Address Change Form (PDF)
- Annual Preventive Care Exam Form (PDF)
- Catastrophic Leave Bank
- Catastrophic Leave Bank Program (PDF)
- Catastrophic Leave Bank Enrollment Form (PDF)
- Classification
- Classification Review Request (PDF)
- Frequently Asked Questions (PDF)
- Position Analysis Questionnaire - New Positions (PDF)
- Direct Deposit Form (PDF)
- Disciplinary Action Appeal Hearing Process
- Employee Notification System (PDF)
- Employee Recognition
- Employee Recognition Program (PDF)
- Employee of the Year Nomination Form (WORD)
- Employee Suggestion Form (PDF)
- Electronic Communication Policy (PDF)
- Grievance Form (PDF)
- Independent Contractor
- Employee vs. Independent Contractor Procedure Guideline (PDF)
- Independent Contractor Determination Form (WORD)
- Jim Dailey Fitness Center Voluntary Deduction Form (PDF)
- Leave Request Forms
- Paid Time Off (PTO) Leave Request Form (PDF)
- Short-Term Disability (STD) Leave Request Form (PDF)
- Overtime Pre-Approval Form (PDF)
- Performance Feedback Appeal Form (PDF)
- Religious Reasonable Accommodation Request Form (PDF)
- Residency Incentive Program Application (PDF)
- Supervisory Equivalent Training (SET) Program Completion List (PDF) (EXCEL)
- Termination Guidelines (PDF)
- Non-uniform Defined Benefit Retirement Application (DOC)
- Continuation of Benefits Coverage Form (DOC)
- Non-uniform Defined Benefit Distribution Form (DOC)
- Time Sheet (EXCEL)
- Tuition Aid Application (PDF)
- Vendor Request Form (ONLINE)
- W-2 Reprint Request (PDF)
- City of Little Rock Web-Mail (PDF)
Forms for Supervisors
- Disciplinary Action Forms
- Demotion Form (PDF)
- Oral Reprimand Form (PDF)
- Pre-Termination Hearing Notice (PDF)
- Suspension Form (PDF)
- Termination Form (PDF)
- Written Reprimand Form (PDF)
- Drug Testing Forms
- Baptist Health Authorization Form (PDF)
- Information and Consent Form (PDF)
- Reasonable Suspicion Documentation Form (PDF)
- Reasonable Suspicion Training List (EXCEL)
- Employee Assistance Program (EAP) Mandated Referral Form (PDF)
- FLSA Questionnaire for Non-Exempt Employees (PDF)
- Merit Pay Information
- Merit Increase Rating Form (PDF) (DOC)
- Merit Increase Rating Source Notification (PDF) (DOC)
- Merit Pay Plan - June 2009 (PDF)
- Merit Pay Procedure Briefing - October 2009 (PDF)
- Work Plan Goals and Objectives Planning (PDF) (DOC)
- Work Plan Goals and Objectives Rating Form (PDF) (DOC)
- Performance Evaluation Forms
- Probationary Employee (PDF)
- Employee Series (PDF)
- Employee Series + Planning and Organizing (PDF)
- Leader Series (PDF)
- Supervisor Series (PDF)
- Manager Series (PDF)
- Evaluation Appeal Form (PDF)
- Status Change/Request Form (PDF)
- Termination Guidelines for Supervisors (PDF)
- Resignation Letter (PDF)
- Termination Clearance Form (PDF)
- Unemployment Benefit Notice (PDF)
- Vehicle Out of Town Request (PDF)
- Violence in the Workplace Incident Form (PDF)
- Workers' Compensation Forms
- Authorized Medical Facilities for Work Related Injuries (PDF)
- Form AR-N - Employee's Notice of Injury (please print double sided) (PDF)
- Modified Duty Form (PDF)
- Supervisor's Accident Report (PDF)
