Forms for City Employees

***Please Note***
Downloading documents from this site could take a couple of minutes. For best results save documents when prompted.

  • Address Change Form (PDF)
  • Americans with Disabilities Act (ADA)
    • ADA Physician Certification Form (PDF)
    • ADA Reasonable Accommodation Request Form (PDF)
  • Annual Physical Form (PDF)
  • Catastrophic Leave Bank
    • Catastrophic Leave Bank Program (PDF)
    • Catastrophic Leave Bank Enrollment Form (PDF) 
    • Catastrophic Leave Bank Physician Certification Form (PDF)
    • Catastrophic Leave Bank Request Form (PDF) 
  • Classification
    • Classification Frequently Asked Questions (PDF)
    • Classification Review Request Form-HR2A (PDF)
    • Position Analysis Questionnaire (PDF)
  • Defined Benefit Plan Retirement Estimator  (EXCEL)
  • Direct Deposit Form (PDF)
  • Disciplinary Action Appeal Hearing Request (PDF)
  • Employee Notification System (PDF)
  • Employee Recognition
    • Employee Recognition Program (PDF)
    • Employee of the Year Nomination Form (PDF)
  • Employee Suggestion Form (PDF)
  • Electronic Communication Policy (PDF)
  • Employee Email from Home (PDF)
  • Flexible Spending Account (Consolidated Admin Services)
    • Medical Claim Form (PDF)
    • Dependent Care Claim Form (PDF)
  • Grievance Form (PDF) 
  • Independent Contractor
    • Employee vs. Independent Contractor Procedure Guideline (PDF)
    • Independent Contractor Determination Form (PDF)
  • Jim Dailey Fitness Center Voluntary Deduction Form (PDF)
  • Overtime Pre-Approval Form (PDF) 
  • Performance Feedback Appeal Form (PDF)
  • Religious Reasonable Accommodation Request Form (PDF)
  • Residency Incentive Program Application (PDF)
  • Short-Term Disability Leave Request Form (PDF)
  • Supervisory Equivalent Training (SET) Program Completion List (PDF) (EXCEL) 
  • Termination Guideline (PDF)
    • Resignation Letter (DOC)
    • Non-uniform Defined Benefit Retirement Application (DOC)
    • Continuation of Benefits Coverage Form (DOC)
    • Non-uniform Defined Benefit Distribution Form (DOC)
    • Termination Clearance Form (PDF)
    • Employee Exit Interview Form (DOC)
  • Time Sheet (EXCEL)
  • Tuition Aid Application (PDF)
  • Vendor Request Form (PDF)
  • W-2 Reprint Request (PDF)

Forms for Supervisors

  • Background Questionnaires
    • City Applicant (PDF)
    • City Volunteer (PDF)
    • City Volunteer - Special Events (PDF)
  • Disciplinary Action Forms
    • Pre-Termination Hearing Notice (PDF)
    • Demotion Form (PDF)
    • Oral Reprimand Form (PDF)
    • Suspension Form (PDF)
    • Termination Form (PDF)
    • Written Reprimand Form (PDF)
  • Drug Testing Forms
    • Baptist Health Authorization Form (PDF)
    • Reasonable Suspicion Training List (EXCEL) 
    • Reasonable Suspicion Documentation Form (PDF)
  • Employee Assistance Program Mandated Referral (PDF)
  • Family Medical Leave (Dept of Labor forms)
    • Certification of Qualifying Exigency for Military Family Leave - WH-384 (PDF)
    • Certification for Serious Injury or Illness of Covered Service member - WH-385 (PDF)
    • Designation Notice - WH-382 (PDF)
    • Employee's Serious Health Condition - WH-380-E (PDF)
    • Employee Rights and Responsibilities (PDF)
    • Family Member's Serious Health Condition - WH-380-F (PDF)
    • Notes of Eligibility and Rights and Responsibilities - WH-381 (PDF)
  • FLSA Questionnaire for Non-Exempt Employees (PDF)
  • Merit Pay Information
    • Merit Pay Plan - June 2009 (PDF)
    • Merit Pay Procedure Briefing - October 2009 (PDF)
    • Merit Increase Rating Form (PDF) (DOC)
    • Merit Increase Rating Source Notification (PDF) (DOC)
    • Work Plan Goals and Objectives Planning (PDF) (DOC)
    • Work Plan Goals and Objectives Rating Form (PDF) (DOC)
  • Performance Evaluation Forms
    • Mid Year Review Form (PDF) (DOC)
    • Performance Evaluation Form 2017 (EXCEL)
    • Performance Feedback - Non-Supervisor/Non-Management (PDF)
    • Performance Feedback - Supervisor/Management (PDF)
    • Probationary Performance Evaluation Form (PDF)
  • Status Change/Request for Personnel (PDF)
  • Vehicle Out of Town Request (PDF)
  • Violence in the Workplace (PDF)
  • Workers' Compensation Forms
    • Authorized Medical Facilities for Work Related Injuries (PDF)
    • Form N - Employee's Notice of Injury (please print double sided) (PDF)
    • Modified Duty Form (PDF) 
    • Supervisor's Accident Report (PDF)

 

 

 

Get Adobe Reader

PDF documents require the Adobe Acrobat Reader. Click the icon to download the free program.