Forms

Human Resources provides a variety of forms and sample letters which are arranged alphabetically by topic below.

Benefits

Use EBS (OPUS) Self Service to enroll in medical coverage, dental coverage, and life insurance; revise a life insurance beneficiary; or update personal information.

• A Friend in Need (AFIN) Leave Donation Form
• A Friend in Need (AFIN) Leave Request Form
• Annual Leave Exchange Deferred Compensation Form
• Deferred Compensation Contribution Change Form
• Domestic Partnership Affidavit Form
• Evidence of Insurability Form (Securian Financial)
• Opt Out Summary and Affidavit Form
• Over-Age Dependent Child Affidavit ^NEW
• Qualifying Event Status Change Form
• Retiree Group Insurance Change Form

Discipline & Counseling

Managers and supervisors under the County Administrator (BCC) should use the automated County Administrator Discipline and Counseling Forms. 

All others (non-BCC) should use the Management Resources Discipline and Counseling Forms (SharePoint site).

Employee – New

Use EBS (OPUS) Self Service for time off requests, time cards, medical plan selection, life insurance beneficiary designation, payroll payment selection, W-4 tax withholding, etc.

• BTS Request a New User Account Form (internal link for employees)

Employee – Exiting

• Acceptance of Resignation Letter (SharePoint link)
• BTS Offboarding Form: (Removal of Network Access and Enterprise Services) (internal link for employees)
• Dismissal Letters:
  • Dismissal Letter – Classified Employee (SharePoint link)
  • Dismissal Letter – Exempt Employee (no template; drafted individually for review by the Appointing Authority and County Attorney)
  • Dismissal Letter – Probationary Employee (SharePoint link)
  • Dismissal Letter – Temporary Employee (SharePoint link)
• Exiting Employee Checklist
• Preserving Institutional Knowledge / Self Assessment Form (SharePoint link)
• Unauthorized Absence / Voluntary Resignation Letter (SharePoint link)

Employment

Log into the Talent Center (Manager View) to enter a requisition for a job vacancy or to view employment registers.

• Application Form
• Driving:
  • General Consent for Limited Queries of the FMCSA Drug and Alcohol Clearinghouse (login to SharePoint required)
  • Release of Information Form: Drug and Alcohol Background Check (login to SharePoint required)
  • Vehicle Driver Qualification Form (login to SharePoint required)
• Hiring Guide & Forms (login to SharePoint required)
• Job Offer Letters (login to SharePoint required)
• Job Openings
• New Hire Notification and Onboarding Form 
• Outside Employment Request Form
• Personnel Requisition Form – Use Talent Center (Manager View)
• Position Change Request Form (login to SharePoint required)
• Position Requests & Hiring Resources (login to SharePoint required)
• Position Requirement Profile Candidate Questionnaire Form (login to SharePoint required)
• Recruitment Request Form 
• Reference Check Form (login to SharePoint required)
• Temporary Labor Request Form
• Veterans’ Preference Compliance Memo Form 
• Veterans’ Preference Eligibility Form

Grievance and Mediation

• Grievance Form
• Layoff Grievance Form
• Mediation Request Form

Illness and Inactive Service

• Extended Illness or Incapacity Analysis Checklist (SharePoint link)
• Inactive Service Transfer / End of Inactive Service Letter (no templates, drafted individually on County letterhead, contact County Attorney and Human Resources for assistance)
• Request for Date of Return to Work Letter (SharePoint link)

Learning & Development

• Tuition Enrollment Form

Performance Review

• Performance Review form: Log into the Talent Center. For tips, visit FACE.
• Learning Roadmap Form

Other Forms

• Badge Request Form (order a replacement ID badge)
• Classified Ad Form (Pen Extra)
• Emergency Exemption Request Form (SharePoint link)
• Employee Spotlight Form
• Pen Newsletter Submission Form
• Suggestion Awards Form

9/15/25