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
• Deferred Compensation Contribution Change Form
• Domestic Partnership Affidavit Form
• Opt Out Summary and Affidavit Form
• Qualifying Event Status Change Form

Discipline & Counseling

These forms are provided in Microsoft Word format to be fully editable. All discipline forms and letters are available at Manager Forms and Letters (SharePoint site). Forms are listed in order of progression.

• Counseling Form (SharePoint link)
• Level 1 Warning Form, previously Verbal Warning (SharePoint link)
• Level 2 Warning Form, previously Written Warning (SharePoint link)
• Pre-Disciplinary Hearing Form (SharePoint link)
• Level 3 Demotion Form (SharePoint link)
• Level 3 Final Written Warning Form (SharePoint link) NEW
• Level 3 Pay Reduction Form (SharePoint link)
• Level 3 Suspension (SharePoint link)
• Level 4 Dismissal Letter (SharePoint link)
• Suspension Pending Judicial Review Hearing Notice (SharePoint link)
• Extension of Active Disciplinary Action

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 Requests & Hiring Resources (login to SharePoint required)
• Position Requirement Profile Candidate Questionnaire Form (login to SharePoint required)
• Recruitment Request Form 
• 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

These letter templates are provided in Microsoft Word format to be fully editable. Use the links below or see Manager Forms and Letters (SharePoint site).

• Extended Illness or Incapacity Analysis Checklist
• 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 Request Form (The Pen newsletter)
• Emergency Exemption Request Form (SharePoint link)
• Suggestion Awards Form

10/24/24