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Forms

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Name of Form
Word
PDF
 
A   
Address & Name Change Form   
ADA Employee Protected Health Information Disclosure
 
 
ADA Employee Request for Accommodations  
ADA Professional Certification  
    
B   
Background Check  PDF 
Benefit Forms   
    
C   
Catastrophic Leave Bank Program - Liability Agreement  PDF 
Catastrophic Leave Application  PDF 
Catastrophic Leave Bank Program - Physicians Certification  PDF 
Comp Time Request  
Concurrent Employment Form  PDF 
Corrective Action
 
 
    
D   
Direct Deposit
 
 
    
E   
Employee Disclosure/Certification & Employment of Family Members  
Employment Memorandum  
    
F   
Fitness Center Waiver  
Flexible Work Arrangement From  PDF 
FMLA - Your Rights (English)
 
 
FMLA - Your Rights (Spanish)  
FMLA Request Form  PDF 
Foundation Giving Payroll Deduction Form
 
 
    
G   
    
H   

Holiday Calendar 2016

   PDF 
Holiday Calendar 2017   PDF 
     
I   
I-9 Acceptable Documentation
 
 
    
J   
Justification to Fill Vacated Position   PDF 
    
K   
    
L   
Leave Request (payroll)
 
 
    
M   
Memorandum of Understanding    PDF 
Mobile Device Log for Non-Exempt Employees   PDF 
    
N   
    
O   
 Outside Self Employed Form   PDF 
    
P   
    
Q   
    
R  
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Retirement-Early Phased Retirement Application  PDF 
Retirement Incentive Application  PDF 
    
S   
Salary Reduction Form (Retirement)  
State Tax Form
 
 
    
T   
Time Sheet/Leave Correction Form  PDF 
Tuition Waiver  
    
U   
    
V   
    
W   
W 4 Federal Form  
Workers Compensation  
Workers Compensation - Clinic Map  
    
X
 
 
 
    
Y   
    
Z  
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