Forms

Personnel

  1. PAF (Personnel Action Form)
  2. Personnel Reclassification Form

Medical Leave

  1. Employees Guide to Federal FMLA (PDF)
  2. FMLA Leave Request Form
  3. FMLA Health Care Provider Certification
  4. FMLA Domestic Partnership Certification
  5. FMLA In Loco Parentis Certification
  6. FMLA tracking chart
  7. Bone Marrow and Organ Donation - Employee Request
  8. Bone Marrow and Organ Donation - Provider Certification

Other Forms

  1. 2023 CWA Tax ID and Exempt - AUTHORIZED USE ONLY
  2. 2022 July to December - Travel-Reimbursement-No-Overnight-Stay
  3. 2022 July to December -Travel-Reimbursement-With-Overnight-Stay
  4. 2022 July to December-Auto-Allowance-Mileage-Form
  5. 2022-Auto-Allowance-Mileage-Form
  6. 2022-Travel-Reimbursement-No-Overnight-Stay
  7. 2022-Travel-Reimbursement-With-Overnight-Stay
  8. 2022 W-4
  9. Beneficiary Designation Form for Pension-Life Insurance
  10. Care Plus Change Form (PDF)
  11. Customer_Due_Diligence_Questionaire-Individual
  12. Dependent Care FSA Permitted Elections Change Form
  13. Direct Deposit Enrollment
  14. Donation of Time Form (PDF)
  15. EBC Claim Form for Medical and Dependent Care (PDF)
  16. Educational Achievement Award Application
  17. EEO-4 Form-Fillable
  18. Employment in Review Form (PDF)
  19. ESLB-Transfer Form
  20. Flexible Work Hours Request Form (PDF)
  21. FSA Direct Deposit Form
  22. Funeral-Bereavement Leave Form
  23. Grievance Form (PDF)
  24. Harassment, Discrimination, Retailiation Complaint Form (PDF)
  25. HIPAA Notice of Privacy Practices (PDF)
  26. HSA Enrollment Form actives
  27. I-9 Employment Eligibility Verification (PDF)
  28. ICMA 457 Plan Amount of Deferral Change Form (PDF)
  29. Life Insurance - Evidence of Insurability Application - et2305
  30. Life Insurance Application
  31. Loan Repayment Program Request
  32. Mail Order Form
  33. OT Payout
  34. P Card Cardholder Enrollment Form (Fillable)
  35. P Card Log Sheet -
  36. Public Safety Officer Insurance Premium Deduction (PDF)
  37. Repayment of Hours Advanced Form (PDF)
  38. Report of Injury to Employer
  39. Request for Flex Hours Form (PDF)
  40. Request for Mileage Reimbursement (PDF)
  41. Request to Fill Position - Current (Fillable Form)
  42. Tobacco Cessation Counseling and Treatment Reimbursement Form
  43. Travel Advance Request
  44. Tri City National Bank HSA Application
  45. Tuition Reimbursement Request Form
  46. Wage Advance
  47. Wash December to May (XLS)
  48. Wash June to November (XLS)
  49. WI Deferred Comp. Enrollment Form (PDF)
  50. Workplace Violence-Bullying Complaint Form
  51. WRS-Life and Pension Beneficiary Designation Form (PDF)
  52. WI Deferred Compensation Incoming Transfer-Director Rollover Form (PDF)