Forms

Applications & Forms

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