Forms
Medical Leave
- Employees Guide to Federal FMLA (PDF)
- FMLA Leave Request Form
- FMLA Health Care Provider Certification
- FMLA Domestic Partnership Certification
- FMLA In Loco Parentis Certification
- FMLA tracking chart
- Bone Marrow and Organ Donation - Employee Request
- Bone Marrow and Organ Donation - Provider Certification
Other Forms
- 2023 CWA Tax ID and Exempt - AUTHORIZED USE ONLY
- 2022 July to December - Travel-Reimbursement-No-Overnight-Stay
- 2022 July to December -Travel-Reimbursement-With-Overnight-Stay
- 2022 July to December-Auto-Allowance-Mileage-Form
- 2022-Auto-Allowance-Mileage-Form
- 2022-Travel-Reimbursement-No-Overnight-Stay
- 2022-Travel-Reimbursement-With-Overnight-Stay
- 2022 W-4
- Beneficiary Designation Form for Pension-Life Insurance
- Care Plus Change Form (PDF)
- Customer_Due_Diligence_Questionaire-Individual
- Dependent Care FSA Permitted Elections Change Form
- Direct Deposit Enrollment
- Donation of Time Form (PDF)
- EBC Claim Form for Medical and Dependent Care (PDF)
- Educational Achievement Award Application
- EEO-4 Form-Fillable
- Employment in Review Form (PDF)
- ESLB-Transfer Form
- Flexible Work Hours Request Form (PDF)
- FSA Direct Deposit Form
- Funeral-Bereavement Leave Form
- Grievance Form (PDF)
- Harassment, Discrimination, Retailiation Complaint Form (PDF)
- HIPAA Notice of Privacy Practices (PDF)
- HSA Enrollment Form actives
- I-9 Employment Eligibility Verification (PDF)
- ICMA 457 Plan Amount of Deferral Change Form (PDF)
- Life Insurance - Evidence of Insurability Application - et2305
- Life Insurance Application
- Loan Repayment Program Request
- Mail Order Form
- OT Payout
- P Card Cardholder Enrollment Form (Fillable)
- P Card Log Sheet -
- Public Safety Officer Insurance Premium Deduction (PDF)
- Repayment of Hours Advanced Form (PDF)
- Report of Injury to Employer
- Request for Flex Hours Form (PDF)
- Request for Mileage Reimbursement (PDF)
- Request to Fill Position - Current (Fillable Form)
- Tobacco Cessation Counseling and Treatment Reimbursement Form
- Travel Advance Request
- Tri City National Bank HSA Application
- Tuition Reimbursement Request Form
- Wage Advance
- Wash December to May (XLS)
- Wash June to November (XLS)
- WI Deferred Comp. Enrollment Form (PDF)
- Workplace Violence-Bullying Complaint Form
- WRS-Life and Pension Beneficiary Designation Form (PDF)
- WI Deferred Compensation Incoming Transfer-Director Rollover Form (PDF)