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)
- Inactivation of Discipline (This form is being phased out since disciplines are now automatically inactivated unless the extension form is completed.)
- 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 (internal link for employees)
- Release of Information Form: Drug and Alcohol Background Check (internal link for employees)
- Vehicle Driver Qualification Form (internal link for employees)
- Hiring Guide & Forms
- Job Offer Letter (SharePoint link)
- Job Openings
- New Hire Notification and Onboarding Form
- Outside Employment Request Form
- Personnel Requisition Form – Use Talent Center (Manager View)
- Position & Staffing Requests (SharePoint link)
- Position Requirement Profile Candidate Questionnaire Form
- Recruitment Request Form
- Temporary Labor Request Form
- Veterans’ Preference Compliance Memo Form
- Veterans’ Preference Eligibility Form
Grievance and Mediation
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
Learning & Development
Use EBS (OPUS) Self Service to register for classes. For step-by-step instructions, see How to Request a Course in EBS (OPUS).
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)
- Request for Disaster Assignment Exemption (internal link for employees)
- Suggestion Awards Form
3/15/24