Some of these forms are in PDF (portable document file) format and to view them, you must have Adobe Acrobat reader. If you don't have it, you can get it free of charge from the Adobe website. Just click on the logo once you are there. Other forms are in MS Word and can be updated and saved directly to your computer.
Criminal Background Check Instructions - To be provided to the applicant
Criminal Background Check Request Form - For Departmental use only
Dependent Benefit Enrollment
Used to add or drop dependents from insurance coverage due to a qualified family status change outside of the annual enrollment period (July of each year). You may fill out this form online prior to printing.
Used to designate the beneficiary for Basic Life, Optional Life, and Accidental Death & Dismemberment Insurance policies. You may fill out this form online prior to printing.
Benefit Change Form
Used to change health, dental, optional life, dependent life, accidental death & dismemberment, long-term disability, or long-term care coverage in the event of a qualified family status change outside of the annual enrollment period (July of each year). You may fill out this form online prior to printing.
Sick Leave Pool Standard Operating Procedure (For more information regarding Sick Leave Pool eligibility, please contact Tina Pennington in the Human Resources office at 409-740-4534)