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 Human Resources Forms

Listed below are the various forms that Human Resources has made available for download. All forms are in Adobe Acrobat (PDF) format and will require that you print, fill out, and fax/mail back if necessary. Related links can be found at the bottom of this page to external websites.

 
 collapse Category: Appraisal Forms
   Detention Officer Annual Appraisal
   Detention Supervisor Annual Appraisal
   Employee Performance Appraisal.
   Management Performance Appraisal
   Patrol Officer Annual Appraisal
   Patrol Supervisor Annual Appraisal
 
 collapse Category: Benefit and Claim Forms
   AmeriBen Disability Claim Form
   AmeriBen Enrollment and Change Form 2012 Final
   AmeriBen Flex Claim Form
   Ameriben Medical, Dental, and Vision Claim Form
   AmeriBen Vision Claim Form
   Ameritas Dental Claim Form
   Ameritas Provider Nomination Form
   Changes to your Selected Benefits
   Deferred Compensation/Nationwide - Beneficiary Change
   Employee’s Report of a Vehicle/Equipment Accident
   Exposure to Bodily Fluids
   Mutual of Omaha Beneficiary Form
   Mutual of Omaha Evidence Of Insurability Form
   Supervisor’s Investigation Report
   Supervisor's Report of Industrial Injury Form
   Travel Authorization Form
   Walgreens Mail Service Registration Form
   Walgreens Prescription Claim Form
 
 collapse Category: Change of Address Forms
   ASRS Change of Address
   Personnel Status Change Form (Change of Address)
   'PSPRS/CORP/EORP Change of Address Form
 
 collapse Category: Family & Medical Leave Forms
   Ceritification of Health Care Provider form for Employee Medical Leave
   Certification of Health Care Provider form for family member
   Employer Response To Employee Request For FMLA
   FMLA Tracking Form
 
 collapse Category: New Hire Forms
   ASRS Beneficiary Form
   ASRS Enrollment
   Background Screening Form
   Cell Phone Usage Acknowledgment Form
   Compensatory Time Agreement
   Direct Deposit
   Drug Free Workplace Policy Statement
   Hiring Freeze Exemption Form
   I9 Form
   Loyalty Oath
   Nationwide Deferred Comp Enrollment and Change Form
   New Employee Questionnaire
   Notification of Assignment of County Vehicle
   Outside Employment Declaration
   Personnel Policy Receipt Acknowledgment
   Personnel Status Change Form
   Policy Acknowledgement
   Statement of Understanding
   Statement of Use and Confidentiality
   Veteran Preference Form
   Volunteer Service Agreement
   Volunteer Status Checklist
 
 collapse Category: Other Misc. Forms
   Fitness Center Waiver Form
   Grant Funded Employee Payroll Certification
   Incident Report
   Minor Claim
   Pre-Proposal Approval Form
   Trip Exception Form
   Vehicle Emergency Log
   Verified Statement of Commercial Purpose
   Verified Statement of Non-Commercial Purpose
 
 collapse Category: Performance Related Forms
   Drug and Alcohol Consent Forms
   Formal Reprimand
   Management Referral - Employee Assistance Program
   Performance Improvement Recommendation
   Problem Solving
 
 collapse Category: Reclassification Forms
   Essential Functions Questionnaire
   Essential Functions Questionnaire
   Position Description Questionnaire (PDQ)
   Position Description Questionnaire (PDQ)
   Supervisory Position Supplemental Questionnaire
   Supervisory Position Supplemental Questionnaire
 
 collapse Category: Retirement Forms
   ASRS Retiree Return To Work Form
 
 collapse Category: Tax Forms
   2012 A-4
   2012 W-4
   Federal W-5 2007 Taxes
 
 collapse Category: Termination/Resignation Forms
   Authorization for the Release of Information
   Resignation Letter
   Separation Clearance Form
 
 collapse Category: Training Related Forms
   PC-Tuition Service Agreement
   Pinal County Tuition Reimbersement Program Application 2010
   Training Agreement
   Training Service Commitment
 
 collapse Category: Vacation & other Leave Forms
   Leave Donation Form
   Sabbatical-Single Period Leave Form
   Time Off Request
   Vacation Accrual Credit
   Volunteer Quarterly Report
 
 collapse Category: Volunteer Forms
   Volunteer Packet-Complete

 Related Links
Benefit and Claim Forms
Termination/Resignation Forms

Pinal County is an Equal Opportunity Employer M/F/H/V
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