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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.

Appraisal Forms 
SMART Goal Sheet
Evaluation Form
Benefit and Claim Forms 
Employee’s Report of a Vehicle/Equipment Accident
Supervisor’s Investigation Report
Travel Authorization Form
Supervisor's Report of Industrial Injury Form
Exposure to Bodily Fluids
Nationwide Deferred Comp Enrollment and Change Form
WellDyneRx Prescription Mail Service Order Form
Nationwide Beneficiary Change Form
ASRS Long Term Disability Application
AmeriBen Flex Claim Form
Nationwide Retirement Options Booklet
The Standard Beneficiary Form
Delta Dental (if necessary)
Short-Term Disability Benefit Summary
AzMT EPO Plan
AzMT EPO SBC
AzMT HDHP Plan
AzMT HDHP SBC
AzMT PPO Buy-Up Plan
AzMT PPO Buy-Up SBC
Short-Term Disability Claim Form
First Fill Cypress Care Information
Supervisors Report of Industrial Injury Instructions and Form
Benefits Change Form 2018 - 2019
Change of Address Forms 
PSPRS - Address and Name Change Form
Pinal County Change of Address-Name
Family & Medical Leave Forms 
FMLA Tracking Form
Certification of Health Care Provider for Employee Medical Leave
Certification of Health Care Provider for Family Medical Leave
Certification of Qualifying Exigency For Military Family Leave
Certification for Serious Injury Illness of a Current Servicemember--For Military Family Leave
Certification of Serious Injury Illness of a Veteran--For Military Caregiver Leave
New Hire Forms 
Compensatory Time Agreement
Policy Acknowledgement
Loyalty Oath
New Employee Questionnaire
Personnel Policy Receipt Acknowledgment
Statement of Use and Confidentiality
Cell Phone Usage Acknowledgment Form
County Wireless Devices Policy
I-9 Form
Direct Deposit Form
Personnel Status Change Form
Outside Employment Declaration
A-4 Form
W-4 Form
Drug Free Workplace Policy Statement
Pinal County Exemption Request Form
Other Misc. Forms 
Verified Statement of Commercial Purpose
Verified Statement of Non-Commercial Purpose
Grant Funded Employee Payroll Certification
Notification of Assignment of County Vehicle
Vehicle Emergency Log
Incident Report
Trip Exception Form
Fitness Center Waiver Form
Notice of Claim Against Pinal County
Pre-Proposal Form
Vehicle Use Log
9 -80 Flexible Schedule Agreement
Telework Policy Agreement
Performance Related Forms 
Formal Reprimand
Performance Improvement Recommendation
Management Referral - Employee Assistance Program
Problem Solving
Drug and Alcohol Consent Forms
Reclassification Forms 
Essential Functions Questionnaire
Supervisory Position Supplemental Questionnaire
Essential Functions Questionnaire
Supervisory Position Supplemental Questionnaire
Position Description Questionnaire (PDQ)
Position Description Questionnaire (PDQ)
Retirement Forms 
ASRS Return to Work Form
2017 NRS Health Care Fact Finder
AZ Direct_rollover
NACo Participation Agreement
NW Name Address Beneficiary Change Form
NW Payroll Authorization Change Form
Termination/Resignation Forms 
Authorization for the Release of Information
Resignation Letter
Separation Clearance Form
Training Related Forms 
Training Agreement
Pinal County Tuition Reimbersement Program Application 2010
Training Service Commitment
Tuition Service Agreement
Vacation & other Leave Forms 
Time Off Request
Sabbatical-Single Period Leave Form
Vacation Accrual Credit
Volunteer Forms 
Volunteer Service Agreement
Volunteer Status Checklist
Volunteer Packet-Complete
Volunteer Quarterly Report