Human Resources Forms & Documents

Personnel Policy Manual Forms

FORM #	DESCRIPTION	UPDATED
1	Employer Acknowledgment of Adoption of Manual	Original
2	Employee Acknowledgment	Original
3	Application for Employment	Original
4	SEE HR	Original
5	SEE HR	Original
6	Performance Improvement Plan	Original
7	Request for Leave	Original
8	Request for Leave of Absence Without Pay	Original
9	SEE FMLA TAB	Original
10	Complaint Form	Original
11	EEO Anti-Discrimination Complaint Form	Original
12	Notice of Pre-Disciplinary Conference	Original
13	Counseling Session Form	Original
14	Record of Discipline	Original
15	Order of Removal, Reduction, Suspension, Fine, Involuntary Disability Suspension	Original
16	Exit Interview Form	Original
17	SEE FMLA TAB	Original
18	Mileage / Parking Expense Report	Original
19	Payroll Change Notice Form	Original
20	Personnel File Release	Original
21	Notification of Intent to Convert Sick Leave Upon Retirement	Original
22	Authorization to Work Non-Scheduled Hours	Original
23	Cell Phone Access and Usage - Departmental Authorization for Commissioners-Owned Cell Phone	Original
24	Cell Phone Access and Usage - Inventory Receipt	Original
25	Observed Behavior - Reasonable Cause Record	Original
26	Occupational Illness or Injury Report Form	Original
27	SEE ACCOUNTING	Original
28	Travel Expense Report	Original
29	Secondary Employment	Original
30	NonCriminal Justice Applicant Privacy Rights	Original

	UPDATED
Employee Information Change Form	Original
Employee Requisition Form	05/19/2022

	UPDATED
Certification of Employee's Serious Health Condition	Original
Certification of Family Member's Serious Health Condition	Original
Certification of Qualifying Exigency for Military Family Leave	Original
Certification for Serious Injury or Illness of a Current Servicemember	Original
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave	Original
General Medical Release	Original
Request for Leave for a Covid-Related Illness	Original

	UPDATED
First Report of Injury	Original
Employee Incident Report	Original
Consent to Release Medical Information	Original
Miami County Workers Compensation Process Document	Original