Human Resources Forms

A

Acknowledgment of Receipt of Attendance ID# and Responsibilities	AFLAC Wellness Accident Plan
Acknowledgment of Receipt	AFLAC Wellness Cancer Plan
Advance Request	AMS Financial
AFLAC Accidental Insurance Claim	Annual Leave Donation
AFLAC Short-Term Disability: Accidental Injury	Authorization for Release of Information
AFLAC Short-Term Disability: Sickness

B

Benefit Election Change

C

Concentra Authorization	Credit Check Authorization
Contract/Transactional Request Form (County Attorney)

D

DPS Travel/Training Request	Direct Deposit Deduction (for additional Direct Deposit Deductions)
Dental Claim	Documentation Card
Department Operations Feedback	Drug Notification
Direct Deposit Authorization

E

Employee Absence Worksheet

Employee Information Change

F

Firefighter Cancer Continuation Coverage Enrollment	Flex Plan Reimbursement Request - MEDCOM
Fleet Bus Pool Use Request	Flower Fund
Flex Plan Dependent Card Request	Friendship Club Enrollment/Stop
Flexible Benefits Enrollment and Change	Fuel Authorization

G

G-4 State Withholding

H

Hotel/Motel Tax Exemption Request

I

Links with this icon go to an internal Cobb County network site.

I-9 (Employment Eligibility Verification Department of Homeland Security)	(IS) Change/Transfer Employee Access Request
ICMA-RC 457 Deferred Contribution Change	(IS) Contractor/Vendor Access Request
ICMA-RC 457 Traditional Enrollment	(IS) Disable Employee Active Directory Account Request
ICMA-RC Cobb County Investment Options	(IS) Employee Name Change Request
ICMA-RC Hybrid Enrollment 457/401 Plan	(IS) Employee VPN/Email Connectivity Request
ICMA-RC Roth IRA Application	(IS) New Employee Access Request
ICMA-RC Terms and Advisory Agreement	(IS) Request for Quote (Hardware/Software)
ICMA-RC Trustee-to-Trustee Transfer to the ICMA Retirement Corporation Packet	(IS) User Account Request (Contexte)
Intern and Volunteer	(IS) User Account Request (OnBase)
	(IS) Vendor/Contractor VPN Connectivity Request
	(IS) Visitor Log (blank)

K

Key Request	Kronos Schedule Building Instructions
Kronos Clock Instructions	Kronos Teletime Phone Instructions
Kronos PC Instructions	Kronos Time Editor Acknowledgement and Access Authorization

L

Life Insurance Beneficiary Designation

M

Mail Services Guidelines	Medical Questionnaire
Manual Check Request - Accounts Payable	Military Service Credit Request
Manual Check Request - Payroll	Miscellaneous Transaction
Medical Claim (Blue Cross)	Motor Vehicle Record Release
Medical Handicapped/Disabled Member Certification (Blue Cross)

N

New Employee Information Form

New Hire Information Sheet

P

Parental Authorization Emergency Medical Treatment	Post-Payroll Adjustment
Performance Appraisal--Located in Quick Links on iCobb.	Pre-Payroll Adjustment
Performance Appraisal Instructions - Supervisor	Pre-Performance Appraisal Discussion Memo
Petty Cash Fund	Prescription Claim Form
Physical Requirements	Progress Discussion
Police Department Training Request	Progress Discussion Instructions

R

Request to Review Employee File	Retirement - Request for Pension Estimate
Requisition for Interns or Volunteers	Risk Management Request for Motor Vehicle Report
Restoration of Prior Service Request	Routing Cover Sheet

S

Secondary Employment	Sole Source Request
Sedition and Subversive Activities Questionnaire	Suggestion Incentive
Separation from Service	Surplus Property

T

T6 Sales Tax Exemption	Training Evaluation
Teleworker Questionnaire	Travel Documents
Terminal Leave Payroll Request	Tuition Assistance Application
Training Attendance Sheet	Tuition Assistance Course Enrollment
Training Enrollment

U

Unclassified Position - Appointed Official	Unclassified Position - Division Head
Unclassified Position - Command Staff Appointment	Unclassified Position - Elected Official
Unclassified Position - Department Head	Unclassified Position - General

V

Vehicle Inspection

Vendor Application

W

W-2 Reprint Request	Workers' Comp Mileage Request
W-4 Employee's Withholding Allowance Certificate	Workers' Comp Online Claims Submission Instructions
W-9 Request for Taxpayer Identification Number and Certification	Workers' Comp Panel of Physicians
Work Schedule Change Request	Workers' Comp Pharmacy Card
Workers' Comp Acknowledgement	Workers' Comp Statement of Understanding
Workers' Comp Bill of Rights	Workers' Comp Supervisor's Investigation Report
Workers' Comp Employer’s Supplemental Report of Injury	Workers' Comp Treatment Authorization
Workers' Comp Hazardous Duty Injury	Working Test Period Appraisal
Workers' Comp Injury Report