Human Resources Forms

A	B	C	D
AMS	Benefit Election Change	Concentra Authorization	DPS Travel/Training Request
Acknowledge of Receipt of Attendance ID Number and Responsibilities		ConTrans(County Attorney)	Dental Claim - United Concordia
Acknowledgment of Receipt of Handbook		County Connectivity Request (VPN/Email for Employees)	Department Operations Feedback
Advance Request		Credit Check Authorization	Direct Deposit Deduction (for additional Direct Deposit Deductions)
AFLAC Short-Term Disability: Accidental Injury AFLAC Accidental Insurance Claim		County Connectivity Request (VPN for Vendor/Contractor)	Direct Deposit Authorization
AFLAC Short-Term Disability: Sickness			Documentation Card
AFLAC Wellness Accident Plan			Drug Notification
AFLAC Wellness Cancer Plan
Annual Leave Donation
Authorization for Release of Information

E	F	G	H
Employee Absence Worksheet	Firefighter Cancer Continuation Coverage Enrollment	G-4 State Withholding	Hiring Freeze Exception
Employee Access Form (New)	Fleet Bus Pool Use Request	GAX Payment	Hotel/Motel Tax Exemption Request
Employee Access Form (Change/Transfers)	Flex Plan Dependent Card Request
Employee Access Form (Contractor/Vendor)	Flex Plan Reimbursement Request - MEDCOM
Employee Access Form (Disable)
Employee Development Plan	Flexible Benefits Enrollment and Change
Employee Information Change	Flower Fund
	Friendship Club Enrollment/Stop
	Fuel Authorization

I	K	L	M
ICMA-RC Contribution Change	Key Request	Leave Request	Mail Services Guidelines
ICMA-RC Cobb County Investment Options	Kronos Clock Instructions	Life Insurance Beneficiary Designation	Manual Check Request - Accounts Payable
ICMA-RC Hybrid Enrollment	Kronos PC Instructions		Manual Check Request - Payroll
ICMA Roth IRA Application	Kronos Schedule Building Instructions		Medical Claim - BlueCross
ICMA-RC Roth IRA Payroll Deduction	Kronos Teletime Phone Instructions		Medical Handicapped/Disabled Member Certification (Blue Cross)
ICMA-RC Terms and Advisory Agreement	Kronos Time Editor Acknowledgement and Access Authorization		Medical Questionnaire
ICMA-RC 457 Traditional Enrollment			Military Service Credit Request
ICMA-RC Trustee-to-Trustee Transfer to the ICMA Retirement Corporation Packet			Miscellaneous Transaction
I-9 (Employment Eligibility Verification Department of Homeland Security)			Motor Vehicle Record Release
Intern and Volunteer Packet

N	P	R	S
New Hire Information Sheet	Parental Authorization Emergency Medical Treatment	Reference Check Request for Quote - Hardware or Software	Safety Handbook Acknowledgement
New Employee Information Form	Performance Appraisal	Request to Review Employee File	Secondary Employment
	Performance Appraisal Instructions - Supervisor	Requisition for Interns or Volunteers	Sedition and Subversive Activities Questionnaire
	Petty Cash Fund	Restricted Hiring (Hiring Freeze Form)	Separation From Service
	Physical Requirements	Restoration of Prior Service Request	Sole Source Request
	Police Department Training Request	Risk Management Request for Motor Vehicle Report	Suggestion Incentive
	Post-Payroll Adjustment	Retirement - Request for Pension Estimate	Surplus Property
	Pre-Payroll Adjustment	Routing Cover Sheet
	Pre-Performance Appraisal Discussion Memo
	Prescription Drug Claim
	Prescription Drug Home Delivery
	Progress Discussion
	Progress Discussion Instructions

T	U	V	W	Z
T6 Tax_Ex	Unclassified Position - Appointed Official	Vehicle Inspection	Teleworker Questionnaire	Zero Tolerance Acknowledgement
Teleworker Questionnaire	Unclassified Position - Command Staff Appointment	Vendor Application	W-2 Reprint Request
Terminal Leave Payroll Request	Unclassified Position - Division Head		W-4 Employee's Withholding Allowance Certificate
Training Attendance Sheet	Unclassified Position - Department Head		Work Schedule Change Request
Training Enrollment	Unclassified Position - Elected Official		W-9 Request for Taxpayer Identification Number and Certification
Training Evaluation	Unclassified Position - General		Workers' Comp Acknowledgement
Travel Documents	User Account Request - Contexte		Workers' Comp Employer’s Supplemental Report of Injury
Tuition Assistance Application	User Account Request - OnBase		Workers' Comp Hazardous Duty Injury
Tuition Assistance Course Enrollment			Workers' Comp Bill of Rights
			Workers' Comp Injury Report
			Workers' Comp Mileage Request
			Workers' Comp Online Claims Submission Instructions
			Workers' Comp Panel of Physicians
			Workers' Comp Pharmacy Card
			Workers' Comp Statement of Understanding
			Workers' Comp Supervisor's Investigation Report
			Workers' Comp Treatment Authorization
			Working Test Period Appraisal