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 COVID-19 Employee Health Screening Form
ConTrans Request (County Attorney's Office) Credit Check Authorization

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

Elections Poll Worker Sign Up  Employee Information Change
Emergency Paid Sick Leave Request  Extended Family Medical Leave (COVID-19)
Employee Absence Worksheet  

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 GAX Payment

H

Hotel/Motel Tax Exemption Request  

I

Links with this icon go to an internal Cobb County network site.
(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
(IS) Employee VPN/Email Connectivity Request
ICMA-RC IRA Authorization
(IS) New Employee Access Request
(IS) Request for Quote (Hardware/Software)
ICMA-RC Terms and Advisory Agreement
(IS) User Account Request (Contexte)
ICMA-RC Trustee-to-Trustee Transfer to the ICMA Retirement Corporation Packet
(IS) User Account Request (OnBase)
Intern and Volunteer
(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

Leave Request 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
Restricted Hiring  

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
Telework Agreement Travel Documents
Terminal Leave Payroll Request Tuition Assistance Application
Training Attendance Sheet Tuition Assistance Course Enrollment
Training Enrollment  

U

Unclassified Position & Command Staff Appointments  

V

Vehicle Inspection Vendor Application

W

W-2 Reprint Request Workers' Comp Mileage Request
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