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 Human Resources Forms

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.

Expand/Collapse Category : Appraisal Forms ‎(6)
DetentionOfficerAnnualAppraisal.pdfDetentionOfficerAnnualAppraisalDetention Officer Annual Appraisal
DetentionSupervisorAnnualAppraisal.pdfDetentionSupervisorAnnualAppraisalDetention Supervisor Annual Appraisal
PCNonSupervisoryPerformanceAppraisal.pdfPCNonSupervisoryPerformanceAppraisalNon Supervisory Performance Appraisal
PatrolOfficerAnnualAppraisal.pdfPatrolOfficerAnnualAppraisalPatrol Officer Annual Appraisal
PatrolSupervisorAnnualAppraisal.PDFPatrolSupervisorAnnualAppraisalPatrol Supervisor Annual Appraisal
PCSupervisoryPerformanceAppraisal.pdfPCSupervisoryPerformanceAppraisalSupervisory Performance Appraisal
Expand/Collapse Category : Benefit and Claim Forms ‎(19)
MutualOfOmahaBeneficiaryForm.pdfMutualOfOmahaBeneficiaryFormBasic and/or Supplemental Life Beneficiary Change
Nationwide-DeferredCompBeneficiaryChange.pdfNationwide-DeferredCompBeneficiaryChangeDeferred Compensation/Nationwide - Beneficiary Change
EmployeesReportofVehicleAccident.pdfEmployeesReportofVehicleAccidentEmployee’s Report of a Vehicle/Equipment Accident
ExposuretoBodilyFluids.pdfExposuretoBodilyFluidsExposure to Bodily Fluids
MSAS-ChangeForm.pdfMSAS-ChangeFormMSAS - Benefits Change Request
MSAS-CHANGESTOYOURSELECTEDBENEFITS.pdfMSAS-CHANGESTOYOURSELECTEDBENEFITSMSAS - Changes to your Selected Benefits
MSAS-FSAEligibleExpenses.pdfMSAS-FSAEligibleExpensesMSAS - Flexible Spending Eligible Expenses
MSAS-FSAParticipantGuide-short-Pinal.pdfMSAS-FSAParticipantGuide-short-PinalMSAS - Flexible Spending Participation Guide
MSAS-FlexClaimForm-Pinal County - NEW.pdfMSAS-FlexClaimForm-Pinal County - NEWMSAS - Flexible Spending/Health Care Reimbursement / Child Care Reimbursement
MSAS-FSAQandA.pdfMSAS-FSAQandAMSAS - FSA Commonly Asked Questions
MSAS-SelfFundingBrochure.pdfMSAS-SelfFundingBrochureMSAS - Self Funding Brochure
MSAS-DisabilityClaimForm.pdfMSAS-DisabilityClaimFormMSAS - Short Term Disability
MSAS-PINALCOUNTYVISIONCLAIMFORM.pdfMSAS-PINALCOUNTYVISIONCLAIMFORMMSAS - Vision Claim Form
MSAS-Enrollmentform-PinalCounty.pdfMSAS-Enrollmentform-PinalCountyMSAS 2008 Enrollment Form
SupervisorsInvestigationReport.pdfSupervisorsInvestigationReportSupervisor’s Investigation Report
SupervisorReportInjury.pdfSupervisorReportInjurySupervisor's Report of Industrial Injury Form
TravelAuthorization.pdfTravelAuthorizationTravel Authorization Form
WalgreensMailServiceRegistrationForm.pdfWalgreensMailServiceRegistrationFormWalgreens Mail Service Registration Form
WalgreensPrescriptionClaimForm.pdfWalgreensPrescriptionClaimFormWalgreens Prescription Claim Form
Expand/Collapse Category : Change of Address Forms ‎(4)
ASRSChangeofAddress.pdfASRSChangeofAddressASRS Change of Address
ChangeForm.pdfChangeFormMSAS-ChangeForm
PinalCountyChangeofAddress.pdfPinalCountyChangeofAddressPersonnel Status Change Form (Change of Address)
PSPRS Address change Form.pdfPSPRS Address change Form'PSPRS/CORP/EORP Change of Address Form
Expand/Collapse Category : Family & Medical Leave Forms ‎(4)
WH-381.pdfWH-381Employer Response To Employee Request For FMLA
EssentialFunctionsChecklist.PDFEssentialFunctionsChecklistEssential Functions Checklist
CHCProvider.pdfCHCProviderFMLA - Certification of Health Care Provider
FMLATrackingForm.PDFFMLATrackingFormFMLA Tracking Form
Expand/Collapse Category : New Hire Forms ‎(19)
ASRSBeneficiaryForm.pdfASRSBeneficiaryFormASRS Beneficiary Form
ASRSEnrollment.pdfASRSEnrollmentASRS Enrollment
Cell Phone Usage Acknowledgment Form.pdfCell Phone Usage Acknowledgment FormCell Phone Usage Acknowledgment Form
CompensatoryTimeAgreement.PDFCompensatoryTimeAgreementCompensatory Time Agreement
DirectDeposit.pdfDirectDepositDirect Deposit
DrugFreeWorkplacePolicyStatement.pdfDrugFreeWorkplacePolicyStatementDrug Free Workplace Policy Statement
HiringDelayExemptionRequest.PDFHiringDelayExemptionRequestHiring Delay Exemption Request
i9form.pdfi9formI9 Form
LoyaltyOath.PDFLoyaltyOathLoyalty Oath
NewEmployeeQuestionnaire.PDFNewEmployeeQuestionnaireNew Employee Questionnaire
Notification of Assignment of County Vehicle.pdfNotification of Assignment of County VehicleNotification of Assignment of County Vehicle
OutsideEmploymentDeclaration.pdfOutsideEmploymentDeclarationOutside Employment Declaration
PersonnelPolicyReceiptAcknowledgment.PDFPersonnelPolicyReceiptAcknowledgmentPersonnel Policy Receipt Acknowledgment
PersonnelStatusChangeForm.PDFPersonnelStatusChangeFormPersonnel Status Change Form
InternetAccessAcknowledgment.PDFInternetAccessAcknowledgmentPolicy Acknowledgement
UseAndConfidentiality.pdfUseAndConfidentialityStatement of Use and Confidentiality
VeteranPreferenceForm.PDFVeteranPreferenceFormVeteran Preference Form
VolunteerServiceAgreement.pdfVolunteerServiceAgreementVolunteer Service Agreement
VolunteerStatusChecklist.pdfVolunteerStatusChecklistVolunteer Status Checklist
Expand/Collapse Category : Other Misc. Forms ‎(5)
FCRelease.pdfFCReleaseFitness Center Waiver Form
Grant Funded Employee Payroll Certification.pdfGrant Funded Employee Payroll CertificationGrant Funded Employee Payroll Certification
Vehicle Emergency Log.pdfVehicle Emergency LogVehicle Emergency Log
VerStatCommercialPurpose.pdfVerStatCommercialPurposeVerified Statement of Commercial Purpose
VerStatNon-CommercialPurpose.pdfVerStatNon-CommercialPurposeVerified Statement of Non-Commercial Purpose
Expand/Collapse Category : Performance Related Forms ‎(10)
Achieving Program Results and Work Behavior Expectations.pdfAchieving Program Results and Work Behavior ExpectationsNewAchieving Program Results and Work Behavior Expectations
additional_expectations_for_supervisors V1.pdfadditional_expectations_for_supervisors V1NewAdditional Expectations for Supervisors
Analyzing Coaching for Results Guide DWM.pdfAnalyzing Coaching for Results Guide DWMNewAnalyzing & Coaching for Results – Discussion/Feedback Guide
DrugandAlcoholConsentFORMS.PDFDrugandAlcoholConsentFORMSDrug and Alcohol Consent Forms
FormalReprimand.PDFFormalReprimandFormal Reprimand
ManagementReferral.pdfManagementReferralManagement Referral - Employee Assistance Program
Performance Evaluation Form VI.pdfPerformance Evaluation Form VINewPerformance Evaluation Form
PerformanceImprovementRecommendation.PDFPerformanceImprovementRecommendationPerformance Improvement Recommendation
Planning for Results -- Performance Mgt Plan DWMss.pdfPlanning for Results -- Performance Mgt Plan DWMssNewPlanning for Results – Performance Management Plan
ProblemSolving.PDFProblemSolvingProblem Solving
Expand/Collapse Category : Reclassification Forms ‎(1)
PositionDescriptionQuestionnaire.PDFPositionDescriptionQuestionnairePosition Description Questionnaire
Expand/Collapse Category : Retirement Forms ‎(1)
ASRSRetireeReturnToWorkForm.pdfASRSRetireeReturnToWorkFormASRS Retiree Return To Work Form
Expand/Collapse Category : Tax Forms ‎(3)
2009W-4.pdf2009W-42009W-4 Tax Form
2005A-4.pdf2005A-4Arizona State Taxes A-4 2009
2007W-5.pdf2007W-5Federal W-5 2007 Taxes
Expand/Collapse Category : Termination/Resignation Forms ‎(3)
AuthorizationfortheReleaseofInformation.PDFAuthorizationfortheReleaseofInformationAuthorization for the Release of Information
Resignationletter.PDFResignationletterResignation Letter
SeparationClearanceForm.PDFSeparationClearanceFormSeparation Clearance Form
Expand/Collapse Category : Training Related Forms ‎(3)
TrainingAgreement.PDFTrainingAgreementTraining Agreement
TrainingServiceCommitment.PDFTrainingServiceCommitmentTraining Service Commitment
TuitionReimbursementApplication.PDFTuitionReimbursementApplicationTuition Reimbursement Application
Expand/Collapse Category : Vacation & other Leave Forms ‎(5)
LDForm.PDFLDFormLeave Donation Form
SinglePeriodLeaveApplication.PDFSinglePeriodLeaveApplicationSingle Period Leave Application
TimeOffRequest.pdfTimeOffRequestTime Off Request
VacationAccrualCredit.pdfVacationAccrualCreditVacation Accrual Credit
VolunteerQRep.PDFVolunteerQRepVolunteer Quarterly Report
Expand/Collapse Category : Volunteer Forms ‎(1)
VolunteerPacket-Complete.pdfVolunteerPacket-CompleteVolunteer Packet - Complete

 Related Links
Benefit and Claim Forms
Termination/Resignation Forms

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