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Sarpy County Nebraska

FORMS

If your position is covered by a Union, please review your Collective Bargaining Agreement for specifics.

EMPLOYMENT FORMS
   Appeal Form - Classified Employee
   Background Check Release Form
   Compensatory Time Off Tracking Form
   Employee Action Form (for Employment Information, Change of Personal Information, Budget, etc.)
   Exit Interview Questionnaire
   Grievance Form - Classified Employee
   Letter of Resignation Form
   Notice of Retirement Form
   Secondary Employment Request Form - Classified Employee
   Separation of Service Packet (Effective 01/01/2016)
 
 
   Department Head Forms
   New Job Creation Request Form
   Personnel Requistion Form - Classified Position (Revised September 2016)
   Personnel Requisition Form - Unclassified Position
   Performance Evaluation Form - Introductory/Probationary
   Performance Evaluation Form - Annual
   Discipline - Classified Employee
   Discipline - Unclassified Employee
 
 
INSURANCE AND SAFETY FORMS
   Employee Insurance: Change Request Form
   C.D.L. Notification of Traffic Violation   
   Workers' Compensation: First Report of Alleged Occupational Injury/Illness Report
        (Contact Human Resources for filing instructions and Provider Forms)
   Supervisor's Report
   Liability Form: contact your department for specifics
  
LEAVE FORMS
   Absence from Office Request Form -- updated (Revised December 2016)
   Bereavement Leave Form - Classified Employees
   HIPAA Release Form
   Illness Donation Request Form
   Military Leave Request Form
 
MISCELLANEOUS FORMS
   Educational Reimbursement Application Form - Classified Employee
   Educational Reimbursement Application Form - Unclassified Employee
   General Complaint Form
   Key Card Request Form -- contact HR
   Whistleblower Form -- contact HR