City of Clarksville, TN : Forms

Benefits

Dental Change Form

Dental Enrollment Form

FSA Enrollment Form

Health Waiver Form

Met Life Supplemental Enrollment Form

Met Life Beneficiary Form

Tennessee Consolidated Retirement System (TCRS) Change of Beneficiary Form

Tennessee Consolidated Retirement System (TCRS) Application For Additional Retirement Credit Form

Discipline/Grievance

Due Process Notification Form

EEOC Complaint Form

Employee Corrective Action Form

Employee Grievance Form

Harassment Mediation Resolution Form

Intake Interview Form (Workplace Harassment)

Employment and Selection

City of Clarksville Employment Application

Consolidated Interview Score sheet

Employee Orientation Checklist

Essential Function and Job Analysis Form

Exit Questionnaire Form

Interview Documentation Form

Interview Evaluation Form

Job Description and Evaluation Request

Job Description Worksheet

Notice of Secondary Employment

Reference Check Form

Request for Job Change (“Blue Form”)

Family Medical Leave Act (FMLA)

Family and Medical Leave Notification

Family and Medical Leave Return to Work Medical Certification Form

FMLA Employee Leave Request

FMLA Employer Designation Letter

FMLA Physician Certification of Health Care Provider for Employee

FMLA Physician Certification of Health Care Provider for Family Member

FMLA Return to Work Certification Form

Request for Family and Medical Leave

Leave

Expiration of Leave Without Pay Notification

Leave of Absence Request Form

Sick Leave Transfer Authorization

Sick Leave Transfer Request

Other

Address Change Form

Application for On-Duty Handgun/Fire Helmet

Change of Status Form

Compensatory Time in Lieu of Overtime Request Form

Confined Space Checklist

Daily Excavation Checklist

Departmental Policy Statement for Overtime Occurring on a Regular Basis

Ethics Policy Acknowledgement

Hold Harmless Agreement (Handgun/Fire Helmet)

Identification Card Agreement

Overtime Approval Form

Performance Evaluation

Position Justification Form

Reasonable Accommodation Process Checklist

Workplace Violence Risk Assessment Checklist

Payroll

Authorization to Make Deductions from Wages

Direct Deposit Form (change)

Direct Deposit Form (start)

Direct Deposit Form (stop)

Generic – Add/Delete Form

Pay Table - Fire

Pay Table - General

Pay Table - Police

W-4 (2012)

Risk Management

General Liability Claim Form

Motor Vehicle Accident Report Form

On-the-Job Injury (OJ) Form

The City of Clarksville is an Equal Opportunity Employer

Last updated: 2/13/2015 9:47:00 AM

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