EMPLOYEE FORMS

Benefits

Medical, Dental, and Vision Enrollment/Cancellation Form

Physical Preventative Services Form

Dental Preventative Services Form

FMLA

FMLA Application and Calendar (IMPORTANT: If you would like to email the form, you will need to save a copy of the form BEFORE completing it)

FMLA Certification Paperwork

FMLA Return to Work

Payroll

Federal W4

WI Tax Withholding Form

Direct Deposit Form - Regular Employees (Please return amended direct deposit forms to the Payroll Department.)

Direct Deposit Form - Seasonal/Temporary Employees (Please return amended direct deposit forms to the Payroll Department.)

2023 Payroll Dates

2023 Holiday Schedule

FICA Alternative Information Sheet

Wellness

Wellness Activity-Screening Completion Form

2023 Monthly Challenge Log Calendar

Workers' Compensation

The fillable form functionality for the Employee Injury, Exposure, Illness Packet and Supervisor form and instructions requires the use of Adobe Reader or similar dedicated PDF viewer/editor. If your work PC does not have Adobe Reader please contact IT. For your personal computer the free Adobe Reader download is available at https://get.adobe.com/reader/.

IMPORTANT: You will need to save the form prior to completing it. Please read instructions on how to save and email the forms. Fillable PDF Instructions

Employee Injury, Exposure, Illness Packet

Supervisor Injury, Exposure, Illness Investigation Form and Instructions 

Workers’ Compensation Return to Work/Restrictions Form

Policy Manual Acknowledgment

Your position with the City will determine which Employee Acknowledgment of Policy Manual form you will need to complete.  Please contact your supervisor if you are unsure which form you need to complete. 

Employee Acknowledgment of Policy Manual - Regular Employees excluding City Officers, Non-Union Sworn Officers, and Unionized Public Safety Employees

Employee Acknowledgment of Policy Manual - Unionized Public Safety Employees

Employee Acknowledgment of Policy Manual - City Officers & Non-Union Sworn Officers

Employee Acknowledgment of Policy Manual - Non-benefit Eligible Employees

Employee Acknowledgment of Policy Manual - Crossing Guards

Miscellaneous

Alternative Work Arrangement Form

Request To Carry-Over Earned Vacation

Voluntary Unpaid Time Off Request Form

Outside Employment Waiver Form

Employee Grievance Form

Employee Data Sheet

Bone Marrow and Organ Donation Leave Request Form

Bone Marrow and Organ Donation Leave Certification Form

Handy information for employees making status changes (i.e. moving, getting married, having a baby, etc.)

Vacation Donation – request for consideration

Vacation Donation – request to donate

Release of Information/Records Request Form

Reasonable Suspicion Observation Form

Employee Referral Bonus Form