Forms

• Procedures to fill Vacancy
• Exemption to the Hiring Freeze (Word)
• Routing Slip - Needed for Transfer, New Hire, Promo, etc.
• FJA (PDF)
• FJA (Word)
• 3 Month Evaluation (Word)
• Performance Appraisal (Word)
• Change of Address/Name Forms - all forms for address/name change
• Direct Deposit Form (PDF)
• VDT - Eye Exam Form (Word) (PDF)
• Competitive Application (PDF)
• Direct Hire Application (PDF)
• W-4 - Federal (PDF)
• W-4 - Maine (PDF)
• Anthem BlueCross Application for Change (PDF)
• Anthem Eye Care Vision Application (PDF) (Word)
• Delta Dental Application for Change (PDF)
• Dental Claim form (PDF)
• Family Medical Leave Application - Request

Retirement Forms

• Designation of Beneficiary-Preretirment Death Benefits (PDF)
• Designation of Beneficiary-Life Insurance (PDF)
• Change of Address/Name - Retirement (PDF)
• Reduce/Cancel Group Life Insurance (PDF)

Workers Comp Forms

• Basic Workers Comp Guidelines for filing an injury report (PDF) (Word)
• Employees Report of Injury (Word)
• Supervisors Report of Injury (Word)
• Medical Release Form (Word)
• Vendor Form (PDF)
• Schedule of Dependents Form (Word)
• Witness Form (Word) (if needed)
  
  This form may be needed later but does NOT have to be filled out at time of injury  Reimbursement Form