HR Forms
BENEFITS FORMS
COMPENSATION & CLASSIFICATION FORMS
FMLA FORMS
GENERAL HR FORMS
PAYROLL FORMS
WELLNESS FORMS
- 457 Deferred Compensation Election/Change Form (LCHR-112)
- Affidavit of Common Law Marriage (LCHR-80)
- Application for Donated Sick Leave (LCHR-125)
- Benefit Status Change Form (LCHR-052)
- Extended Sick Leave Without Pay Request Form (LCHR-14)
- HIPAA Authorization for Use and Release of Protected Health Information (LCHR-93)
- HIPAA Notice of Information Practices (LCHR-92)
- HIPAA Response to Inspection Request (LCHR-97)
- Leave Without Pay Notification Form (LCHR-20)
- Supplemental Life - Evidence of Insurability Form
- Supplemental Life - Evidence of Insurability Instructions
- VOYA Supplemental Life Change Form
- Acknowledgement of Appointed Employee Status (LCHR-119)
- Consent & Waiver for Changes from Appointed to Regular or Limited-Term Employment (LCHR-39)
- Consent & Waiver for Changes from Regular or Limited-Term to Appointed Employment (LCHR-40)
- Guiding Principles Cash Bonus Request (LCHR-46)
- Limited-Term Employee Acknowledgement Form (LCHR-84)
- Position Description Questionnaire
- All FMLA forms can be found on this page.
- Employee of the Month Nomination Form - Available via the Bulletin Boad
- Exiting Employee Checklist (LCHR-3)
- Information for Exiting Employees (LCHR-44)
- New Employee Checklist (LCHR-5)
- Reasonable Suspicion Checklist (LCHR-127)
- Request Written Approval from Director of Human Resources
- Suggestion Form - Available via the Bulletin Board
- Telework Employee Acknowledgement (LCHR-10)
- Civic Center Parking Structure Permit Form
- Compensatory Time Agreement (LCHR-75)
- Employee Evaluation (LCHR-17)
- Employee's Withholding Allowance Certificate- W4
- Employment Eligibility Form, I-9
- New Employee Checklist (LCHR-5)
- Non-Cash Bonus or Award Form (LCHR-9)
- Out-of-Title Pay (LCHR-88) - Available via the Bulletin Board
- Paycard Enrollment Form (LCHR-129)
- Payroll Advance (LCHR-13)
- Personal Use of County Vehicle (LCHR-114)
- Retro Pay (LCHR-89) - Available via the Bulletin Board
- Wireless Allowance Request (LCHR-12)
Human Resources Department
200 West Oak, Suite 3200, Fort Collins, CO 80521
Monday - Friday, 8:00am-4:30pm
Ph: (970) 498-5970 | FAX: (970) 498-5980
Email Human Resources
