HR Forms
COVID-19 Symptom Tracker
Click here to access Larimer County's COVID Symptom Tracker for employees.
BENEFITS FORMS
COMPENSATION & CLASSIFICATION FORMS
FMLA FORMS
GENERAL HR FORMS
HIPAA FORMS
PAYROLL FORMS
WELLNESS FORMS
- 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 Evaluation (LCHR-17)
- Employee of the Month Nomination Form - Available via the Bulletin Board
- 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)
- Authorization for Use and Release of Protected Health Information (LCHR-93)
- Business Associate Agreement (LCHR-96)
- Comprehensive Notice of Privacy Policy and Procedures (LCHR-104)
- Employee Confidentiality Agreement (LCHR-95)
- Notice of Information Practices (LCHR-92)
- Request Not to Use or Disclose Protected Health Information (LCHR-100)
- Request to Correct or Amend Record (LCHR-98)
- Request to Inspect and/or Copy Protected Health Information (LCHR-94)
- Response to Amendment or Correction Request (LCHR-99)
- Response to Inspection Request (LCHR-97)
- Response to Request Not to Use or Disclose Protected Health Information (LCHR-101)
- New Employee Checklist (LCHR-5)
- Civic Center Parking Structure Permit Form
- Compensatory Time Agreement (LCHR-75)
- Employee's Withholding Allowance Certificate- W4
- Employment Eligibility Form, I-9
- Guiding Principles Cash Bonus Request (LCHR-46)
- 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
