• 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)
• Retirement Voluntary Contribution Change/Election Form (LCHR-61)
• 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 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)

New Employee Checklist (LCHR-5)

• 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
• 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)

• Biometrics Catapult Physician & Reasonable Alternative Form
• Biometrics Pregnancy Alternative Request Form
• Biometrics Program Appeal Form
  • Program Appeal Application
• Biometrics Program Alternative Waiver Form
• Extra Wellness Activity or Campaign Submission Form