Attention

DHR offers downloadable forms and documents in Portable Document Format and/or MS Word (DOC) formats. PDF files require the Adobe Acrobat Reader. If you require a document not on this list, please contact us. City employees with access to the City's intranet may find additional forms at the intranet Form Center.

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Catastrophic Illness Program
Catastrophic Illness Application
Catastrophic Illness Donor Form
Catastrophic Illness Fact Sheet
Catastrophic Illness FM Application
Catastrophic Illness FM Donor Form

Conviction History Program
Fingerprinting Appointment Instructions
Notice of Fingerprinting for Candidate
Request for Live Scan Service Form

Family and Medical Leave Act (FMLA)
FML1: Notice of Eligibility Rights and Responsibilities
FML2: Certification of Healthcare Provider - Employee
FML2: Certification of Healthcare Provider - Family Member
WH-384: Certification of Qualifying Exigency
WH-385: Certification of Serious Illness or Injury - Current Service Member
WH-385-V: Certification of Serious Illness or Injury - Veteran

Family Friendly Workplace Ordinance
Family Friendly Workplace Ordinance
Family Friendly Workplace Ordinance Frequently Asked Questions
Request for Flexible or Predictable Working Arrangement
Verification of Caregiving Responsibilities by Healthcare Provider

General
Additional Employment Request
Annual Salary Ordinance
Citywide Vehicle Use Policy
Collective Bargaining Agreements
Compensation Manual
COVID-19 Sick Leave or Vacation Advance - Employee Request and Agreement
DHR Statement of Incompatible Activities
Domestic Violence and the Workplace Brochure
Employee Request For Reappointment
Employee Request For Reinstatement
Employee Request For Transfer
Family and Romantic Relationships at Work Policy - Employee Acknowledgment
Family and Romantic Relationships at Work Policy - Management Plan
I-9 Form for Employment Eligibility
Oath of Office
Paid Sick Leave Ordinance Designated Person Form
Position Count By Job Codes and Department
Retiree Health Care
Sanctuary City Reminder
Telecommuting Policy and Program

Health Service System
Medical, Dental and Other Benefits
Flexible Spending Accounts

Job Application Materials
Candidate Reasonable Accommodations Form
Equal Employment Opportunities (EEO)
Health Service System
Veteran's Preference Application

Paid Parental Leave
Paid Parental Leave Authorization to Use Accrued Leave Credits
Paid Parental Leave Employee Acknowledgement
Paid Parental Leave Frequently Asked Questions
Paid Parental Leave Policy & Procedures

Performance Plan and Appraisal Report
Performance Plan and Appraisal Report FY 2021 (PPAR)
Performance Plan and Appraisal Report FY 2021 (PPAR)
Performance Plan and Appraisal Report FY 2020 (PPAR)
Performance Plan and Appraisal Report FY 2020 (PPAR)
Performance Improvement Plan (PIP) (Word)
Performance Improvement Plan (PIP)

Reasonable Accommodations for People with Disabilities
Candidate Reasonable Accommodations Form
Employee Reasonable Accommodation Request
Employment Rights for Persons With Disabilities
Health Care Provider Certification Form
Medical Authorization and Release

Request for Leave
Request for Lactation Accommodation
Request for Leave and Leave Protections

Workers' Compensation
Employee Claim for Workers Compensation
Employee Guide to Workers Compensation
Employers Report of Occupational Injury
Notice to Employees - Injuries Caused by Work
Pre-Designation of Physician form - English
Pre-Designation of Physician form - Spanish