Acknowledgment of Understanding
ADA Qualification Determination Worksheet
Adverse Action Notification
Charitable Contributions
Chemical Test Form
Chemical Testing Facility Info
Departing Employee Checklist
Department List
Employee Chemical Test Request
Employee Data Maintenance Form
Employee Recognition Nomination Form
Employer Information Form
Employer Job Offer
Exit Information Form
Exit Interview Questionnaire
Family Leave Notification
FAVR Plan Information
FAVR Plan Enrollment Form
FAVR Plan Driver Checklist
FAVR Plan Status Form
FAVR Plan Monthly Mileage Form
First Report of Injury
First Report of Injury Checklist
Fitness for Duty Appointment Notification
Incident Report
Injury Reporting Guide & Checklist
Intermittent Employment-Employee Status Determination
Interview Results
Job Action Form
Letter of Concern
Minnesota Workers Comp Info Sheet
Motor Vehicle Record Request
Notice of Job Assignment
Notice of Removal While on Probation
Notice of Test Results
Notice to Employee Requesting Leave
Organizational Orientation Checklist
Organizational Orientation Quality Survey
Paid Leave Request
Parking Permit Request
Pre-Adverse Action Notification
Physician Certification
Physician's Report/Employee Work Status
Rehire List
Report of Discrimination, Harassment, or Violence
Request for Unpaid Family Leave
Request for Unpaid Leave of Absence
Sick Leave Request Memo
Special Use Request Form
Summary of Rights
Temporary Employee Performance Report
Temporary Employment Application
Temporary Job Title List
Temporary Position Expiration
Temporary Termination Memo
Use of Temps governed by PELRA and Civil Service Code
Vacation Donation Form
Vacation Donation Recipient Request
Vehicle Accident Report Form
Vehicle Safety Checklist
Vehicle Travel Data Form
Voluntary Leave Request Form
Work Injury Lost Time
Worksite Orientation Checklist
Worksite Orientation Quality Survey
IRS Form W-4
Veterans' Preference Application
Performance Report, Temporary Employees
ClearScript Welcome Letter
ClearScript Web Access
2009 Formulary PDF
Coverage Determination/Redetermination REQ.
Prescription Claim Form
Prescription Mail Order Form
BlueCross BlueShield Claim Form
Return to City of Duluth Human Resources Page
Return to the City of Duluth Main Page
