Human Resources
THE CITY OF DULUTH, MINNESOTA

Forms

Forms

  •   Job Action Form (Bargaining Unit Positions)392.8 KB
  •   Job Action Form (Non-Bargaining Unit Positions)400.5 KB
  •   Federal W-4113.9 KB
  •   2012 CLEARSCRIPT Formulary903.4 KB
  •   BCBS Claim Form41.2 KB
  •   Clearscript Web Access31.1 KB
  •   COVERAGE DETERMINATION REDETERMINATION REQ 51.7 KB
  •   Employee Incident Report Of Inappropriate Behavior Form79.4 KB
  •   Prescription Claim Form29 KB
  •   Prescription Mail Order Form38.6 KB
  •   Veterans Preference Application 20090922 Fillable117.2 KB
  • Policy & Procedure Forms

  •   Acknowledgment Of Understanding48.5 KB
  •   ADA Qualification Determination Worksheet51.6 KB
  •   Adverse Action Notice48.3 KB
  •   Aerial Lift Bridge Release Of Liability9.4 KB
  •   Charitable Contrib Payroll32.3 KB
  •   Chemical Test Form49.1 KB
  •   Chemical Testing Facility Info46.9 KB
  •   Computer Home Use Agreement21.1 KB
  •   Departing Employee Checklist35.7 KB
  •   Department List36.4 KB
  •   Employee Chemical Test Request43.3 KB
  •   Employee Conduct434.2 KB
  •   Employee Data Maintenance Form413.3 KB
  •   Employer Information Form155.1 KB
  •   Employer Job Offer46 KB
  •   Exit Information Form38.5 KB
  •   Exit Interview Questionnaire66.2 KB
  •   First Report Of Injury Checklist70 KB
  •   First Report Of Injury Form Fillable 148.3 KB
  •   Incident Report Fillable 705.2 KB
  •   Injury Reporting Guide Checklist74.3 KB
  •   Internet Access Request Form17.3 KB
  •   MN Workers Comp Info Sheet7.5 KB
  •   Motor Vehicle Record Request62.8 KB
  •   Notice Of Job Assignment42.8 KB
  •   Notice Of Removal On Probation39.1 KB
  •   Notice Of Test Result42.2 KB
  •   Organizational Orientation Checklist47.3 KB
  •   Organizational Orientation Quality Survey35.7 KB
  •   Physicians Report76.9 KB
  •   Pre Adverse Action Notification40.7 KB
  •   Report Form For Discrimination Harassment Or Violence37.7 KB
  •   Request For Unpaid LOA123.4 KB
  •   Special Use Request Form46.9 KB
  •   Summary Of Rights21.2 KB
  •   Vacation Donor Form35.8 KB
  •   Vacation Recipient Application Form45.1 KB
  •   Vehicle Safety Checklist30 KB
  •   Vehicle Travel Data Form45.2 KB
  •   Wirelesscommpolicyforms284.5 KB
  •   Worksite Orientation Checklist18.1 KB
  •   Worksite Orientation Quality Survey45 KB
  • [  CONTACT  ]

    City of Duluth, 411 West First Street, Duluth, Minnesota 55802
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