INFORMATION & FORMS
Alphabetical Listing by TitleListing by PER Form #
FORM#FORM NAME
PER59BILINGUAL PROGRAM FORM
PER65AFPOSITION DESCRIPTION FORM - SHORT FORM
PER65BFPOSITION DESCRIPTION FORM - LONG FORM
PER66POSITION DESCRIPTION FORM SUPPLEMENT FOR SUPERVISORY POSITIONS
PER1020AINPROCESSING - REGULAR EMPLOYEE LETTER
PER1020BINPROCESSING - EH EMPLOYEE LETTER
PER1021AINPROCESSING - REG EMPLOYEE DOCUMENTS
PER1021BINPROCESSING - EH EMPLOYEE DOCUMENTS
PER1022EMPLOYMENT ELIGIBILITY - I95 DOCUMENTATION
PER1025HEALTH QUESTIONNAIRE
PER1025BPRE-EMPLOYMENT HEALTH QUESTIONNAIRE
PER1026 EMPLOYEE WELCOME - DEFERRED COMP LETTER
PER1030B INSURANCE SUMMARY- DEPUTY PROBATION OFFICER ASSN UNIT
PER1030DINSURANCE SUMMARY - CORRECTIONAL OFFICER
PER1030GINSURANCE SUMMARY - GENERAL REP
PER1030LINSURANCE SUMMARY - LAW ENFORCEMENT & SHERIFF'S SUPERVISORY
PER1030MINSURANCE SUMMARY - MIDDLE/EXCUTIVE MANAGEMENT, ATTORNEYS
PER1030PINSURANCE SUMMARY - PHYSICIANS
PER1030SINSURANCE SUMMARY - LAW ENFORCEMENT MIDDLE MANAGEMENT
PER1030TINSURANCE SUMMARY DA INSPECTORS
PER1031BENEFITS - SELF FUNDED DENTAL PLAN
PER1032PMI CAPITATION DENTAL PLAN
PER1033ADDITIONAL LIFE RATES
PER1040NEW EMPLOYEE STATUS & INFO SUMMARY
PER1041ASALARY/COMP/LEAVE - GENERAL REP UNIT
PER1041BSALARY COMP LEAVE - LE & SGTS UNITS
PER1041CSALARY/COMP/LEAVE - MID MGT UNIT
PER1041DSALARY/COMP/LEAVE - LEMM UNIT
PER1041ESALARY/COMP/LEAVE - MGT TRAINEES
PER1041FSALARY/COMP/LEAVE - OTHER EXEC MGT/DA ATTORNEY
PER1041GSALARY/COMP/LEAVE - APPTED DEPT HEAD/ASST
PER1041HSALARY/COMP/LEAVE - BOARD & ELECTED DH
PER1041ISALARY/COMP/LEAVE - CORRECTION OFF
PER1041JSALARY/COMP/LEAVE - DA INSPECTOR UNIT
PER1041KSALARY/COMP/LEAVE - PHYSICIANS’ REPRESENTATION UNIT
PER1053BOARD OF SUPERVISOR'S POLICY: FLSA
PER1054EXTRA HELP EMPLOYMENT REQUIREMENTS
PER1056FMLA NOTICE - GENERAL UNIT
PER1057FMLA NOTICE - LAW ENFORCEMENT UNIT
PER1058FMLA NOTICE - MIDDLE MGT UNIT
PER1059FMLA NOTICE - LAW ENF MID MGT UNIT
PER1060FMLA NOTICE - DETENTION OFFICER UNIT
PER1061FMLA NOTICE - DA'S & EXEC MGT
PER1063NOTIFICATION OF POLICIES
PER1073REQUEST FOR MILITARY LEAVE-ACTIVE DUTY
PER1081APHYSICIAN'S CERT - LEAVE OF ABSENCE-EMPLOYEE
PER1081BPHYSICIAN'S CERT - FMLA
PER1082AEMPLOYEE REQUEST FOR TIME OFF
PER1083EMPLOYEE REQUEST LOA W/OUT PAY
PER1084EMPLOYEE OBLIGATIONS UNDER FMLA
PER1085RESPONSE TO EMPLOYEE REQUEST FOR FMLA LEAVE
PER1086PHYSICIAN'S CERTIFICATION - RETURN FROM LEAVE
PER1088VOLUNTARY REDUCTION OF HOURS FORM
PER1089VOLUNTARY TIME OFF FORM
PER1095DONATION OF ACCRUED PAID LEAVE - TIME BANK
PER1100AREASONABLE ACCOMMODATION REQUEST
PER1142MEDICAL AUTHORIZATION RELEASE FORM
PER1171EMPLOYEE PERFORMANCE EVAL AND DEV REP
PER1200PAYROLL TRANSACTION CODES
PER1201PAYROLL EMPLOYEE STATUS CODES
PER1202BENEFIT STATUS CODES/DEFINITIONS
PER1203PAYROLL/PERSONNEL POSITION NUMBER CODES
PER1205PAYROLL NAME CHANGE
PER1206RETRAINING PAY ADJUSTMENT FORM
PER1208PAYROLL CODES - UNFUNDED & PARTIAL YR
PER1209CHANGE OF ADDRESS/TELEPHONE FORM
PER1301GRIEVANCE FORM - GENERAL REP UNIT
PER1302GRIEVANCE FORM - LAW ENFORCEMENT UNIT
PER1303GRIEVANCE FORM - MIDDLE MGT UNIT
PER1304GRIEVANCE FORM - LAW ENF MID MGT UNIT
PER1305GRIEVANCE FORM - DETENTION OFFICER UNIT
PER1306GRIEVANCE FORM - DA ATTORNEYS UNIT
PER1360TUITION REIMBURSEMENT FORM - GENERAL REP
PER1420DOMESTIC PARTNER AFFIDAVIT
PER1422STATEMENT OF DOMESTIC PARTNER TERMINATION
PER1507BDOT REQUIREMENTS - EMPLOYEE NOTICE
PER1801SALARY STUDY REQUEST
PER191EEO REGULATIONS
PER3011REFERENCE CHECK - RELEASE/WAIVER FORM
PER3039NEW POSITION REQUEST/BOS ACTION
PER3061GUIDE TO DEPARTMENTAL SELECTION INTERVIEW
PER3116REQUEST FOR CLASSIFICATION STUDY
PER3124CIVIL SERVICE COMMISSION APPEAL INFORMATION
PER3125CIVIL SERVICE COMMISSION APPEAL FORM
PER3133STUDENT WORKER SITE AGREEMENT
PER3151REMOVE CANDIDATE FROM LIST REQUEST
PER3161REQUEST PLACE ON EMPLOYMENT TRAINING LIST
PER4002DISCRIMINATION/HARASSMENT COMPLAINT
PER4003ADA FORMAL COMPLAINT INSTRUCTIONS
PER4027EEO/NONDISCRIMINATION & REASONABLE ACCOMODATION POLICY BROCHURE
PER5003CLAIM AGAINST THE COUNTY OF SANTA CRUZ (Spanish)
PER5004VEHICLE ACCIDENT REPORT
PER5006EMPLOYEE CLAIM - EQUIPMENT LOSS/STOLEN
PER5012INCIDENT REPORT FORM - NON EMPLOYEE
PER5013PROPERTY LOSS REPORT FORM
PER5013DPWPROPERTY LOSS REPORT FORM FOR DEPART OF PUBLIC WORKS
PER5300ASEPARATION PACKET
PER5300BSEPARATION PACKET - EDD
PER6051SAFETY SUGGESTION FORM
PER6056LONGEVITY DIFFERENTIAL
PER7000DA INSPECTOR CELLULAR PHONE REIMBURSEMENT FORM
PER7001GRIEVANCE FORM - DEPUTY PROBATION OFFICER UNIT
VIPVIP - ACCIDENT POLICY
VIPVIP - ACCIDENT FORM
VIPVIP - APPLICATION PACKET
VIPVIP - AUTO INSURANCE
VIPVIP - DEPARTMENT REQUEST
VIPVIP - TIMESHEET
VIPVIP - TIPS FOR COMPLETING A DEPARTMENT REQUEST FORM
 VOLUNTARY DEDUCTIONS AUTHORIZATION