Forms Listing

For Gloucester County Employees Only

NOTE: Many of the forms require Adobe Acrobat Reader in order to download them.  If you do not have Adobe Reader, download it now:  Adobe Reader - Download.

1. NAME CHANGE FORM - Use to change your address or name

2. FAMILY AND MEDICAL LEAVE (FMLA) - Use to request foreseeable leave (Required at least 30 days in advance of leave request)

3. MEDICAL CERTIFICATION (FMLA) - Federal Form WH-380 used in conjunction with FMLA request.  This is the form the PHYSICIAN must complete and return to employee

4. CHANGE OF LEAVE REQUEST (FMLA) - Used in the event original FMLA leave request needs to be changed

5. WORKER'S COMPENSATION - Use to report an injury on the job. This is the complete packet-WENK, First Report, Physician Panel & Leave Election Form

6. TAX WITHHOLDING - Use these forms to change your state or federal tax withholding         1. FEDERAL     2. STATE

7. DIRECT DEPOSIT - Use to initiate, stop, or change your direct deposit

8. VOLUNTEER AUTHORIZATION AND DISCLOSURE - Use to complete background investigation on volunteers

9. EMPLOYEE EVALUATION FORM - Use to complete  pay for performance evaluations  

         1. Word Version             2. PDF Version

10. PROBATION EVALUATION FORM - Use to complete 6 month probation evaluations    

          1. Word Version            2. PDF Version

ALL COMPLETED FORMS MUST BE FORWARDED TO THE HR DEPARTMENT FOR FURTHER PROCESSING!

Updated by: Patty Andrews
Updated: 05/09/08

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