Human Resources 
Forms
- 457 Mass Mutual Beneficiary Designation/Name & Address Change
- 457 Mass Mutual Contribution Change
- Alternate Workweek Form
- Bilingual Proficiency and Certification Form
- Boot Reimbursement Form
- Boot Voucher/Invoice Form
- CalPERS 457 Plan - Participant Change Authorization Form
- CalPERS Declaration of Health Coverage - HBD 12A
- CalPERS Health Benefit Plan Enrollment Form - HBD 12
- Cash In-Lieu Health and Dental Benefits
- Change in Personal Status Form
- Chemical Inventory Sheet
- City Equipment Issued/Returned Form
- Dental Enrollment-Change Form
- Designation of Person Entitled to Receive Checks or Warrants in the Event of Employee's Death Form
- Direct Deposit Form
- Education and Training Reimbursement Form
- Employee Information and Emergency Notification Form
- Employee Work Status Form
- Employee Separation Form
- Family, Medical or Pregnancy Leave Form
- Flexible Spending Dependent Care Claim Form
- Flexible Spending Health Care Reimbursement Claim Form
- Flexible Spending Enrollment Form
- Flexible Spending Commuter Benefit Enrollment Form
- Hazard Report
- Hepatitis Declaration Form
- ICMA 457 Contribution Change Form
- Internet Use
- Life Insurance Beneficiary Form
- New Employee Safety Checklist
- PARS Designation of Beneficiary Form
- PARS Plan Information Sheet
- PARS Request for Distribution Form
- PARS Statement
- Personnel Action Form (PAF)
- Promotional Application Form
- Reference Check Form
- Request for Employee Hire
- Request for Leave or Notification of Absence Form
- Request for Temporary Personnel
- Safety Rules
- Sick Leave Transfer Request Form
- Social Security Notice
- Special Testing Accommodation Request Form
- State of California Employee's Withholding Allowance Certificate
- Tailgate Safety
- Vehicle Use - City Owned
- Vehicle Use - Private Vehicle
- Vision Claim Form
- Vision Enrollment Form
- Volunteer Enrollment Form
- W-4 Form
- WC Pre-designation of Physician
THE CITY OF PETALUMA IS AN EQUAL OPPORTUNITY EMPLOYER
Contact Information
Director:
Amy Reeve
Human Resources
11 English St.
Petaluma, CA 94952
phone:
707.778.4534
fax:
707.927.1911
email: humanresources@ci.petaluma.ca.us