Forms
Photo courtesy of Scott Hess
- Alternate Workweek Form
- Bilingual Proficiency and Certification Form
- Boot Reimbursement Form
- Boot Voucher/Invoice Form
- CalPERS 457 Plan - Employee Action Form
- CalPERS Health Benefit Enrollment Form
- Cash In-Lieu Health and Dental Benefits
- Change in Personal Status Form
- Chemical Inventory Sheet
- City Equipment Issued/Returned Form
- Delta Dental 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 & Supervisor Incident Report Form
- Employee Information and Emergency Notification Form
- Employee Work Status Form
- Employee Separation Form
- Employment Application
- Flex Spending Claim Form
- Flexible Spending Election and Direct Deposit Form
- Flexible Spending Brochure
- FMLA or Pregnancy Leave Form
- Hartford 457 Beneficiary Designation/Name & Address Change
- Hartford 457 Deferred Compensation Contribution Change Form
- Hazard Report
- Hepatitis Declaration Form
- ICMA 457 Contribution Change Form
- Internet Use
- Leave of Absence Form
- 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
- Request for Employee Hire
- Request for Temporary Personnel
- Safety Rules
- Sick Leave Transfer Request Form
- Social Security Notice
- Special Testing Accommodation Request Form
- 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/AFFIRMATIVE ACTION EMPLOYER
Human Resources Manager
Pamala Robbins
11 English St.
Petaluma, CA 94952
phone:
707.778.4534
fax:
707.778.4539
email: Human Resources