Emergency Notification System
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Employee Benefit Links
Name | Information |
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myuhc.com is a great tool that can assist you in many ways. This site allows you to view your claims, look up benefits, find a doctor, refill a prescription, look up health topics, chat with a nurse, and much more. |
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Enrollment/Change Form |
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Please visit this website for information pertaining to the Town's pharmacy management program. |
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List of neighboring Urgent Care Centers |
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This website can be used to view your benefits, review your claim status, download forms & materials, print reports, update personal history, and much more. |
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Change Form |
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This website contains information regarding the Town's supplemental VisionCare plan. |
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Employee Assistance Program 1-888-887-4114. Available 24 hours a day, 7 days a week. |
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For Reimbursement and/or Claim Forms please use this link. Flexible Spending Reimbursement Forms are located at the bottom of the page, just underneath the map. |
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TravelConnectSM services. A benefit providing you valuable services while traveling at no cost. |
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Website for Town's Deferred Compensation (457) Plan |
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Deferred Compensation (457) Enrollment Form |
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Deferred Compensation Beneficiary Designation Form |
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Deferred Compensation Rollover Form |
Life & Long Term Disability |
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Health & Wellness
Administrative/Personnel Policies
Forms for Employees
Form Name | Use |
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At the time that a Citizen Loss complaint is being received and recorded on the Accident/Incident Report, the Citizen Incident Form shall be either handed to or mailed to the citizen with instructions to provide a written detailed account of their loss, injury etc and to mail the completed form, along with any supporting documents, to Human Resources Risk Management Division for evaluation and review. The Human Resources Risk Management Division will review both the Accident/Incident Report Form and Citizen Incident Report Form in unison and in conjunction with the appropriate Town Department. If appropriate, Human Resources Risk Management Division will submit a claim to the Town’s insurance carrier. |
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This form is used by involved employees to record all Vehicle Accidents and all Operational Accidents or Incidents resulting in damage to or loss of Town Property. It is also used to record citizen complaints to town employee about defects in Town Property that are alleged to have caused some form of accident or injury to the Citizen or their property. A department supervisor reviews the Vehicle or Operational Accident with the employee and completes the bottom half of the report; follows up on the citizen complaint; or insures that the appropriate department follows up on the Citizen Complaint and completes the bottom half of the report. The completed report is forwarded to Human Resources Risk Management Division. |
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This form and the Florida First Report of Injury, (DWC-1), are to be completed immediately by the injured employee. The Florida Report, (DWC-1) is immediately sent to Human Resources Risk Management Division for worker’s compensation reporting, while this form is used by the supervisor and the department director to investigate report and review the nature of the circumstances surrounding the injury. Upon completion of review by the department director this form is also forwarded to Human Resources Risk Management Division. Both the FROI and Employee Report of Injury Form are required for all injury/illness reporting. |
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The Employee Report of Injury Form is intended to provide more detailed information about the injury and any corrective action necessary to prevent future similar occurrences. The Employee Report of Injury Form should be submitted to Human Resources Risk Management Division within 3-5 days. |
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This form is sent with the injured employee to the doctor for completion by the doctor. The injured employee is required to bring a completed form back to the department immediately after seeing the doctor and before going home. Both URGENTMED and MEDWORK have similar in-house forms that are acceptable but, regardless of which form is completed by the doctor, the employee is still required to immediately bring all medical forms/reports back to the department for submission to Human Resources Risk Management Division. The employee may keep copies of any such forms. |
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This form is used by employees to directly deposit your paycheck into a bank. Payroll requests that employee complete the form and attach a voided check or deposit slip. |
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Name, address, emergency contact information |
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Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a newForm W-4 each year and when your personal or financial situation changes. |
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Leave Request Forms |
Emergency Management
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