Emergency Notification System
|
|
Employee Benefit Links
Name | Information |
|
Premiums for Dependent coverage is a biweekly deduction. |
|
Web Site |
|
Enrollment/Change Form |
|
|
|
|
|
Change Form |
|
|
|
|
|
Employee Assistance Program |
|
Employee Assistance Program. Call 888-293-6948 or contact H.R. for login I.D. & password. |
|
|
|
|
|
|
|
Website for Town's 457 Plan |
|
Enrollment Form |
|
Beneficiary Designation Form |
|
Rollover Form |
|
Medical History Form |
2009 Dental Plan Summaries
Name | Information |
|
Plan description and enrollment kit for 2009 dental plans. |
Health & Wellness
Administrative/Personnel Policies
Management & General Employees Pension Links
Forms for Employees
Form Name | Use |
|
|
|
At the time that a Citizen Loss complaint is being received and recorded on RM-3.03.a, form RM-3.03.a should also 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 RM-3.03.a, along with any supporting documents, to Risk Management for evaluation and review. Risk Management will review the completed forms in conjunction with the appropriate Town Department. If appropriate, Risk Management will submit the Citizens claim to the Towns insurance carrier. |
|
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 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 either reviews the Vehicle or Operational Accident with the employee and completes the bottom half of the report or 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 Risk Management. |
|
This form and the Florida First Report of Injury, (RM-3.01.b), are to be completed immediately by the injured employee. The Florida Report, (DWC-1) is immediately sent to Risk Management, while RM-3.01.b is used by the Supervisor and the Department Head to investigate, report and review the nature of the circumstances surrounding the injury. Upon completion of review by the Department Head, form RM-3.01.b is also forwarded to Risk Management. RM-3.01.b is intended to provide more detailed information about the injury and any corrective action necessary to prevent future similar occurrences. RM-3.01.b should be submitted to Risk Management within 3-5 days. |
|
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. Many Medical Providers 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 Risk Management. The employee may keep copies of any such forms. |
|
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. |
|
|
|
Name, address, emergency contact information |
|
|
|
Application & How to Apply |
|
Leave Request Forms |
Emergency Management
|
|
