Employee Forms & Information

New Employee Packet

• Packet Checklist
• I-9
• W-4 Form 2024
• EEO
• Post-Hire Health Questionnaire
• Direct Deposit Form updated 5.23
• Report of Outside Employment
• Minor Work Permit
• Telecommunications Policy Acknowledgement
• Confidentiality of Information Acknowledgment

Additional Employment Information

• Administrative Policies
• Impact of Driver’s License Revocation
• 2024 Holiday Schedule
• Lawson Employee Self-Service Guide
• CBJ Ordinance 01.45.060: Conflict of Interest – Outside employment restricted
• Social Security Card Application (for a new or replacement card)

General Leave Forms

Leave Request Form

Payroll Forms

Family Medical Leave Act (FMLA)

Whether you are an employee who may need to request leave or a manager or supervisor who has an employee with a Family/Medical Leave entitlement, the following resources will provide you with information and guidance needed to administer Family/Medical Leave. If you have questions about specific applications or issues after you have reviewed the materials, please contact the Human Resources & Risk Management Office.

How to Request a New FMLA Case
What Is Family/Medical Leave?
When Should Family/Medical Leave Be Invoked?
Family/Medical Leave Definitions

Family/Medical Leave Packet

• Family/Medical Leave Policy 19-01
• Your rights and Obligations under the FMLA
• FMLA Exigency Leave
• Certification of Health Care Provider
• Return to Work Certification
• FMLA Affidavit of Domestic Partnership

Other Resources

• Salaried Employees FMLA Quick Leave Editor Job Aide for Supervisors
• Hourly Employees FMLA Quick Leave Editor Job Aide for Supervisors
• US Department of Labor Leave Benefits

Paid Parental Leave Information

• Paid Parental Leave FAQ 2023
• Paid Parental Leave Request Form

Americans with Disabilities Act Forms & Information

The CBJ is committed to diversity and nondiscrimination supporting the full employment of qualified individuals with disabilities in its workforce in accordance with state and federal laws and regulations, including the Americans with Disabilities Act, As Amended. Employees with questions regarding the Americans with Disabilities Act (ADA) may contact Human Resources at 586-5250 for further information or assistance.

Disability Accommodation Process Information

Forms

• ADA Employee Authorization for the Release of Medical Information
• ADA Employee Request for Reasonable Accommodation
• ADA Health Care Provider Documentation Form

CBJ Remote Work Agreement

• Link to CBJ Policy Document (updated 12/19/2022)