Pay Forms and Information

Pay Calendars

2022 Employee Pay Schedule

2022 Holiday Schedule

Salary Schedules

MEBA/UNREP effective 7/5/2021

Historical MEBA/UNREP effective 7/06/2020
Historical MEBA/UNREP effective 7/22/2019
Historical MEBA/UNREP effective 7/09/2018

PSEA effective 7/05/2021

Historical PSEA effective 7/6/2020
Historical PSEA effective 7/8/2019
Historical PSEA effective 7/9/2018

IAFF Base Rates effective 9/30/2019
IAFF 56 Hour Base Rates with Pro Pays effective 9/30/2019
IAFF 40 Hour Propays effective 09.30.2019
IAFF 40 Hour Base Rates effective 10/29/2018
IAFF 40 Hour Base Rates with Pro Pays effective 10/29/2018
IAFF 56 Hour Base Rates with Pro Pays effective 10/29/2018

Eaglecrest effective 1/17/2022
Historical EAGLECREST effective 5/28/2014

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 information 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 – Link to DOL information

Americans with Disabilities Act Forms & Information

The CBJ is committed to diversity and nondiscrimination, and supports 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.

Disability Accommodation Process Information – provides information about the process for requesting accommodations

Forms:

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

New Employee Packet

• Packet Checklist
• I-9
• W-4
• EEO
• Post-Hire Health Questionnaire
• Direct Deposit Form
• Report of Outside Employment rev. 2022-05-06
• Minor Work Permit
• Confidentiality of Information Acknowledgment

Additional Employment Information

• Administrative Policies / Conflict of Interest (NB: Currently “NEO Book” – v. poor qual copy, replace)
• Impact of Driver’s License Revocation
• 2021 Holiday Schedule
• 2022 Holiday Schedule
• Lawson ESS Guide without Mobile 7.21