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ABOUT US| BOARD OF DIRECTORS | EMAA EMPLOYMENT | EMAA STAFF INFORMATION|BOARD HIGHLIGHTS

 


Mileage, Request for Leave or Out of Area Travel

PDF file:  looks like a regular form.  To download PDF files you need Adobe Reader.  Once downloaded, print the form out on canary paper.
Excel file: If you have Excel, first save the form in this format.  Fill out the top part with your information and use it as a template each time.  In many places the totals will be entered for you!  Save.  Print out on canary paper.  Note: Some people need to adjust their margins on these forms.

TIME SHEET

MILEAGE
Housing and Weatherization mileage form – Excel file

Head Start Mileage form– Excel file

Community Services mileage form – Excel file

EMAA Standard Mileage Chart

 

DIRECT DEPOSIT

Direct Deposit Form

OUT OF AREA TRAVEL
Out of Area Travel form, side 1
Report on Meeting/Training Event

FMLA

Request for Family or Medical Leave– Print and complete form. Return form to Human Resources

Request for Family or Medical Leave - Fillable

 

ACCIDENT REPORTS

Fill out forms and return to Human Resources

Supervisors Report of Injury

Employee Incident Statement

Non-Employee Incident Statement

 

          Fillable

Supervisors Report of Injury

Employee Incident Statement

Non-Employee Incident Statement

 

INSURANCE

GHP Enrollment Form- Use this form for new enrollment or adding a dependent.

Can only enroll as a new hire, or during open enrollment, generally at the end of the year.  Can only add dependent if you have a family status change (check with Human Resources, Teri Schweiss, x1108) or during open enrollment.

Delta Dental Enrollment form

Advantage Vision Care Enrollment Form

 

EMAA EMPLOYEE PERFORMANCE EVALUATIONS

Non-Supervisory Evaluation (Excel)

Supervisory Evaluation (Excel)

Instruction Sheet for Completing a Performance Evaluation

 

Employee Preparation and Self-Appraisal Prior to Annual Performance Evaluation (choose one format from below):

   PDF format – download and print out

   MS Word format – download; change margins to: 1” top, .5” bottom, .75” sides; type up your self appraisal; print

 

EMPLOYMENT INTERVIEWS/REFERENCE CHECK

Request for Job Announcement

Job Interview Report

Pre-Employment Reference Check

 

SALARY DEFERRAL AGREEMENT 403(b) PLAN

Salary Deferral Agreement

 

 

OTHER FORMS

W-4 form – this is a fillable and printable form. 
Note: Please contact the web builder if the most current form does not appear sometime shortly after the new year.  Thanks!

W-4 form (State) – this is a fillable and printable form.

W-9 form—this is a fillable and printable form.

Have anyone who contracts with us for services fill this out.

Scholarship Application

MO Income Calculator

Non-Employee Incident Statement – use for accident or incident reporting for non-employees

Personnel Action Form

Personnel Information Change Form - Fillable

 

East Missouri Action Agency, Inc.   NOT copyrighted—feel free to use to help alleviate poverty. 
Updated January 2012                   Site pages maintained by EMAA community action people.