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		Time Sheets, 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 SHEETS Agency Time Sheet, Non-Exempt – PDF file revised 10/07 Agency Time Sheet, Non-Exempt -- Excel file revised 10/07 Agency Time Sheet, Exempt –Excel file REQUEST FOR LEAVE Request for Leave Form – PDF fillable Request for Leave Form -- PDF file Request for Leave Form -- Excel file MILEAGE Employment and Training mileage form – Excel file Housing and Weatherization mileage form – Excel file Head Start mileage form – Excel file OUT OF AREA TRAVEL Out of Area Travel form, side 1 Report on Meeting/Training Event FMLA Request for FMLA – Print and complete form. Return form to Human Resources	INSURANCE Anthem 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. Anthem Change form – only used during open enrollment, or a family status change. Call Human Resources, Teri Schweiss, x1108, if you are not sure which form to use. Delta Dental 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 WORKER’S COMPENSATION Fill out forms and return to Human Resources Employee Incident Statement Supervisor Report of Injury 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-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
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