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The forms on this page are for applicants, employees, and/or supervisors.  The federal and state employment posters are at the bottom of this page.  Be sure to familiarize yourself with your employment rights by reviewing the posters.

 Civil Service Commission
 
Civil Service Commission Personnel Policy Manual 

 Oracle Forms
 
Employee Information Change Form
  New Hire Report Form
  Oracle Access Request Form  

EAP Supervisory Referral Form
EAP Referral (page 1)     EAP Referral (page 2)                                                                                       

 

Family & Medical Leave (FMLA) Forms
 
FMLA Employee Application
  FMLA Notice of Eligibility and Rights
  FMLA Leave Certification for Adoption or Foster Care
  FMLA Return to Work Medical Certification
  FMLA Designation Notice
  FMLA Certification of Health Care Provider Employee Serious Health Condition
  FMLA Certification of Health Care Provider for Family Member's Serious Health Condition
  FMLA Certification of Qualifying Exigency for Military Leave
  FMLA Certification for Serious Injury/Illness of a Current Service member for Military Family Leave

  FMLA Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
  Letter to Employee that FMLA is about to Expire
  Letter to Employee that FMLA is Exhausted 

 Performance Appraisal Forms
  
Performance Appraisal Non-Supervisory
  Performance Appraisal Manual Non-Supervisory
  Performance Appraisal - Supervisory
  Performance Appraisal Manual Supervisory
  Position Description Review Form

 Worker's Compensation / Risk Management Forms
  
Workers Compensation - First Injury Report
  Workers Comp Injury Treatment Directions
  Workers Comp Douglas County Injury Report
  Douglas County Workers Comp Information Release
  Workers Comp Employee Doctors Form
  Douglas County Vehicle Accident Report

 Donated Leave Forms
 
Donated Leave Donor Form
  Request to Receive Donated Leave

 Federal & State Posters
  E-Verify Poster - English
  E-Verify Right To Work Poster - English  
 
E-Verify Poster - Spanish
  E-Verify Right To Work Poster - Spanish
  USERRA - Veterans Rights
  Federal EEO
  Federal Minimum Wage
  Nebraska Job Safety
  Nebraska Minimum Wage
  Nebraska NEOC
  Polygraph Act
  Family and Medical Leave Act- 2013 
 
American Recovery and Reinvestment Act - Whistleblower Poster    

Background Investigation Form
Background Investigation Form

 

The provisions of this information are not intended and do not create an express or implied contract of employment or an offer of employment between the County and its employees nor any guarantee or promise that benefits referenced here are permanent or cannot be changed. While retirees and current employees are offered the opportunity to participate in a subsidized medical insurance program until age 65, the ability to participate as well as the premiums are not guaranteed in the future and are subject, at any time, to change by the County Board of Commissioners. If there is any conflict in the information state or otherwise communicated, the plan provisions prevail. Please contact Human Resources with any questions.