HR Forms



NEW!!  Employee Fitness and Recreation Benefits

Click here for the brochure listing the new Fitness and Recreation Benefits for City employees.

Print off this form to set up your City Employee Fitness and Recreation account.


Health Insurance Information- 2016 / 2017 Plan Year
(Forms updated August 2016)


Monthly Premium Rates

Benefits Summary

Group Insurance Dependent Removal Form

Teladoc--Getting Started

Teladoc Information

PPO vs HSA Claims Comparison


Blue Cross Forms:

Blue Cross Enrollment Form

Healthy Measures Form

Blue Cross Benefit Change Request

Blue Cross of Idaho Member Claim Form 


HSA Forms:

HSA Enrollment Instructions

HSA Payroll Deduction Form

HSA Claim Form

HSA Preventative Drug List


Flex Spending Forms:

Flex Spending Account Enrollment/Payroll Deduction Form

Flex Login Letter

Flexible Spending Account Claim Form

Flex Claim Submission Instructions


Dental Forms:

Delta Dental Enrollment Form

Dental Plan Summary

Dental Rollover Benefit


Benefits Forms:

Automatic Paycheck Depost Authorization Form

FMLA Leave Request Form

LifeMap Voluntary Employee Life Insurance Enrollment Form

LifeMap Life Insurance Claim Form Form

LifeMap Beneficiary Designation Form

NCPERS Information Kit/Enrollment Form (Open Enrollment September 1st through November 30th)

Voluntary Shared Leave Policy and Request Forms 



AFLAC Enrollment Informational Flyer
AFLAC Semi-Monthly Rate Sheet 2015
Cancer Select Brochure
Cancer Classic Brochure
Short Term Disability Brochure
Accident Indemnity Advantage Brochure
Accident Base Application
Accident Application
Short Term Disability Application

Cancer Application
AFLAC Cancellation Notice

Employment Forms:

Supervisor's Report of Accident

I-9 2017

W-4 2016

Performance Measurement:

Performance Evaluation Manual

Performance Evaluation Form 2016

Key Development Goals Form

FAQs - Performance Evaluation