Human Resources Forms


Accidental Death Insurance Beneficiary

Active Member Beneficiary Designation Form

Administrative & Implementing Orders

Administrative Orders (read 7 series)

Animal Service Department Employee Contribution

Authorized Signatures


Benefits Forms


Certification of Health Care Provider for Employee's Serious Health Condition

Certification of Health Care Provider for Family Member's Serious Health Condition

Computer Training Application

COVID-19 Paid Sick Leave

COVID-19 Return to Work Authorization


DAE Exemption Form

Death Benefit Beneficiary

Death Benefit Payment

Deduction Authorization Request

Department Director List

Departmental Personnel Representatives List

Direct Deposit Payroll Authorization Form

Direct Deposit - Retiree

Disciplinary Action Report Form


Employee ID Replacement

Employee Verification List

Employee Worksite Orientation

Employment Status Change Full-Time to Part-Time

Essential Job Functions

Ethics Officers


Families First Coronavirus Response Act request for leave

Financial Disclosures

Fingerprint and Identification Card

Fitness for Duty

FMLA Designation Form

FMLA Medical Certification Form Employee

FMLA Medical Certification Form - Exigency for Military Family Leave

FMLA Medical Certification Form Family Member

FMLA Medical Certification Form - Illness of a Current Service Member for Military Leave

FMLA Medical Certification Form - Illness of a Veteran for Military Caregiver Leave

FMLA Request Form

FRS New Employee Certification

FSLA Acknowledgment Memo


I-9 Employment Eligibility Verification

Injured Worker Prescription

Internship Request


Labor Relations Unified Appeal

Leave Manual

Leave Extension Request

Leave Pool Donations

Last Wages Benefits Designation

Loyalty Oath


Microsoft Training Application


Nepotism and Conflict of Interest Disclosure - Applicant

Nepotism and Conflict of Interest Disclosure - Panelists and Hiring Managers

Nepotism Statement of Understanding

New Hire Package

Non-disclosure Affidavit


One-Time Deduction

One-Time Earnings

Outside Employment


Paid Parental Leave Request

Pay Plan

Performance Evaluation - Employee

Performance Evaluation - Field

Performance Evaluation - Management/Professional

Performance Evaluation - Supervisory

Personnel and Payroll Reference

Personnel Change Request

Political Activities of County Officers and Employees

Position Evaluation

Position Questionnaire

Professional Training Application

Public Records Request

Political Activities of County Officers and Employees


Reasonable Accommodation Request

Reasonable Suspicion Observation

Record of Counseling Form

Recurring General Deduction Enrollment

Request for Classification Action

Request for Working Out of Class Pay

Reasonable Accommodation Request

Reasonable Accommodation Manual


Security Request

Sick Leave Conversion Election Form

Sick Leave Conversion Payment Request

Special Earned Leave Pool

Supervisory Certification Program Application


Telecommuting and Return to the Workplace

Telecommuting and Work From Home Agreement

Telephone Reference Check

Transition Resource Guide

Tuition Refund Approval

Tuition Reimbursement Claim Form

Tuition Refund Educational Institutions Disclosure

Tuition Refund Processing Checklist


Verification of Employment List

Volunteer/Internship Agreement

Voucher Request


W-4 Employees Withholding Allowance

Whistleblowing Information


Human Resources

Arleene Cuellar, Director

Stephen P. Clark Center
111 NW 1st Street,
21st Floor
Miami, FL 33128

Contact Us