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The City of Little Rock City Departments
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Forms for City Employees
  • ADA Reasonable Accommodation Request Form  
  • Catastrophic Leave Bank
    • Catastrophic Leave Bank Program 
    • Catastrophic Leave Bank Enrollment Form  
    • Catastrophic Leave Bank Request Form  
  • Classification
  • Direct Deposit Form
  • Disciplinary Action Appeal Hearing Request  
  • Employee Notification System   
  • Employee Recognition
    • Employee Recognition Program
    • Employee of the Year Nomination Form   
  • Employee Suggestion Form  
  • Electronic Communication Policy 
  • Employee Email from Home
  • Grievance Form  
  • HR Matters Newsletter!
    • March 2015
  • Independent Contractor 
    • Employee vs. Independent Contractor Procedure Guideline  
    • Independent Contractor Determination Form 
  • Performance Feedback Appeal Form  
  • Religious Reasonable Accommodation Request Form 
  • Short-Term Disability Leave Request Form  
  • Time Sheets
    • Part-Time Employees Time Sheet 
    • TempStaff Weekly Time Sheet
  • Tuition Aid Application  
  • Vendor Request Form  
  • W-2 Reprint Request
  • War Memorial Fitness Center Enrollment  

Forms for Supervisors

  • Background Questionnaire - Applicant  
  • Background Disclosure for Rehires  
  • Disciplinary Action Forms
    • Pre-Termination Hearing Notice  
    • Demotion Form   
    • Oral Reprimand Form   
    • Suspension Form    
    • Termination Form   
    • Written Reprimand Form   
  • Drug Testing Forms
    • Baptist Health Authorization Form 
    • DOT - Collection Site Information Sheet   
    • NON-DOT Collection Site Information Sheet   
    • Reasonable Suspicion Training List 
    • Reasonable Suspicion Documentation Form   
  • Employee Assistance Program Mandated Referral   
  • Merit Pay Information
    • Merit Pay Plan - June 2009   
    • Merit Pay Procedure Briefing - October 2009   
    • Merit Increase Rating Form   
    • Merit Increase Rating Source Notification   
    • Work Plan Goals and Objectives Planning   
    • Work Plan Goals and Objectives Rating Form   
  • Performance Evaluation Forms
    • Performance Evaluation Form 2014 
    • Performance Feedback - Non-Supervisor/Non-Management   
    • Performance Feedback - Supervisor/Management   
    • FLSA Questionnaire for Non-Exempt Employees  
  • Pool Car Trip Ticket  
  • Status Change/Request for Personnel  
  • Termination Clearance Form   
  • Vehicle Out of Town Request    
  • Violence in the Workplace    
  • Workers' Compensation Forms
    • Authorized Medical Facilities for Work Related Injuries 
    • Form N - Employee's Notice of Injury (please print double sided)
    • Modified Duty Form   
    • Supervisor's Accident Report



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