Forms
Job Applications
Public Forms
Employee Only Forms
- Accident-Incident Report Form (PDF)
- Authority to Release Private Information Form (PDF)
- Change of Name, Address, Phone, Emergency Contact
- Direct Deposit Authorization Form
- Grievance Form-Complaint Questionnaire (PDF)
- Hours Certification Form for Elected and Exempt Employees (PDF)
- Public Records Exemption Log (PDF)
- Request to Correct or Amend PHI (PDF)
- Revocation of Authorization for Use / Disclosure of PHI (PDF)
- Sick Bank Donation Form
- Sick Leave Conversion Form (PDF)
- Violent Act / Threat Report Form (PDF)
Employment Documents
- I-9 Form and Acceptable Documents
- 2023 W-4
- Idaho W4 2022
- Whitman County Employee Data Sheet
- Direct Deposit Authorization Form
- Distribution of Paychecks and Paystubs
- Email-Internet Policies acknowledgement
- Payroll Deduction Authorization
- Employee Safety Security Orientation Checklist
- New Employee Checklist 2022
Orientation Policies and Procedures
- Overseeing Email Internet Policy
- Personnel Policy Summary 2022
- 2022 Notice of Leave Policies
- Privacy Policy Summary
- HIPAA Privacy Notice
- EEO Policy
- 2022-2023 Equal Employment Opportunity Plan
- Work Place Violence policy
- Reporting Workplace Violence
- Smoking Policy
- Maint Drug Free Workplace Policy
- Anti-Harassment Policy
- Bloodborne Pathogen Exposure Control Plan
- Policy Summary Acknowledgements
- Confidentiality Statement
- Employee Paid Sick Leave Notification
- New Hire Clock In Reference Sheet
Orientation - Retirement
Orientation - Health Insurance and Voluntary Benefits
- Exchange Notice
- CHIP Program Notice
- Medicare NOTICE of CREDITABLE COVERAGE 2023
- Wellness Notice to Employees
- LTC Exemption Criteria
- Salary Redirection Agreement
- Important Notice to New Employees
- Teamster Participant Data Form
- DSA Trusteed document
- Waiver of Medical Coverage
- 2023 Life Flight Enrollment
- Vendor Contact List
- Group Voluntary Life Insurance
- Group Voluntary Short Term Disability Insurance
- The Standard Group Buy-up Long Term Disability Insurance - Booklet
- The Standard Group Voluntary Accidental Death and Dismemberment Insurance Booklet
- 2023 HSA ENROLLMENT FORM