MESD Forms for Employees
 
This list of forms will be continually updated and expanded. If you would like to make suggestions for additions, your feedback is welcome. These standard forms my be printed directly from your browser. You must have Acrobat Reader™ software installed on your machine to download some of the forms. If you don't have it yet, Download It now.

Address & Name Changes:
Address Change
For Name Changes we need to see your new Social Security Card
& a New W-4 is required - Please come in to HR

American Fidelity:
http://afadvantage.com

Career Development:
AFSCME Plan Form
AFSCME Plan Completion Form

Compensatory Time Record:
Comp Time Log

Criminal History Form:
Criminal History

Education Advance:
Education Credit For Specialty Licenses
Salary Advancement Request

Emergency Forms:
Employee Emergency Information Slip

Evaluation Forms:
AFSCME Job Description/Performance Standard
OEA Job Description/Performance Standard
Professional Development Plan
Supervisor Evaluation
Pre-Evaluation Goal Setting Conference (Supervisors)

Insurance Forms:
OEBB Enrollment / Change Form
Affidavit of Domestic Partnership

Leave Requests:
What To Do When Taking Leave
MESD Leave Request form #103a
OFLA/FMLA MESD Leave Request Form #103b

Payroll Forms:
Direct Deposit
I-9 - Employment Eligibility Verification
W-4 - Employee's Withholding Allowance Certificate
W-2 Duplicate Copy Request Form
MESD Paycheck/Advice Stub Descriptions

Work Injury or Illness Reporting Packet:
Incident Investigation Worksheet
Incident Reporting, 801 Form, Return to Work Form & Instructions
Incident Analysis Report (IAR) - Log in, Click on 'Forms', Click on Safety Incident
Incident Analysis Instructions Page

Time Sheets:
How to use Timecard On-Line
Temporary Employment Time Sheet (Green)

Training:
Reimbursement Requests for Employee-Initiated Professional Training:
Confidential Non-Contracted, Confidential Contracted,
Supervisors, Administrators

AFSCME Members
OEA Members

 
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© 2004-2011 Multnomah ESD, Mailing address is P.O. Box 301039, Portland, OR 97294-9039, 11611 NE Ainsworth Circle, Portland OR 97220, Phone: 503-255-1841, Fax: 503-257-1519
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