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Employee Forms
CRA Retirement
401(a) 3% Mandatory Contribution Plan
- 401(a) Beneficiary Change Form (PDF) - beneficiary can also be changed online
- 401(a) Enrollment Form - must be obtained at the human resources office
- Distribution / Direct Rollover Request Form (PDF)
- Electronic Funds Transfer Form (PDF)
- Incoming Transfer / Direct Rollover Form (PDF)
- Personal Information Change Request Form (PDF)
- 401(a) Loan Application Form (PDF)
- 401(a) Salary Deferral Agreement - visit CRA’s website for the current form.
457 Optional Contribution Plan is a before tax plan and the county will match up to an additional 2% contribution.
- 457 Beneficiary Change Form (PDF) - beneficiary can also be changed online
- 457 Enrollment Form (PDF)
- Catch-Up Form (PDF)
- Distribution / Direct Rollover Request Form (PDF)
- Electronic Funds Transfer Form (PDF)
- Incoming Transfer / Direct Rollover Form (PDF)
- Personal Information Change Request Form (PDF)
- Roth 457 Provision (PDF)
- 457 Loan Application (PDF)
- 457(b) Paycheck Contribution Election Form
- Visit CRA’s website for all most current forms
Checklists
Flex Compensation
Please note that reimbursement forms should be faxed to the number listed on the respective form.
- Gunnison Community & Aquatics Center (PDF)
- Peak Fitness (PDF) - Now 24/7 Fitness
Life Insurance
Payroll
- Munis ESS Quick Guide for Users (PDF)
- Employee Information Change Form (PDF)
- W-4 Form (PDF)
- Direct Deposit Form (PDF)
- County Sewer/Water Payroll Deduction Authorization (PDF)
Personnel Actions
Process completed through Laserfiche Workflow
Sick Leave
Workers’ Compensation
Employee Forms:
- Employee’s First Report of Injury (PDF)
- Instructions for Employee’s First Report of Injury (PDF)
- Designated Medical Provider List (PDF)
- Employee’s Authorization for Release of Medical Information (PDF)
Supervisor Forms:
- Supervisor’s Report Statement (PDF)
- Statement of Safety (PDF) - must be completed before modified duty can be accepted