Fairbanks North Star Borough
	Human Resources

 

Employee Information

Forms

• Change of Address / Phone or Other Personal Information
• Fillable Change of Address / Phone or Other Personal Information
• Conflict of Interest Forms
  • COI - Contract Disclosure Form
  • COI - Gift Disclosure Form
  • COI - Outside Employment Disclosure Form
• Deferred Compensation Forms
  • ICMA Forms are available on their website
  • Hartford Forms are available on their website
  • Hartford Change Form
  • Nationwide (NACO) Forms are available on their website
• Dependent Care Forms (See Flexible Spending Accounts below)
• Direct Deposit Authorization Form
• EAC - Employee Activity Committee Deduction Form
• Employee First Aid Injury / Incident Report Form
• Employee of the Month Nomination Form
• Family Medical Leave Request Form (FMLA)
  • FMLA Doctor's Certification Forms must be requested through HR
• Fitness for Duty Form
Flex Spending / Dependent Care Forms
• Flexible Spending Accounts 2013 Claim Form
• Flexible Spending Accounts 2013 Enrollment Form   
• Flexible Spending Accounts 2012 Claim Form
Flexible Work Option Request Form
Health Related & Claim Forms
• Caremark Prescription Drug Forms
• Claim Forms - WPAS Medical/Dental/Vision/Prescription
• Claim Form - VSP Out-of-Network Effective January 2013
• Health Plan Enrollment Form
• WPAS Travel Preauthorization Form
How I Would Like to be Paid Form
Leave Cash-In Form
Leave Donation Authorization Form
Leave Donation Request Form
Management Related Forms
• Applicant Evaluation Form
• Background Investigation Release Form
• Bloodborne Pathogen Vaccination Form
• Computer Use Form
• Counseling Forms
  • APEA - Oral Counseling Form
  • Laborers' Discipline Form
  • Other - Counseling Form
• Drug Free Workplace Statement Form
• Employee First Aid Injury / Incident Report Form
• Exit Processing Form
• Facility User Injury / Incident Report Form
• Flexible Work Option Request Form
• Health Questionaire
• I-9 Form
• Merit Pay Application Form
• Motor Vehicle Accident Forms
• Performance Evaluation Form
• Position Description Questionnaire Form
• Recruitment Requisition Form
• Reference Check Form
• Temporary Pool Request Form
• Temporary Pool Worker Evaluation Form
• Work Improvement Plan
Motor Vehicle Accident Forms
• Motor Vehicle Accident (MVA) Report Form
• Supervisor's Investigation of MVA Form
Non-Injury Incident Report
Overtime / Comp Time Authorization Form
PERS Beneficiary Form
• Tiers I, II & III
• Tier IV
Position Description Questionnaire Form
Release of Employment Information Authorization Form
ReliaStar Change of Beneficiary Form
ReliaStar Supplemental & Dependent Enrollment Form
Report of Occupational Injury or Illness Forms
• Report of Occupation or Illness Form
Report a Safety Concern Form
Retirement - PERS Beneficiary Forms (see PERS Beneficiary Form above)
Sick Leave Bank Sign Up Form
Sick Leave Bank Withdrawal Request Form
Time Sheet Form
TimeKeeper Summary Sheet Form
Vehicle Expense Report Form
Vehicle Fleet 1 Pin Authorization Form
Vehicle Record of Gas Purchase Form
W-2 "Duplicate" Request Form
W-4 Form
W-5 Form