Personnel Forms

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Management Portal

• ADA Reasonable Accomodation Form
• Cullman Cleaners Enrollment or Cancellation Form
• Direct Deposit of Payroll Form
• Direct Deposit Email Notification Form
• Emergency Contact Form
• Employee Address - Phone and Emergency Information (Changes Only Form)
• Employee Travel Request Form
• Salaried Employee Leave Form
• Leave Request Form
• Leave of Absence Request Form
• Military Education Verification Form
• Sick Time Transfer Form
• Grievance Appeal Form
• FMLA Form - Adoption or Foster Care
• FMLA Form - Employee's Serious Health Condition
• FMLA Form - Employee's Family Member's Serious Heath Condition
• State of Alabama A-4 Form (Withholding Exemption Certificate)
• Federal W-4 Form (Allowance Certificate)
• Payroll Deduction Form
• Insurance and Payroll Deduction Cancellation Form
• Wellness Center Payroll Deduction Form
• Wellness Center Cancellation Form
• Voluntary Resignation Form

Health and Vision Forms

• Health Insurance Dependent Change Form
• Health Insurance Enrollment Form
• BCBS General Prescription Request Form