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Open Enrollment Forms
- 07212 Summary of Benefits Base (PDF)
- 07212 Summary of Benefits Buy Up (PDF)
- 2021 Benefit Guide 10.15.2020 (PDF)
- 2021 City OE Worksheet 10-21-20 Fillable (PDF)
- AICK_4 Enrollment (PDF)
- BCBS Change Form (PDF)
- BCBS Dental BASE Summary (PDF)
- BCBS Dental BUYUP Summary (PDF)
- BCBS Enrollment Form (PDF)
- SBC Uniform Glossary (PDF)
- Superior Enrollment (PDF)
Employment Management Forms
- 2014 Salary Scales 6-22-14 (XLSX)
- Comp Plan Updated Adopted 06-19-2013 (PDF)
- Discipline Form 2-7-13 (PDF)
- Employee Cell Phone Allowance Agreement (PDF)
- Incident Investigation Report 2013 (PDF)
- PAR Writeable Form (PDF)
- Performance Appraisal Form 2-5-13 (PDF)
- Time Sheet Blank 2014 (XLSX)
- W 4 2016 (PDF)
Employee Self Service Forms
- Emergency Contact Change Form (DOCX)
- Emergency Contact Change Form (PDF)
- Emporia Fitness Payroll Deduct Enrollment (PDF)
- Health Club Reimbursement Form (PDF)
- K-4 State Withholding if You Want Different From Federal (PDF)
- KPERS Designation of Beneficiary Form (PDF)
- Payroll Direct Deposit (PDF)
- UHC Enrollment Change Form (PDF)
- W4 2017 (PDF)