Forms
To digitally sign forms, download and/or open with Adobe PDF Reader.
Return completed forms electronically to HR Scans or email, departmentH@ci.missoula.mt.us, unless otherwise directed.
- Authorization to Release Benefits Information
- Blood Screening Verification
- COBRA, Qualifying Event Form
- Declaration of Domestic Partnership
- Flex, Daycare Reimbursement Contract
- Flex, Debit Card Enrollment Form
- Flex, Direct Deposit
- Flex, Joint Processing Form
- Flex, Limited Purpose Reimbursement Request
- Mutual of Omaha, Beneficiary Designation
- Nationwide, Enrollment/Change Request
- Nationwide, Payroll Authorization Form
- PERS Authorization for Deductions of Health Insurance Premiums
- VALIC, Enrollment/Change Request
Claims
- Comp Time Accrual Request
- Education Reimbursement Request
- Education Reimbursement, Enrollment Approval
- Election Judge Payment Agreement
- Liability Waiver - Dogs
- Parking, Lease Parking Deduction Form
- Parking, Luke Pin Agreement
- Payroll Copy Request
- Payroll Edit Slip Template (XSL)
- Payroll Exempt Edit Slip Template (XSL)
- Payroll, Electronic Forms Authorization
- Telecommuting Agreement, City Required
- Telecommuting Agreement, Voluntary
- Verizon Employee Discount
- Information Guide: Reporting a Workers' Compensation Injury
- Instructions for First Report of Injury or Occupation Disease
- First Report of Injury (Print to sign; return to departmenth@ci.missoula.mt.us)
- Incident Report
- Medical Status Form
- Prescription Payment Authorization
- Temporary Modified Duty Assignment
- Applicant Screening (XSL)
- Authorization to Release Benefits Information
- Blood Screening Verification
- Classification, Request for Review
- COBRA, Qualifying Event Form
- Comp Time Accrual Request
- Declaration of Domestic Partnership
- Donation, Leave Donations
- Donation, Request for Donated Leave
- Education Leave Request
- Education Reimbursement Request
- Education Reimbursement, Enrollment Approval
- Election Judge Payment Agreement
- Employee Status Form
- Excess Annual Leave Plan
- Flex, Daycare Reimbursement Contract
- Flex, Daycare Reimbursement Request
- Flex, Debit Card Enrollment Form
- Flex, Direct Deposit
- Flex, Health FSA Reimbursement Request
- Flex, Joint Processing Form
- Flex, Limited Purpose Reimbursement Request
- Flex, Parking Reimbursement Request
- Flex, Parking/Transportation Enrollment/Change Form
- Flex, Transportation Reimbursement Request
- FMLA Medical Certification
- FMLA Request Form
- FMLA Return to Work Certification
- Health, Medical Claims
- Hiring Status Form
- Interview Confidentiality Agreement
- Interview Question Template (DOC)
- Interview Summary Form
- Leave Adjustment Form
- Liability Waiver - Dogs
- Mutual of Omaha, Beneficiary Designation
- Nationwide, Enrollment/Change Request
- Nationwide, Payroll Authorization Form
- Paid Parental Leave Request
- Pay Exception Request
- Payroll Copy Request
- Payroll Edit Slip Template (XSL)
- Payroll Exempt Edit Slip Template (XSL)
- Payroll, Electronic Forms Authorization
- PERS Authorization for Deductions of Health Insurance Premiums
- Telecommuting Agreement, City Required
- Telecommuting Agreement, Voluntary
- VALIC, Enrollment/Change Request
- Verizon Employee Discount
- Vision, MetLife Claim Form
- Vision, MetLife Enrollment/Change Request
- Volunteer Leave Request Form
- Volunteer Service Agreement
- Worker's Comp, First Report of Injury (Print to sign; return to departmenth@ci.missoula.mt.us
- Worker's Comp, Incident Report
- Worker's Comp, Medical Status Form
- Worker's Comp, Prescription Payment Authorization