Forms for City Employees

Updated 04/25/12   Refresh/reload this page often. Questions? Click here to send an Email message.

Many of the MS WORD forms are formatted so that you type the information directly on the form, then print it.  If you prefer to complete a form "by hand" please use the Adobe PDF version.   Move your cursor to the first box or "field." Type the information and press the "tab" key to move to the next box. Place an "x" in check boxes.

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• Absence Analysis Calendars:
  • 2012:  MS Word / Adobe PDF  (Revised 12/01/11)
  • 2011:  MS Word / Adobe PDF
  • 2010:  MS Word / Adobe PDF
  • 2009:  MS Word / Adobe PDF
  • 2008:  MS Word / Adobe PDF
  • 2007:  MS Word / Adobe PDF
• Accident to Employee Under Worker's Compensation Act, Report of (EB-49, R 10/06): MS Word   (Click here for instructions regarding the EB-49 form; R 10/05)
• Appeal Forms:
  • Disciplinary:  Adobe PDF
  • Removal from Eligible List:  MS Word / Adobe PDF
• Biweekly Commuting Miles, City of Milwaukee (CBP-194R, R. 01/00):  MS Word  /  Adobe PDF
• Budget Administration Forms (must have MINT access): click here
• Classification Related Forms and Guidelines: click here
• Complaint Form, Employee (for use by City employees only) (R. 10/09):  Adobe PDF
• Daily Automobile Allowance Record (CBP-139, R 2/00): MS Word / Adobe PDF
• Dental Enrollment Form: MS Word / Adobe PDF
• Discipline and Grievance Procedure for General City Employees: Adobe PDF
  • Initiation Form:  MS Word / Adobe PDF
  • Appeal Form:  MS Word / Adobe PDF
  • Disposition Form:  MS Word / Adobe PDF
• Disciplinary Reduction (Demotion) Notice (CS-113, R 2/12): MS Word / Adobe PDF
• Direct Deposit Form (C-457R4, 04/2006):Adobe PDF
• Discharge Notice (CS-81, R 2/12): MS Word / Adobe PDF
• Disease Management Co-Pay Reimbursement Form:  MS Word / Adobe PDF
• Engineering Merit Increment Application (R 4/07): MS Word / Adobe PDF
• Equal Rights Commission Complaint Form: Adobe PDF
• Expenses Incurred, Statement of (CBP-211, R 10/05): MS Word / Adobe PDF
• Favorable Occurance Commendation (CS-77, R 3/07): MS Word / Adobe PDF
• Flexible Choices Program Forms and Information:  2012
• FLSA Exemption Worksheet (all tests): MS Word / Adobe PDF
• FMLA Related Forms and Information:  click here
• Funeral Leave, Application for (CBP-155, R 10/05): MS Word / Adobe PDF
• Furlough, Mandatory:
  • Payroll Reporting Form for Hours in Mandatory Furlough Week (FRL-1; 3/26/12):  MS Word / Adobe PDF
  • Policy and Administrative Guidelines:  Adobe PDF
• Grievance Forms:
  • Grievance Form, Fire Department (CC-233, R. 11/07): MS Word / Adobe PDF
  • Grievance Form, Fire Department, Bureau of Construction and Maintenance (CC-234, R. 11/07): MS Word / Adobe PDF
• Grievance Procedure, Workplace Safety (General City):  click here
• Health Enrollment Form:  MS Word /  Adobe PDF  (click here for instructions)
  • Click here for 2011 Health Insurance Information.
• Hiring Checklist (R 5/11): Adobe PDF
  • Safety Orientation Checklist: Adobe PDF
• I-9 Form and Information:  I-9 forms must be completed online at www.newI9.com.  Please give the new hire a copy of the employee instructions: click here.    I-9's must be completed with three (3) day of starting.
• Job Description (CS-25, R. 12/09): click here
• Job Performance Improvement Plan, Employee: MS Word / Adobe PDF
• Jury Duty, Application for (C-139RS, R 4/05): click here
• Leave of Absence, Request for (CBP-129, R 11/10): MS Word / Adobe PDF
• Long-Term Disability Forms and Information:  2010  /  2011
• Management Performance Planning and Review Forms: click here to access the forms listed below
  • Management Annual Increment Form
  • Employee Job Performance Plan, Sample Competencies
  • Nomination for Exceptional Achievement Award
  • Professional Development Award Application
  • Performance Dispute Resolution Process and Form
• Military Training Leave, Riot or Civil Disturbance Duty, Request for (CS-11, R 9/02; pg 2 R 11/03): MS Word / Adobe PDF
• New Employee Orientation Forms and Information (can only be accessed via the City's Intranet):  Go to http://mint.milwaukee.gov and click on Employee Resources, then on New Employee Orientation.
• Office Support Continuing Education Incentive Program - Guidelines and Eligible Job Classifications (ER-300, R 09/2010):  click here
• Payroll Deduction Authorization (CBP-112R, R 4/07): MS Word / Adobe PDF
• Personnel Requisition/Request to Fill (BMD-1): MS Excel
• Probationary Service, Report on (CS-58, R 4/08): MS Word / Adobe PDF
• Procurement Forms (must have MINT access) : click here
• Promotion without Competitive Examination (Rule IV, Sect. 9), Request for (CS-92, R 8/01): MS Word / Adobe PDF
• Reinstatement, Request for (R 02/08): MS Word / Adobe PDF
  • A Reinstatement Job Application must also be completed and attached to the Request for Reinstatement.  Click here to download the application (Adobe PDF only).
• Residency Related Forms and Information:
  • City Residency Requirement: Adobe PDF
  • Finding of Necessity: Adobe PDF
  • Residency Compliance Certification Form: Adobe PDF
• Resignation Form (CBP-123, R 10/07): MS Word / Adobe PDF
• Savings Bonds:  Discontinuation of Program (click here for more information)
• Safety Glass Prescription Order Form (R 02/10):  click here (can only be accessed on the City's Intranet
• Safety Orientation Checklist: Adobe PDF
• Selective Certification Authorization, Request for (CS-64, R 11/06): MS Word / Adobe PDF
• Self-Service Instructions & Information: click here
• Sick Leave Certification ( CBP-157): Adobe PDF
• Sick Leave or Injury Pay, Application for (CBP-156, R 1/95): MS Word / Adobe PDF
• Suspension Notice (CS-82, R 2/12): MS Word / Adobe PDF
• Temporary or Provisional Appointees Statement of Understanding (CS-114, R 3/07): MS Word / Adobe PDF
• Termination Notice (CS-80, R 2/12): MS Word / Adobe PDF
• Travel Advance, Authorization for (CBP-210, R 10/05): MS Word
• Tuition Benefit/Reimbursement Application:
  • Paper applications are no longer accepted.  Employees must login to employee self-service to apply: click here for more information.
• Underfill, Request for Approval of AND Promotion After Underfill (Rule IV, Sect. 6) (CS-107, R 8/01): MS Word / Adobe PDF
• Verbal Warning (CS-78, R 3/07): MS Word / Adobe PDF
• Waiver Form (Health/Dental): Adobe PDF
• Worksite Assessment Form (R 11/05): Adobe PDF
• Written Warning (CS-79, R 2/12): MS Word / Adobe PDF
• W-2 Form, Request for (C-403 r6, R 3/08): MS Word / Adobe PDF  
• W-4 Form (2012): Adobe PDF
• WT-4 Form (R 11/04) Employees Withholding Exemption Certificate /New Hire Reporting:  Adobe PDF