City Service Forms

Forms for City Service

  1. Absence Analysis Calendar (AAC): 2021: MS Word / Adobe PDF  2022: MS Word / Adobe PDF 2023: Adobe PDF

  2. Accrued Time-Off Donor Program: Forms, Guidelines and Instructions

  3. Automobile Allowance Form (Private) Information Sheet (CBP-138): MS Word

  4. Beneficiary Change Form (for active employees), Pension and Life Insurance:

  5. Biweekly Commuting Miles, City of Milwaukee (CBP-194R, R. 1/2000): MS Word  /  Adobe PDF

  6. Budget Administration Forms (you will be redirected to the MINT)

  7. Classification Related Forms and Guidelines

  8. Complaint Form, Employee (for use by General City employees only) (R. 3.3.21): MS Word

  9. Daily Report of "Time Off" Worked or Taken Off (CBP-171)  MS Word Adobe PDF

  10. Daily Automobile Allowance Record (CBP-139, R 2.2000): MS Word / Adobe PDF

  11. Direct Deposit Form (download and save the form after clicking the link in order to use as a fillable document)

  12. Disciplinary Appeals to the City Service Commission

  13. Disciplinary Reduction (Demotion) Notice (CS-113, R 06.05.19): MS Word / Adobe PDF

  14. Discharge Notice (CS-81, R 01.07.21): MS Word / Adobe PDF

  15. Employee Accident-Worker's Compensation Claim:  For more information click here.

  16. Exit Interview:

  17. Favorable Occurence Commendation (CS-77, R 5.2023): MS Word / Adobe PDF

  18. FLSA Exemption Worksheet (all tests): MS Word / Adobe PDF

  19. FMLA Toolkit: Forms, Policy and Information  

  20. Funeral Leave, Application for (CBP-155, R 5.2022)

  21. Funeral Leave due to Miscarriage, Attestation Form for

  22. Grievance Forms:

  23. Hiring Packet (you will be redirected to the MINT) 

  24. Injury Pay / Worker's Compensation Benefit, Application for (CBP-156A, R. 12.2012)

  25. Internal Job Announcement Template: MS Word / Adobe PDF

  26. I-9 Form and Instructions

  27. Job Description (CS-25, R. 11.2014)

  28. Jury Duty, Application for (C-139RS, R 4.2005)

  29. Leave of Absence, (Request for R. 01.17.20): MS Word / Adobe PDF

  30. Leave of Absence, (Exempt Employees Request for): R. 01.17.20 MS.Word / Adobe PDF

  31. Management Performance Planning and Review Form (Employee Job Performance Plan, Sample Competencies)

  32. MENTOR Greater Milwaukee Volunteer Time Off Request and Verification Form (R. 10.31.2022)

  33. Military Training Leave, Riot or Civil Disturbance Duty, Pay Request for (CS-11, R. 4.2013):  MS Word / Adobe PDF

  34. New Employee Orientation (2021) Forms and Information (you will be redirected to the MINT)

  35. Pay Progression: 2018 Toolkit

  36. Payroll Deduction Authorization (CBP-112R, R 01.03.20): MS Word / Adobe PDF

  37. Performance Improvement Plan (PIP)

  38. Probationary Service, Report on (CS-58, R 04.07.17): MS Word / Adobe PDF

  39. Professional Development Award Application (R. 9.21.16):  MS Word

  40. Promotional Guidance and Materials-Internal (you will be redirected to the MINT)

  41. Promotion without Competitive Examination (Rule IV, Sect. 9), Request for (CS-92, R 6.2020): MS Word / Adobe PDF

  42. Provisional Apointment (R. 12.2020)-Adobe PDF

  43. Provisional Appointee Statement of Understanding (R. 12.2020) - Adobe PDF

  44. Purchasing Forms (you will be redirected to the MINT)

  45. Reinstatement, Request for (R. 12.2013):  To request Reinstatement print and complete both of the following forms:
  46. Removal from Eligible List (appeal form):  MS Word / Adobe PDF
  47. Request for Approval of AND Promotion After Underfill (Rule IV, Sect. 6) (CS-107, R. 7.2020): MS Word / Adobe PDF
  48. Request Form and Guidelines for Optional Holiday (R. 12.13.2022): Adobe PDF

  49. Request for Selective Certification Authorization (CS-64, R 11.2006):  MS Word / Adobe PDF

  50. Residency Related Forms:

  51. Resignation Form (CBP-123, R. 2.14.23):  Adobe PDF

  52. Safety Glass Prescription Order Form (R. 5.5.23)  

    • Please print the form only as needed as the form is subject to change at any time and only the most recent version should be used. The completed form must be signed by both the Supervisor and Nilsa Rosado-Jurkiewiecz, Worker's Compensation Manager - Dept. of Employee Relations.
    • Prescription Safety Glass Policy (R. 02.06.15)
  53. Safety Orientation Checklist: Adobe PDF

  54. Selective Certification Authorization, Request for (CS-64, R. 11.2006):  MS Word / Adobe PDF

  55. Separation Notice (non-disciplinary) (5.15.23) 

  56. Sick Leave, Application for (CBP-156, R. 10.20.20), Absence Due to Illness:  MS Word Adobe PDF

  57. Sick Leave (Medical) Certification (CBP-157, R. 03.14.14):  Adobe PDF

  58. Statement of Economic Interest

  59. Suspension Notice (CS-82, R. 06.02.22): MS Word / Adobe PDF

  60. Temporary Appointment Forms (memo to departments 09.04.14)

  61. Termination During Probation Notice (CS-80, R 06.05.19): MS Word / Adobe PD

  62. Travel Expense Forms and Guidelines (you will be redirected to the MINT)

    • CPB-210:  Authorization for Travel Advance
    • CBP-211:  Statement of Expenses Incurred
    • CTE-001:  Conference and Training Evaluation
    • TRF-001:  Request for Travel on Behalf of City of Milwaukee
    • Travel Policy Overview
    • Travel Guidelines
  63. Tuition Benefit Application Instructions and Administrative Guidelines

  64. Verbal Warning (CS-78, R. 03.2007): MS Word / Adobe PDF

  65. Volunteer Time Off Program Policy : Volunteer Time Off Request & Verification Form

  66. Waiver Form (for Health and Dental): Adobe PDF

  67. Worksite Assessment Form (R. 11.2005): Adobe PDF

  68. Written Warning (CS-79, R. 05.25.22): MS Word / Adobe PDF

  69. W-2 Form, Request for (C-403r7, R. 2.2021):  Adobe PDF

  70. W-4 Form (2023): Adobe PDF (submit to your payroll personnel after completion)

  71. WT-4 Form (R 12.2021) Employees Withholding Exemption Certificate/New Hire Reporting:  Adobe PDF

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E-mail: [email protected]
(414) 286-2108

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