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Forms for City Service


IMPORTANT!

Most of the Microsoft Word documents are formatted with fillable fields and should be completed using Microsoft Word. If you complete a form by hand, print the Adobe PDF version of the document and not the Microsoft Word version.


 

 

  1. Absence Analysis Calendar (AAC):2021: MS Word / Adobe PDF  2022: MS Word / 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: http://www.cmers.com/Library/Forms.htm

  5. Biweekly Commuting Miles, City of Milwaukee (CBP-194R, R. 01/00): 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. 03.03.21):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 2/00): MS Word / Adobe PDF

  11. Dental Enrollment Form: MS Word Adobe PDF

  12. Direct Deposit Form

  13. Disciplinary Appeals to the City Service Commission

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

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

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

  17. Exit Interview:  https://forms.office.com/g/5QnXfb27c9

  18. Favorable Occurence Commendation (CS-77, R 3/07): MS Word / Adobe PDF

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

  20. FMLA Toolkit: Forms, Policy and Information  

  21. Funeral Leave, Application for (CBP-155, R 10/05)

  22. Grievance Forms:

  23. Health Enrollment Form (Instructions)MS Word /  Adobe PDF 
     
  24. Hiring Packet (you will be redirected to the MINT) 

  25. Injury Pay / Worker's Compensation Benefit, Application for (CBP-156A, R. 12/12)

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

  27. I-9 Form and Instructions

  28. Job Description (CS-25, R. 11/14)

  29. Jury Duty, Application for (C-139RS, R 4/05)

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

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

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

  33. MENTOR Greater Milwaukee Volunteer Time Off Request and Verification Form

  34. Military Training Leave, Riot or Civil Disturbance Duty, Pay Request for (CS-11, R. 4/13):  MS Word / Adobe PDF

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

  36. Pay Progression: 2018 Toolkit

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

  38. Performance Improvement Plan (PIP)

  39. Political Activity Policy

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

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

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

  43. Promotion without Competitive Examination (Rule IV, Sect. 9), Request for (CS-92, R 6/20): MS Word / Adobe PDF

  44. Provisional Apointment (r.12/20)-Adobe PDF

  45. Provisional Appointee Statement of Understanding (r. 12/20) - Adobe PDF

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

  47. Reinstatement, Request for (R 12/13):  To request Reinstatement print and complete both of the following forms:
     
    • Request for Reinstatement (not for use by Fire or Police)
    • Reinstatement Job Application (3.1.21)
      • If you have been separated from City service for less than 1 year, submit the required documents to:  DER-Certification Section, City Hall, Room 706, Milwaukee WI 53202-3515.
      • If you have been separated from City service for more than 1 year, submit the required documents to:  City Service Commission,  ATTN: Karen Biernat, City Hall, Room 706, Milwaukee WI 53202-3515.
  48. Removal from Eligible List (appeal form):  MS Word / Adobe PDF
     
  49. Request for Approval of AND Promotion After Underfill (Rule IV, Sect. 6) (CS-107, R 7/20): MS Word / Adobe PDF
     
  50. Request for Military Training Leave, Riot or Civil Disturbance Duty (CS-11, R 9/02; pg 2 R 11/03): MS Word / Adobe PDF

  51. Request for Optional Holiday (06.12.14):  MS Word  /  Adobe PDF

  52. Request for Selective Certification Authorization (CS-64, R 11/06):  MS Word / Adobe PDF

  53. Residency Related Forms:

  54. Resignation Form (CBP-123, R. 10.04.21): MS Word / Adobe PD

  55. Safety Glass Prescription Order Form (R. 07.01.21) 

    • 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)
  56. Safety Orientation Checklist: Adobe PDF

  57. Selective Certification Authorization, Request for (CS-64, R 11/06):  MS Word / Adobe PDF

  58. Separation Notice (non-disciplinary)  (06.05.19):  MS Word  /  Adobe PDF

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

  60. Sick Leave (Medical) Certification (CBP-157, R. 03/14/14):  Adobe PDF

  61. Statement of Economic Interest

  62. Suspension Notice (CS-82, R 06.04.19): MS Word / Adobe PDF

  63. Temporary Appointment Forms (memo to departments 09.04.14)

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

  65. 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
  66. Tuition Benefit Application Instructions and Administrative Guidelines

  67. Verbal Warning (CS-78, R 03/07): MS Word / Adobe PDF

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

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

  70. Worksite Assessment Form (R 11/05): Adobe PDF

  71. Written Warning (CS-79, R 7.11/19): MS Word / Adobe PDF

  72. W-2 Form, Request for (C-403r7, R 02/21):  Adobe PDF

  73. W-4 Form (2022): Adobe PDF   (submit to your payroll personnel after completion)

  74. WT-4 Form (R 12/21) Employees Withholding Exemption Certificate/New Hire Reporting:  Adobe PDF

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