City Service Forms

Forms for City Service

1. Absence Analysis Calendar (AAC):

• 2022: Adobe PDF
• 2023: Adobe PDF
• 2024: Adobe PDF

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

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

3. Beneficiary Change Form (for active employees), Pension and Life Insurance: http://www.cmers.com/Library/Forms.htm

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

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

6. Classification Related Forms and Guidelines

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

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

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

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

11. Disciplinary Appeals to the City Service Commission

    • Guidelines (R. 4.27.23)

    • Appeal Form: MS Word  /  Adobe PDF

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

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

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

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

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

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

18. FMLA Toolkit: Forms, Policy and Information  

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

20. Funeral Leave due to Miscarriage, Attestation Form for

21. Grievance Forms:

    • Discipline and Grievance Procedure for General City Employees (R. 07.12.22):  Adobe PDF
      • Initiation Form (R. 05.31.16):  MS Word / Adobe PDF
      • Appeal Form (R. 02.23.15):  MS Word / Adobe PDF
      • Disposition Form (R. 02.23.15):  MS Word / Adobe PDF
    • Grievance Procedure, Workplace Safety (General City) (R. 10.2011):  Adobe PDF
      • Initiation Form (R. 8.2012):  MS Word / Adobe PDF
      • Disposition Form (R. 8.2012):  MS Word / Adobe PDF
      • Request for Review (Appeal) Form (R. 8.2012):  MS Word / Adobe PDF
    • Grievance Form, Fire Department (CC-233, R. 1.2019): MS Word / Adobe PDF

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

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

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

25. I-9 Form and Instructions

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

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

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

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

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

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

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

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

34. Pay Progression: 2018 Toolkit

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

36. Performance Improvement Plan (PIP)

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

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

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

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

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

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

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

44. Reinstatement, Request for (R. 12.2013):  To request Reinstatement print and complete both of the following forms:
     
    • Request for Reinstatement (not for use by Fire or Police)
    • Reinstatement Job Application (R. 3.1.21)
      • ALL reinstatement paperwork should go to: DER-Certification Section, City Hall, Room 706, Milwaukee, WI 53202-3515
45. Removal from Eligible List (appeal form):  MS Word / Adobe PDF
     
46. Request for Approval of AND Promotion After Underfill (Rule IV, Sect. 6) (CS-107, R. 7.2020): MS Word / Adobe PDF
     

47. Request Form and Guidelines for Optional Holiday (R. 12.13.2022): Adobe PDF

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

49. Residency Related Forms:

    • Residence Statement Form (5.9.18):  MS Word / Adobe PDF

    • Temporary Hardship Form (8.07.13):  MS Word  /  Adobe PDF

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

51. 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)

52. Safety Orientation Checklist: Adobe PDF

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

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

    • Separation Notice: MS Word  /  Adobe PDF

    • Appeal Form: MS Word  /  Adobe PDF

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

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

57. Statement of Economic Interest

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

59. Temporary Appointment Forms (memo to departments 09.04.14)

    • Notice of Temporary Appointment (R. 07.08.19):   Adobe (Fillable) PDF 
    • Temporary Appointee Statement of Understanding (R. 09.04.14):  MS Word /Adobe PDF

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

61. 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

62. Tuition Benefit Application Instructions and Administrative Guidelines

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

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

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

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

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

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

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

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