| Form Title |
When/How to Use |
2008 Earned Income Credit
W-5 |
This form must be filled out on a yearly basis if you are claiming the Earned Income Credit throughout the year. This form can be filled out on-line. |
| 2008 Federal Withholding W-4 |
This form must be used to change your Federal withholdings. This form can be filled out on-line. |
| AZ State Withholding A-4 |
This form must be used to change your State Withholdings.
This form can be filled out on-line. |
| Application for Educational Assistance |
This form must be used by regular status employees requesting Educational Assistance in accordance with Judicial Merit Rule 412. |
| ASRS Change of Beneficiary |
This form must be used to change your beneficiary for the Arizona State Retirement System. |
| *ASRS Change of Name or Address |
This form must be used to change your name or address for the Arizona State Retirement System. |
| *Basic
Life Insurance Change |
This
form must be used to change your name or address on
the Basic Life Insurance. |
| CORP Change of Name or Address |
CORP change of Name. |
| CORP Change of Beneficiary |
CORP change of Beneficiary. |
| Delta Dental Claim Form |
Delta Dental Claim Form |
| Direct Deposit Form |
This form may be used by an employee to request, change or cancel a direct deposit. |
| Elected Officials Name or Address Change: |
Elected Officials Name or Address Change: |
| Elected Officials Change of Beneficiary |
Elected Officials Change of Beneficiary |
| Flexible
Spending Account Healthcare Reimbursement |
This
form must be used to submit a reimbursement claim on
your flexible spending account - healthcare. |
| Elected Officials Name or Address Change: |
Elected Officials Name or Address Change: |
| Elected Officials Change of Beneficiary |
Elected Officials Change of Beneficiary |
| FMLA Request for Leave |
This form may be used by an employee to request Family and Medical Leave in accordance with Judicial Merit Rule 411. |
| FMLA Medical Certification Form |
This form should be used by employees required to submit medical documentation in support of a request for FMLA leave in accordance with Judicial Merit Rule 411(F). |
| General Grievance Form |
This form and instructions may be used to file a general grievance. |
| Holiday Calendar for
2008 |
This form will provide you with all of the paid holiday dates for 2008. |
| ICMA Change of Name, Marital Status, Beneficiary Changes: |
ICMA Change of Name, Marital Status, Beneficiary Chages |
| *Lincoln Financial Group Insurance Company Voluntary Group Insurance Change Request Form |
This form should be submitted if you are a benefits eligible employee, enrolled in voluntary life insurance, and wish to change your name, address or beneficiary. |
| Mail
Order Prescription Form |
This
form may be used to order your prescriptions through
the mail. |
| Medical Claim Form |
Medical Claim Form |
| Nationwide Beneficiary Change Form: |
Nationwide Beneficiary Change Form |
| Outside Employment Request |
This form is to be used by employees seeking permission to perform outside employment in accordance with Judicial Merit Rule 503. |
| Payroll Calendar for
2008 |
This form will provide you with beginning and ending date for payroll periods and payroll distribution dates for 2008. |
| *Personal Information Change & Emergency Contact Information Update Form |
This form must be submitted whenever you have a name, address or phone number change. Please note: If you are submitting for a name change, you must provide proper documentation, i.e. marriage license, divorce decree, etc. |
| Request to Use PTO |
This form should be completed and submitted to your supervisor and/or your division head at least one week in advance of using PTO. |
| Request to Use EIB |
This form should be used by employees requesting to use EIB leave in accordance with Judicial Merit Rule 403. Employees should submit the form to their Division Head for approval and attachment to the timesheet. |
| Unlawful Harassment Grievance Form |
This form and instructions may be used to file a grievance pertaining to unlawful harassment. |
| Volunteer Registration Form |
To be completed when volunteering with the courts. |
