The following forms are available in text format for printing, filling-out and submitting to the Superior Court HR office. If you don't have the Acrobat Reader you will need to download it from the link below in order to view these forms.
| Form Title |
When/How to Use |
| 2013 Federal Withholding W-4 |
This form must be used to change your Federal withholdings. This form can be filled out on-line. |
| 2013 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 County Admin Procedure 11-1(II 12). |
| ASRS Change of Beneficiary |
This form must be used to change your beneficiary for the Arizona State Retirement System. |
| *ASRS Change of Name |
This form must be used to change your name 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 |
This form must be used to change your name or address through AOC-Corrections Officer Retirement System. |
| CORP Change of Beneficiary |
This form must be used to change your beneficiary through AOC-Corrections Officer Retirement System. |
| Court Reporter Transcript Invoice Summary Sheet |
To be completed by Court Reporters submitting invoices for transcripts not ordered by a Superior court Judge. |
| 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 Retirement System Name or Address Change. |
| Elected Officials Change of Beneficiary |
Elected Officials Retirement System Change of Beneficiary. |
| Employee Time Sheet |
To be completed every pay period |
| Flexible
Spending Account Claim Form |
This
form must be used to submit a reimbursement claim on
your flexible spending account. |
| General Grievance Form |
This form may be used by a regular status employee to file a general grievance. |
| Holiday Calendar for
2012 |
This form will provide you with all of the paid holiday dates for 2012. |
| Holiday Calendar for 2013 |
This form will provide you with all of the paid holiday dates for 2013. |
| ICMA Change of Name, Marital Status, Beneficiary Changes
|
ICMA Deferred Compensation Change of Name, Marital Status, Beneficiary Changes. |
| *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 Deferred Comp Beneficiary Change Form: |
Nationwide Beneficiary Change Form. |
| Nationwide Deferred Comp Name, Address, Deferral Change Form |
This form is to be used when changing your name, address or amount of deferred compensation. |
| 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 2013 |
This form will provide you with beginning and ending date for payroll periods and payroll distribution dates for 2013. |
| *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 two weeks in advance of using PTO. |
| Superior Court Judicial Certification |
This form is used monthly to certify that no cases are submitted for determination that are over 60 days old. |
| Superior Court Commissioner Certification |
This form is used monthly to certify that no cases are submitted for determination that are over 60 days old. |
| 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 by an individual when volunteering with the courts. |
Volunteer Registration Form(under 18) |
To be completed by individuals under the age of 18 when volunteering with the courts. |
