Employee Forms

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.

General Forms

Form Title	When/How to Use
2023 Federal Withholding W-4	This form must be used to change your federal withholdings. This form can be filled out on-line.
2023 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).
Conflict of Interest Disclosure	This form is to be completed when disclosing a substantial financial interest in the contract, sale, purchase or service to, or decision by Mohave County.
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.
Direct Deposit Form	This form may be used by an employee to request, change or cancel a direct deposit.
Equal Employment Opportunity Plan Utilization Report	This is a link to the Mohave County Superior Court's Equal Employment Opportunity Plan.
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.
Employment Posters	This is a link to the various employment posters for the Superior Court.
Employee Time Sheet	To be completed every pay period
General Grievance Form	This form may be used by a regular status employee to file a general grievance.
Holiday Calendar for 2023	This form will provide you with all paid holiday dates for 2022.
Mohave County Employee Benefits	This is a link to the Mohave County Benefits webpage which provides information on plan summaries and benefit forms.
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 2023	This form will provide you with beginning and ending date for payroll periods and payroll distribution dates for 2022.
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.
Supervisor’s Report of Industrial Injury	Complete and FAX this report to Risk Management within 24 hours of accident. Fatalities must be reported within 4 hours.
Unlawful Discrimination Complaint Form	This form, and instructions may be used to file a complaint pertaining to unlawful discrimination, harassment or retaliation.
Voice Mail Guide	Mohave County instructions on how to set up a voice mailbox, retrieve messages and forward calls.
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.

Performance Management Forms