Burlingame, California

Employment Forms


Here are some of the most common forms you may need as an employee. If it's not here, contact HR for the employment forms you need. Search by keyword for what you are looking for, or browse by category.
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Document Center

The Document Center provides easy access to public documents. Click on one of the categories below to see related documents or use the search function.

Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by HEADER in Ascending Order within category

Benefits - Health Benefits7 documents

  • CalPERS Health Enrollment Form HBD12
    document Header CalPERS Health Enrollment Form HBD12
  • Delta Dental Enrollment Form (For Safety Only)
    document Header Delta Dental Enrollment Form (For Safety Only)
  • Dental and Vision Benefit Enrollment Form
    document Header Dental and Vision Benefit Enrollment Form
  • Flexible Spending Arrangement Guide
    document Header Flexible Spending Arrangement Guide
  • Health & Daycare FSA Expense Estimation Worksheet
    document Header Health & Daycare FSA Expense Estimation Worksheet
  • Medical Coverage Waiver
    document Header Medical Coverage Waiver
  • Navia Benefit Cool Features Flyer
    document Header Navia Benefit Cool Features Flyer

Benefits - Life Insurance4 documents

  • Beneficiary Designation - Life Insurance
    document Header Beneficiary Designation - Life Insurance
  • Cigna Additional Life Insurance Enrollment Form
    document Header Cigna Additional Life Insurance Enrollment Form
  • Term Life and Accident Insurance Booklet
    document Header Term Life and Accident Insurance Booklet
  • Voluntary Term Life Insurance Overview
    document Header Voluntary Term Life Insurance Overview

Benefits - Other5 documents

  • Deferred Compensation Enrollment Form
    document Header Deferred Compensation Enrollment Form
  • Flexible Spending Arrangement Enrollment Form
    document Header Flexible Spending Arrangement Enrollment Form
  • Professional Development Reimbursement Request
    document Header Professional Development Reimbursement Request
  • Tuition Reimbursement - Advanced Authorization
    document Header Tuition Reimbursement - Advanced Authorization
  • Tuition Reimbursement - Expense Reimbursement Request
    document Header Tuition Reimbursement - Expense Reimbursement Request

Benefits - TIP8 documents

  • TIP Public Transit Q2
    document Header TIP Public Transit Q2
  • TIP Public Transit Q3
    document Header TIP Public Transit Q3
  • TIP Public Transit Q4
    document Header TIP Public Transit Q4
  • TIP Public Transit Registration
    document Header TIP Public Transit Registration
  • TIP Walk/Bike/Carpool Q2
    document Header TIP Walk/Bike/Carpool Q2
  • TIP Walk/Bike/Carpool Q3
    document Header TIP Walk/Bike/Carpool Q3
  • TIP Walk/Bike/Carpool Q4
    document Header TIP Walk/Bike/Carpool Q4
  • TIP Walk/Bike/Carpool Registration
    document Header TIP Walk/Bike/Carpool Registration

Contracts & Agreements3 documents

  • AGREEMENT FOR PROFESSIONAL SERVICES template
    document Header AGREEMENT FOR PROFESSIONAL SERVICES template
  • Insurance Requirements
    document Header Insurance Requirements
  • Waiver of WC for Vendors
    document Header Waiver of WC for Vendors

Employee10 documents

  • COVID Vaccination Attestation
    document Header COVID Vaccination Attestation
  • Direct Deposit
    document Header Direct Deposit
  • Emergency Contact
    document Header Emergency Contact
  • Expense Report Template
    document Header Expense Report Template
  • Hep B
    document Header Hep B
  • IT Access Form
    document Header IT Access Form
  • Key Request
    document Header Key Request
  • State Tax Form - 2021
    document Header State Tax Form - 2021
  • Telework Agreement Form (Request to Telework)
    document Header Telework Agreement Form (Request to Telework)
  • W4 - (Federal Tax Form) 2021
    document Header W4 - (Federal Tax Form) 2021

General2 documents

  • Corp Yard Fitness Room
    document Header Corp Yard Fitness Room
  • Volunteer Request
    document Header Volunteer Request

Leaves - Catastrophic Leave1 document

  • Catastrophic Leave Donation Form
    document Header Catastrophic Leave Donation Form

Leaves - FMLA/CFRA4 documents

  • Certification of Qualifying Exigency for Military Family Leave
    document Header Certification of Qualifying Exigency for Military Family Leave
  • Employee Serious Medical Condition Certification
    document Header Employee Serious Medical Condition Certification
  • Family Member Serious Medical Condition Certification
    document Header Family Member Serious Medical Condition Certification
  • Request for FMLA/CFRA Leave
    document Header Request for FMLA/CFRA Leave

Leaves - Workers' Compensation4 documents

  • Company Nurse Reference Guide Brochure
    document Header Company Nurse Reference Guide Brochure
  • Employee Injury Report - Employee & Supervisor
    document Header Employee Injury Report - Employee & Supervisor
  • Modified Duty
    document Header Modified Duty
  • Pre-designation of Personal Physician
    document Header Pre-designation of Personal Physician

Performance Management5 documents

  • Employee Performance Log
    document Header Employee Performance Log
  • Goal Setting and Development Planning Tool
    document Header Goal Setting and Development Planning Tool
  • Non-Mgmt Evaluation
    document Header Non-Mgmt Evaluation
  • Sgts_Mgmt_Mid Mgmt Evaluation
    document Header Sgts_Mgmt_Mid Mgmt Evaluation
  • Supervisor Log
    document Header Supervisor Log

Safety1 document

  • Safety Suggestion Form
    document Header Safety Suggestion Form

Staff/Hiring6 documents

  • New Employee Requisition
    document Header New Employee Requisition
  • Onboarding Checklist
    document Header Onboarding Checklist
  • Personnel Action Form - only for new hires
    document Header Personnel Action Form - only for new hires
  • Release of Liability for Reference Check
    document Header Release of Liability for Reference Check
  • Request for Livescan
    document Header Request for Livescan
  • Telephone Reference Check
    document Header Telephone Reference Check

Burlingame Organizational Compass

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Community Service

Community service that is responsive to and meets the needs of the public by:
  • Being dedicated to the community we serve
  • Involving and understanding our community
  • Anticipating and adapting to the changing needs of our citizens
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Ethical Organization

Ethical organization that interacts with the public and each other in an honest and professional manner by:
  • Treating people with respect and dignity
  • Taking responsibility for our decisions, statements and actions to the organization and community
  • Dealing with differences and conflicts in a professional, respectful and authentic fashion
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One Organization

One organization that fosters positive relationships and teamwork by:
  • Being part of the solution
  • Crating and maintaining constructive relationships while respecting individual contributions
  • Focusing on the issues and needs of the organization and community
  • Encouraging behavior that builds confidence and self-esteem
  • Emphasizing self-initiative, sonstant improvement and employee involvement
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Positive Leadership

Positive leadership that is nurturing and forward-thinking by:
  • Recognizing the leadership role all employees play in the community
  • Encouraging innovation and creativity
  • Leading by example
  • Being supportive, humanistic and compassionate
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