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Forms & Resources
Employee Evaluation Forms
- Clerical Evaluation
- Executive & Middle Management
- Maintenance Related Personnel
- Police
- Professional and Technical
- Self Evaluation Form
- Supervisors
General Forms
- Alternate Work Schedule Agreement
- Comp Time Cash Out Form
- Direct Deposit of Paycheck Fillable Form
- Donated Sick Leave Form
- Drug Testing (Consent for Collection for Minors)
- Employee Information Change Form
- Employee Portal Instructions
- Outside Employment Form
- Release of Information Form
- Request for Public Records Form
- STAR Award - Printable
- STAR Award - Fillable
- Telework Agreement - Fillable
- Timecard - Blank
- Timecard - Categories
- 2023 Federal W-4 Fillable/Printable
- Montana W-4 Fillable/Printable
Health Insurance Forms
- Benefits-at-a-Glance
- Healthy IS Wellness Incentive Flier
- Qualified Life Event Form
- 2023 Annual Wellness Exam Incentive Program Form
- 2023 City of Billings Employees Benefit Plan Document and Summary of Benefits & Coverages
- 2023 Health Insurance Announcement and Benefit Guide
- 2023 Health Insurance Open Enrollment
- 2023 Overview of Medical, Dental, Vision, Flex and HSA Benefits - ACTIVES
- Rx Amendment 08-01-2022
- VSP Benefit Summary
- VSP Plan Document
EBMS Forms
- City of Billings Network Provider - Rocky Mountain Health Network (RMHN)
- EBMS Forms
- miRX Patient Profile Prescription Order Form
- miRX Vaccine Administration Record-Consent Form
Standard Insurance
Workplace Safety & Well-Being
- Accident/Injury Form (Fillable)
- Code of Safe Practices
- Corrective Action Form (Fillable)
- Discrimination Harassment Complaint Form
- Harassment Report Form
- Safety Hazard Report Form
- Workplace Violence Form
Miscellaneous Benefits
- EAP - Employee Assistance Program
- Empower 457 - Account Access Guide
- Empower 457 - Beneficiary Change Form
- Empower 457 - Enrollment for Police and Non-Bargaining
- Empower 457 - Personal Information Change Form
- Identity Guard Election Form
- Identity Guard Summary
- Identity Guard Value Total Premier Brochure
- Nationwide - On-line Change Instructions (Fire Union Only)
- NCPERS Voluntary Life Insurance - annual open enrollment
- NCPERS Detailed Brochure
- PerksConnect How To Register Flyer
- PerksConnect Plus Flyer
- PerksConnect Clickable Logo
- PsychArmor
- PsychHub
- HR Resources and Voluntary Benefits Guide
Family Medical Leave Act (FMLA) Documents
- FMLA Request Form
- FMLA Notice for Employees
- FMLA Return to Work Form
- WH-380 EMPLOYEES Leave Medical Certification
- WH-380 FAMILY MEMBERS Leave Medical Certification
- WH-384 Certification of Military Qualifying Exigency
- WH-385 Certification for Care of Military Service Member
- WH-385V Certification for Care of Military Veteran
City Retiree Information
- 2023 Retiree Overview of Medical, Dental, and Vision
- Highlights of Retirement at the City of Billings
- Retiree - Basic Life Insurance Highlights