Notices:
Employee Rights Poster for Paid Sick Leave & EFMLA
2021 COVID-19 Supplemental Paid Sick Leave
COVID-19 Prevention Plans:
Public Works Operations Building Plan
Forms:
Authorization for Disclosure & Use of Medical Information
Supplemental Paid Sick Leave Request Form
Request Form for Retroactive Supplemental Paid Sick Leave
Emergency Family and Medical Leave Act Request
Emergency Paid Sick Leave Request
Employee Certification to Return to Work
Agreement to Repayment of Leave
Agreement to Repay Cost of Continued Benefits
Policies:
Policy & Protocols for Testing
Policy & Protocols for Temperature Testing & Screening
Social Distancing & Individual Responsibility in the Workplace Policy
Families First Coronavirus Response Act Leave Policy
Policy & Protocols for Use & Disclosure of Medical Information Related to COVID
Policy & Protocols for Cleaning & Disinfecting the Workplace
Telecommuting Program Application and Guidelines
Income Replacement through California Employment Development Department:
Please be advised that you may be eligible to file a claim for income replacement including Disability Insurance (if you yourself are sick or were exposed to COVID), Paid Family Leave (if caring for a quarantined family member) or Unemployment Insurance if you’ve experience reduced hours or a temporary furlough. Visit the link below to learn more and submit a claim.
Please notify Human Resources if you will proceed with an Unemployment Claim. Link to California Employment Development Department
Benefits:
Benefit Updates Summary (for current benefit-eligible staff)
Agreement to Repay Cost of Continued Benefits
ICMA Change Forms:
ICMA Deferred Compensation Plan Loan
If you are benefit-eligible and wish to enroll in medical benefits mid-year please contact HR so that we can open our benefit tracking system, Ease, for you to make changes online. Please note that these mid-year enrollments are allowed by the carrier but are not compliant with IRS Section 125, thus contributions cannot be made pre-tax.