Employee Policies & Forms
Student Internship
Policy
Direct Deposit
Form
Employee Information
Form
Employee Checklist
Form
Continuation Letter COBRA
Acknowledgement of COBRA for new hires
Employee Safety Policy Form
Acknowledgement of Safety Policy for new hires
Grievance
Form
Six Month Review
Form
Whistleblower Policy
Adopted 9-14-2015
I9 Form
Employment Eligibility Verification
2018-2019 MEDCOST Enrollment Form
Medical, Dental, and Vision Enrollment Form for City Employees
USABLE Group EnrollmentForm
Life Insurance Enrollment form for City Employees
Personnel Policy Manual Statement
Personnel Policy Manual Statement sign off for new hire
Code of Ethics
Code of Ethics for new hires
Employee Check List
List of required documents and information for new hires
Form2C NCRetirement
North Carolina Retirement Designated Beneficiary(ies)
401(k) Enrollment Form
401K Retirement Enrollment Form
Flex Spending Account Enrollment Form
FSA Enrollment and waiver form
2018-2019 MedCost Insurance Rates
July 1, 2018 - June 30, 2019
2018-2019 MedCost Benefits Plan Overview
Summary of current benefit plan
Flex Spending Account Flyer
Information on FSA
Teladoc Flyer
Information on Teladoc services
MedCost Flyer
Information on activating your MedCost account
Medical Benefits for Med 2500
Information on Medical benefits
Dental Plan II
Information on Dental benefits
Vision Plan (Basic)
Information on Vision benefits
Dental Plan III (Buy-Up Option)
Information on Dental benefits for Buy-Up
Vision Plan (Plus)
Information on Vision benefits for Buy-Up
NC4 StateTax Form
NC State Withholdings
W4 Federal Tax Form
Federal Withholdings
FMLA for Employee WH-380-E (Exp. 2026)
FMLA for Employee
FMLA for Family WH-380-F (Exp. 2026)
FMLA for Family
FMLA-WH-381 (Exp. 2026)
FMLA for Notice of Eligibility & Rights & Responsibilities
FMLA-WH-382 (Exp. 2026)
FMLA for Designation Notice
FMLA-WH-384 (Exp. 2026)
FMLA for Military Leave for Qualifying Exigency
FMLA-WH-385-V (Exp. 2026)
FMLA for Serious Injury or Illness of a Veteran for Military Caregiver Leave
FMLA-WH-385-2023 (Exp. 2026)
FMLA for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave