Forms

Sarpy County

If your position is covered by a Union, please review your Collective Bargaining Agreement for specifics.

Employment Forms

Appeal Form - Classified Employee
Background Check Release Form
Compensatory Time Off Tracking Form
Employee Action Form (for Employment Information - New Hire / Wages / Budget / Positions / Status Changes / Separations / etc.)
Exit Interview Questionnaire
Grievance Form - Classified Employee
Letter of Resignation Form
Notice of Retirement Form
Secondary Employment Request Form - Classified Employee
Separation of Service Packet (Revised August 2019)

Department Head Forms

New Job Creation Request Form
Personnel Requisition Form - CLASSIFIED Position (Revised August 2018)
Personnel Requisition Form - UNCLASSIFIED (Revised May 2020) 
     Employee Action Forms (EAFs) - for New Hires / Wage Changes / Budget Changes / Position Changes / Separations - ACCESS forms on ADP

Performance Evaluation Form - Introductory/Probationary
Performance Evaluation Form - Annual (Revised October 2018)
Discipline - Classified Employee
Discipline - Unclassified Employee
Manager's Drug and Alcohol Checklist

Leave Forms

Absence from Office Request Form -- updated (Revised December 2016) 
HIPAA Release Form   
Funeral/Bereavement Leave   (Revised September 2018)
Catastrophic Illness Donation Request  (Revised  February 2018)
Military Leave Request Form

Education Forms ~ Miscellaneous Forms ~ Change in Personal Information Form

Educational Reimbursement Application Form  - Classified Employee

Educational Reimbursement Application Form - Unclassified Employee (Attorney ~ Emergency Mgt ~ Department Head/Principal Assistant ~ Elected Official/Chief ~ Sworn Officer ~ Bailiff)
F.O.P. Sworn - Advanced Educational Incentive Request Form
   
Change in Personal Information Form (Electronic Email Submission)

General Employee Complaint Form -- contact HR
Key Card Request Form -- contact HR
Whistleblower Form -- contact HR