Payroll Forms

Employee Benefits
Job Descriptions
Business Forms

Hiring Process Forms:

New Hire Process – updated 12/2016
Employment Application
Volunteer Application
Background Authorization Form
Telephone Reference Form
New Hire Form (New electronic form) – Use for Rehires over 12 months
Contact Jen V for the current new hire form
New Hire Meeting CCC Codes – See Onboarding and Certification Schedule below

New Hire Packets:

Iowa Residents
Illinois Residents
Rehire Packet (former employees rehired w/in 12 mos of termination)

Employee and Payroll Status Update Forms:

Payroll Change form
Termination form
Name Change Packet
Direct Deposit Form
FOCUS Debit Card FAQs
Federal W-4
Iowa W-4
Illinois W-4
Iowa Non-residence form 

Request for Leave/Vacation Form
Payroll Calendar 2018 – updated 11/28/17
Time Clock Report Dates – 2017
Annual Campaign Pledge card
Y Retirement 403b Smart Account Enrollment Form
(additional Y Retirement information available at
Staff Membership Application

Request for Pay Stub Copies form
Exempt/Salaried Time Sheet – Update 10/2017

Training Certification:

Onboarding Training & Certification Schedule– updated 11/28/17   (New Hire Meetings; New Employee Orientation; CPR/AED/First Aid; Mandatory Reporter; CCC Training dates/times)

Training and Certification Request Form
Certification and Reimbursement Guideline

Time Clock Forms

Yellow Slip Form
Blank Timesheet
Time Conversion Cheat Sheet
Replacement Badge Payroll Authorization Form

Family Medical Leave Forms:

Request for Leave Form
FMLA Employee’s Serious Health Condition Form
FMLA Family Member’s Serious Health Condition Form

Workers Compensation Forms:

Employee Work Injury
Supervisor Report
Witness Statement
Physicians Work-Related Injury/Illness Report
Mileage Reimbursement Form

Performance Appraisal Forms:

Hourly FT & PT Annual Review Form – Electronic Format
Hourly FT & PT Annual Review Form – Handwritten Format
Salaried Directors & Supervisors Annual Review Form – Electronic Format
Salaried Directors & Supervisors Annual Review Form – Handwritten Format
Mid Year Review

Corrective Action Form:

Corrective Action Form

Employee Participation Program (EPP):

EPP Enrollment Form
EPP Fund Request Form
EPP Guidelines

Company Policies/Best Practices:

Employee Handbook
Aquatics Best Practices 04.2015
Cash Handling Policy & Procedure