Forms and Documents

DHR offers downloadable forms and documents in Portable Document Format (PDF) and/or MS Word (DOC) formats. PDF files require the Adobe Acrobat Reader. If you need assistance obtaining or using this reader, please read our PDF help file. If you require a document not on this list, please contact us. City employees with access to the City's intranet may find additional forms at the intranet Form Center.

Documents
General DHR Documents
Policy Memoranda from DHR (DHR Memos)

Job Application Materials
Employment Applications for City and County of San Francisco (PDF)
Veteran's Preference Application (Word)
Conviction History Form (pdf)
Conviction History Form

Forms
Americans With Disabilities Act (ADA)
Equal Employment Opportunities (EEO)
Family and Medical Leave Act (FMLA)
Health Service System
Referral Unit
Request for Leave
Workers' Compensation
HR Forms (For Internal use Only)

General
Retiree Health Charter Amendment
Annual Salary Ordinance
Change of Address (Word)
Collective Bargaining Agreements
Compensation Manual (PDF)
Employee Handbook (PDF)
Medical History Form (Word)
Performance Evaluation Report (Word)
Performance Improvement Plan (PIP) (Word)
Performance Improvement Plan (PIP) (PDF)
Request for Approval of Additional Employment (Word)
Supervisors Guide: How to Refer Employees to the EAP (PDF)Telecommuting: Mayoral Directive (Word)
Telecommuting: Program Guidelines & Participation Packet (Word)
Training Enrollment Form (Word)

Classification Forms
Job Analysis Questionnaire - Management (Word)
Job Analysis Questionnaire - Regular (Word)
Recommended Classification Action Form (Word)
Recommended Classification Action Form (PDF)
Special Condition Request Form (Word)
Express Classification Form (Word)

Request for Leave Forms
Request for Leave (PDF)
Request for Language Requirement (Word)
Request for Language Requirement (PDF)

Catastrophic Leave Program
Program Information (PDF)
Application (PDF)
Donor Form (Word)
FM Application (PDF)
FM Donor Form (Word)

Family and Medical Leave Act (FMLA) Forms

FMLA #1:Your Rights Under FMLA (Word)

FMLA #1A-B: Request for Leave & Response (Word)

FMLA #1C: Request for Extension Form (Word)

FMLA Form #1E: Intermittent Leave Verification Form (Word)

FMLA #2: Certification of Healthcare Provider Form (Word)

FMLA #3: Supervisor Report of Absence Form (Word)

FMLA #3A: Facts for Supervisors (Word)

FMLA #4: Automatic Designation Form (Word)

FMLA #5: Withdrawal of FMLA Designation (Word)

FMLA #6: Leave Expiration Notice Form (Word)

FMLA #7: Fitness for Duty Certification Form (Word)

FMLA #8: Departmental Request for Key Employee Designation (Word)

FMLA #9: Key Employee Notification of Restricted Rights of Return from FMLA Leave (Word)

FMLA Personnel Office Checklist (Word)

FMLA Employee Leave Checklist (Word)

Americans With Disabilities Act (ADA) Forms
Employment Rights for Persons With Disabilities (PDF)
Health Care Provider Certification Form (PDF)
Medical Authorization and Release (PDF)
Request for Reasonable Accommodation (PDF)

Health Service System Forms
Delta Dental Claim Form (PDF)
EBS Claim Form (PDF)
Flexible Spending Account Reimbursement Form (PDF)
Temporary Exempt Employee: Health Benefits Processing Form (PDF)

Referral Unit
The Referral (Certification) Process (PDF)
Request for Change of Employment Availability Form (PDF)

Workers' Compensation
Employee's Claim for Workers' Compensation Benefits Form (PDF)
Pre-Designation of Physician Form (Word)

Equal Employment Opportunities
Department Report of Employment Discrimination Complaint(PDF)
Department Report of Employment Discrimination Complaint (Word)

HR Forms (For internal use only)