Employee Forms & Information

Only EMPLOYEES of the Office of the Treasurer & Tax Collector should use the forms below. If you are not an employee of this office, do not use these forms.

City MOUs for Local 21,Local 1021,MEA, & etc. (Link to DHR)
Change of Address/Name/Emergency Contact (fillable pdf)
Employee Assistance Program (SFHSS Link)
Employee Handbook (Link)
Employee Leaves (Link to DHR)
Family Friendly workplace ordinance (Link to sfgsa.org)
Supplemental TTX Employee Handbook (pdf)
Form W-4 (Link to IRS.gov)
DE-4 Form (Link to CA.gov)
Health Benefit - Group Life and Long Term Disability Insurance (Link to myhss.org)
How to File Discrimination Complaint (link)
Justification for Symbols/Changes (fillable pdf)
Health coverage while on leave(link)
Online Tuition Reimbursement
Overtime Form (fillable pdf)
Paid Family Leave (EDD Link)
Paid Parental Leave-Employee Acknowledgement (fillable pdf)
Paid Parental Leave-Worksheet (fillable pdf)
Payroll deduction authorization/cancellation form for Deferred Compensation (pdf)
Performance Evaluation Form (fillable pdf)
Performance Improvement Plan (word)
Policy for E-mail, Voice mail and Internet use (pdf)
Request for Additional Employment (word)
Request for Ergonomics Evaluation Form (fillable pdf)
Request for Leave (DHR Link)
SDI Payroll Form (pdf)
Statement of Incompatible Acitvities (pdf)
Time off Request
W-2 Replacement Correction Form (fillable pdf)
Vehicle Use Policy (pdf)

CATASTROPHIC ILLNESS PROGRAM

CATASTROPHIC ILLNESS PROGRAM (Link pdf)
CATASTROPHIC ILLNESS FORM(Link pdf)
CATASTROPHIC ILLNESS PROGRAM –FAMILY MEMBER (Link pdf)
Donor's Vacation Transfer Form for Catastrophically ILL Family Member (Link pdf)

Workers' Compensation Forms & Information

Supervisors report of injury (pdf)
Important Information about Workers' Compensation (pdf)
CCSF Medical Provider Network-Covered Employee (pdf)
List of Treating Workers' Compensation facilities  (link)
Employee's Claim for Workers' Compensation (fillable pdf)
Workers' Compensation-Employee's Receipt  (fillable pdf)

Family and Medical Leave Act (FMLA) Forms & Information

Request for leave and leave protection (pdf)
Notice of Eligibility, rights and responsibilities (pdf)
Certification Serious Illness or illness of a current military service member (pdf)
Certification Serious Injury or Illness of a Veteran for Military Caregiver Leave (pdf)
Certification of Qualifying Exigency For Military Family Leave (pdf)

FMLA2 Forms - Employee and Family Member Medical Certification

FMLA2 Certification of Health Care Provider - Employee (pdf)
FMLA2 Certification of Health Care Provider - Family Member (pdf)

Americans With Disabilities Act (ADA) Forms & Information

Employment Rights for Persons With Disabilities (pdf)
Medical Authorization and Release (pdf)
Request for Reasonable Accommodation  (pdf)