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) Supplemental TTX Employee Handbook (pdf) Form W-4 (Link) How to File Discrimination Complaint (link) Justification for Symbols/Changes (fillable pdf) Health coverage while on leave (link) 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 (word) 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 (fillable pdf) SDI Payroll Form (pdf) Statement of Incompatible Acitvities (pdf) Supervisors report of injury (pdf) Time off Request Form (fillable pdf) Online Tuition Reimbursement W-2 Replacement Correction Form (fillable 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 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 FMLA #1:Your Rights Under FMLA (word) FMLA #1A-B: Request for Leave & Response (word) FMLA #2: Certification of Healthcare Provider Form (word) FMLA #7: Fitness for Duty Certification Form (word) Long Term Disability Insurance (link)
Americans With Disabilities Act (ADA) Forms & Information Employment Rights for Persons With Disabilities (pdf) Medical Authorization and Release (pdf) Request for Reasonable Accommodation (pdf)
