Forms & Resources

Employee Evaluation​ Forms

• Clerical Evaluation
• Executive & Middle Management
• Maintenance Related Personnel
• Police
• Professional and Technical
• Self Evaluation Form
• Supervisors

General Forms

• Alternate Work Schedule Agreement
• Comp Time Cash Out Form
• Direct Deposit of Paycheck Form
• Donated Sick Leave Form
• Drug Testing (Consent for Collection for Minors)
• Employee Information Change Form
• Family Medical Leave Act - Employee Kit
• Family Medical Leave Act - Family Member Kit
• Outside Employment Form
• Release of Information Form
• Request for Public Records Form
• STAR Award - Printable
• STAR Award - Fillable
• Telework Agreement - Fillable
• 2020 Federal W-4 Fillable
• 2020 Federal W-4 Printable
• 2019 Montana W-4 Fillable
• 2019 Montana W-4 Printable

Health Insurance Forms

• Benefits-at-a-Glance
• Healthy IS Wellness Incentive Flier
• Qualified Life Event Form 2021
• 2021 Annual Wellness Exam Incentive Program Form
• 2021 City of Billings Employees Benefit Plan Document and Summary of Benefits & Coverages
• 2021 Flex Passive Form
• 2021 Health Insurance Announcement and Benefit Guide
• 2021 Health Insurance Open Enrollment & Flex Passive Election Form 
• 2021 Overview of Medical, Dental, Vision, Flex and HSA Benefits - ACTIVES
• VSP Benefit Summary
• VSP Plan Document

EBMS Forms

• City of Billings Network Provider - Rocky Mountain Health Network (RMHN)
• EBMS Forms
• miRX Patient Profile Prescription Order Form
• miRX Vaccine Administration Record-Consent Form