City Employee Forms

City Employee Forms
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Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by SEQ in Ascending Order within category

Employee Benefits & Benfit Forms8 documents

  • 2020 PEIP Plan
    document seq 0.00
    2020 PEIP Plan
  • 2020 PEIP Clinic Directory - Willmar Area
    document seq 0.00
    2020 PEIP Clinic Directory - Willmar Area
  • HSA Contribution Form
    document seq 3.00
    HSA Contribution Form
  • MSRS Change Form
    document seq 5.00
    Minnesota State Retirement System Personal Information Request (Should be sent by the employee to the contact information shown on the forms.)
  • MSRS Contribution Form
    document seq 5.50
    Minnesota Deferred Compensation Participant Enrollment Agreement (Should be sent by the employee to the contact information shown on the forms.)
  • PERA Change Form
    document seq 7.00
    For use in changing address or beneficiary designation.
  • Minnesota Benefit Association Benefit Pamphlet
    document seq 7.00
    Additional benefits available through MBA
  • Request for Employer HSA Contribution
    document seq 8.00
    Complete to request an early deposit to your HSA

Forms5 documents

  • Address Change Form
    document seq 1.00
    Send to or deliver to City Hall HR Director
  • Federal Form W-4 (2020)
    document seq 4.00
    Complete Form W-4 to change your tax withholdings (must also complete a MN W-4)
  • Minnesota Form W-4
    document seq 5.00
    Complete MN Form W-4 to change your state tax withholdings.
  • Sick Leave Donation Form
    document seq 6.00
    Complete to donate sick leave to another employee
  • Vacation Cash Out Request Form
    document seq 7.00
    Complete to request a vacation time cash out.

Policy & Procedure Forms3 documents

  • Personnel Policy 2020
    document seq 0.00
    City of Willmar Personnel Policy and Procedures
  • Safety Policy
    document seq 0.50
    City of Willmar's safety policy for all employees
  • First Report of Injury
    document seq 1.00
    The First Report of Injury (FROI) form is the reporting document for all work-related injury claims. It provides basic information necessary to start the claim.

COVID-19 Employee Information1 document

  • COVID-19 Preparedness Plan
    document seq 0.00
    The most recent preparedness plan for the City of Willmar employees.