Forms

Job Applications

  1. Civil Service Application (PDF)
  2. General Application (PDF)

Public Forms

  1. Authority to Release Private Information Form (PDF)
  2. Grievance Form-Complaint Questionnaire (PDF)
  3. Public Records Request Form (PDF)
  4. Request to Correct or Amend PHI (PDF)
  5. Revocation of Authorization for Use / Disclosure of PHI (PDF)
  6. Violent Act / Threat Report Form (PDF)

Employee Only Forms

  1. Accident-Incident Report Form (PDF)
  2. Authority to Release Private Information Form (PDF)
  3. Direct Deposit Authorization Form
  4. Grievance Form-Complaint Questionnaire (PDF)
  5. Hours Certification Form for Elected and Exempt Employees (PDF)
  6. Public Records Exemption Log (PDF)
  7. Request to Correct or Amend PHI (PDF)
  8. Revocation of Authorization for Use / Disclosure of PHI (PDF)
  9. Sick Bank Donation Form
  10. Sick Leave Conversion Form (PDF)
  11. Violent Act / Threat Report Form (PDF)

Employment Documents

  1. I-9 Form and Acceptable Documents
  2. W-4 2022
  3. IDAHO W4 2021
  4. Whitman County Employee Data Sheet
  5. Direct Deposit Authorization Form
  6. Email-Internet Policies acknowledgement
  7. Payroll Deduction Authorization
  8. Employee Safety Security Orientation Checklist
  9. Whitman County New Employee Checklist

Orientation Policies and Procedures

  1. Overseeing Email Internet Policy
  2. PERSONNEL POLICY SUMMARY 2021
  3. Notice of Leave Policies
  4. Privacy Policy
  5. HIPAA Privacy Notice
  6. EEO Policy
  7. 2022-2023 Equal Employment Opportunity Plan
  8. Work Place Violence policy
  9. Reporting Workplace Violence
  10. Smoking Policy
  11. Maint Drug Free Workplace Policy
  12. Anti-Harassment Policy
  13. Employee Paid Sick Leave Notification
  14. Bloodborne Pathogen Exposure Control Plan
  15. New Hire Clock In Reference Sheet
  16. Policy Acknowledgements
  17. Confidentiality Statement

Orientation - Retirement

  1. DRS Plan Choice Booklet for Plans 2 and 3
  2. LEOFF 2 Handbook
  3. DRS Beneficiary Designation Form
  4. DRS Enrollment Form_WC
  5. 03_Retirement Status Verification Form
  6. Position Eligibility Form
  7. PSERS EligibilityWorksheet

Orientation - Health Insurance and Voluntary Benefits

  1. 02_Exchange_Notice_081513 - Copy
  2. CHIP Program Notice
  3. Salary Redirection Agreement
  4. 01_Important Notice to New Employees
  5. Teamster Participant Data Form
  6. Waiver of Medical Coverage
  7. Group Voluntary Life Insurance
  8. Group Voluntary Short Term Disability Insurance
  9. The Standard Group Buy-up Long Term Disability Insurance - Booklet
  10. The Standard Group Voluntary Accidental Death and Dismemberment Insurance Booklet
  11. Life Flight application
  12. WHITMAN COUNTY BENEFIT PHONE NUMBER LIST 2021

Orientation - Public Works Employees Only

  1. PW cardholder agreement
  2. DRUG and ALCOHOL BACKGROUND CHECK - CDL
  3. CDL Manual
  4. CDL Manual Acknowledgement
  5. PUBLIC WORKS - Whitman County Public Works - IT Devices

Orientation - Union Documents

  1. UNION Membership Choice form
  2. Teamster Unit Application
  3. NEW EMPLOYEE NOTIFICATION FORM_WC
  4. Union Initiation Fee Deduction Authorization
  5. Teamsters LIfe Insurance Beneficiary form
  6. DSA Trusteed document