Employee Forms

Along with the Medical and Life Insurance Forms on the Benefits page, you may need the following forms.

Direct Deposit and Tax Forms

• Authorization for Direct Deposit(PDF, 106KB)
• Authorization to Terminate Direct Deposit(PDF, 110KB)
• W-4 Form

Other Useful Forms

• Anti-Discrimination/Harassment/Retaliation Complaint Form(PDF, 64KB)
• Human Relations Commission Complaint Form(PDF, 409KB)
• Leave of Absence Benefit Time Use Form(PDF, 75KB) - To request compensation for a leave of absence.
• Replacement Badge Form(PDF, 103KB)
• Residency Certification(PDF, 193KB) - To certify Allegheny County residency and/or submit a change of address.