Employee Forms

Online access to forms for City of Canton employees.

FMLA Forms

• WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
• WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
• WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
• WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
• WH-385 Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (PDF)
• WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)

Benefits

• Beneficiary Designation - Form
• Personal Information Change Form

Incident / Injury  ALL THREE FORMS REQUIRED

• Employee Injury Report
• Employee Injury Report - Witness
• Employee Injury Report - Supervisor

Leave / Time Off

• Compensatory Time/Overtime Form
• Compensatory Time/Overtime Form - Fire Use Only
• Compensatory Time/Overtime Form - Police Use Only
• Missing Ring Form - printable version, fill out and turn in.
  Missing Ring Form - fillable version, download it and fill it in on your computer and turn it in.
• Time Off Request Form
• Application for Continuing Disability

General

• Form W-4 (IRS)
• Outside Employment
• Employee Evaluation Form
• Employee Info Sheet
• Job Bid Request Form

AFSCME Seniority Lists

• AFSCME Local 2937
• AFSCME Local 3449

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