General forms
- Authorization for Email Delivery of W-2 and 1095C Tax Statements
- Direct Deposit Form
- Emergency Contact Information Update Form
- Employee Change Form (for name, address and phone number changes)
- ING 457 Beneficary Form
- Personnel Activity Form (PAF) Changes to Current Employees
- Personnel Activity Form (PAF) Initial or Rehire
- Promotional/Transfer Application (current employees only)
- Request for Leave of Absence Form
- Request For Leave Of Absence - Conferences
- Request To Fill Position Form (RTF)
- Travel Reimbursement (Mileage) Log
- Tuition Reimbursement Form
- W-4 Tax Form - Federal
- W-4 Tax Form - State
Workers' Compensation forms
- Employee Guide - What To Do When You Are Injured At Work
- Initial Medical Treatment Authorization Form
- Lost Time Report
- Non-Significant Exposure to Infectious Disease form
- Supervisor's Report of Injury Form
- Supervisor Workers' Compensation Check List
- Work Capacity Form
Insurance & Benefits forms
- ABS Flexible Spending Highlights
- ABS Flexible Spending Benny Card Receipt Submittal Form
- ABS Flexible Spending Dependent Care Automatic Reimbursement Affidavit
- ABS Flexible Spending Direct Deposit Authorization
- ABS Flexible Spending Enrollment Form
- ABS Flexible Spending Reimbursement Request Form
- CIGNA Enrollment Form
- CIGNA Health Savings Account Contribution Form 2019
- CIGNA Medical Reimbursement Form
- CIGNA Prescription Reimbursement Form
- Express Scripts/Medco Coordination of Benefits Form
- Express Scripts Coordination of Benefits Instructions
- Lincoln Financial Life Insurance Beneficiary Change Form
- Lincoln Financial Life Insurance Enrollment Form
Performance Evaluation forms
- Employee Performance Evaluation Report For 991 Public Works Employees
- Employee Performance Evaluation Report for MEU Employees
- Employee Performance Evaluation Report for Residual-Supervisory Employees
- Probationary Performance Report
- Unaffiliated Employee Evaluation Report
Leave Carryover forms
We encourage the use of the online Leave Carryover Forms. Please see below for instructions.
Instructions for submitting the online Leave Carryover Forms can be found here.
Online Submission Forms:
Unaffiliated: https://manchesterct.seamlessdocs.com/f/LeaveCarryOverUnaffiliated
Union: https://manchesterct.seamlessdocs.com/f/LeaveCarryOver
Fire: https://manchesterct.seamlessdocs.com/f/LeaveCarryOverFireBattalionChiefs
Traditional Leave Carryover Forms:
Miscellaneous
To contact Human Resouces, please use the following methods:
Human Resources Department
41 Center Street
P.O. Box 191
Manchester, CT 06045-0191
Phone: (860) 647-3126
hr@manchesterct.gov