General forms
- Authorization for Email Delivery of W-2 and 1095C Tax Statements
- Direct Deposit Form
- Direct Deposit Guidelines
- 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 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 Enrollment Form
- CIGNA Medical Reimbursement Form
- CIGNA Prescription Reimbursement Form
- Express Scripts/Medco Coordination of Benefits Form
- Express Scripts Coordination of Benefits Instructions
- MetLife Life Insurance Beneficiary Change Form
- MetLife Life Insurance Enrollment Form
- MetLife Statement of Health Form - for supplemental life insurance
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
The Town is piloting a new option for some departments this year! Please see more details below.
Online Submission Forms:
Instructions for submitting the online Leave Carryover Forms can be found here.
- Unaffiliated Employee Online Submisson Form
- Union Employee Online Submission Form
- Battalion Chiefs, Deputy Fire Marshal and Fire Marshal Employee Online Submission Form
Traditional Leave Carryover Forms:
- Battalion Chiefs, Deputy Fire Marshal and Fire Marshal Carryover Form
- Unaffiliated Employee Carryover Form
- Union Employee Carryover Form
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
Recruitment Information Hotline: (860) 647-3170
hr@manchesterct.gov