| 01 Application (CREP ONLY) |
Application Form (For Court Referral Educational Programs) |
12/28/2010 |
| Alabama Labor Laws Poster |
Alabama Labor Laws Poster |
7/28/2022 |
| Harassment Poster |
Harassment Poster |
7/28/2022 |
| Health Insurance Poster |
Health Insurance Poster |
7/28/2022 |
|
2023 ERS Early to Mid-Career Retirement Seminars |
2/17/2023 |
|
Retirement Info Seminar |
2/7/2024 |
| A-4 |
Employee's Withholding Tax Exemption Certificate |
4/21/2015 |
| CR-2A |
Clerks' and Register's Supernumerary Fund Employees' Retirement System of Alabama |
11/14/2018 |
| Form I-9 Instructions |
Employment Eligibility Verification Instructions |
8/2/2023 |
| Form I-9 |
Employment Eligibility Verification |
8/2/2023 |
| FRMS-15 |
State of Alabama Direct Deposit Request |
1/12/2021 |
| LeaveRequestAndApproval |
Leave Request And Approval |
6/7/2005 |
| NH-1 |
New Hire Reporting Form |
2/27/2008 |
| PERS-01 |
Timesheet A (For State Paid Employees Only) |
2/4/2009 |
| PERS-02 |
Timesheet B (For Restitution or Allotment Paid Employees Only) |
2/4/2009 |
| PERS-04 |
Request for Redaction of Personal Identifying Information |
2/8/2024 |
| PERS-05 |
Declaration of Intention to Assume Supernumerary Status |
6/4/2013 |
| PERS-07 |
Clerk's and Register's Supernumerary Fund Spousal Benefits |
8/2/2010 |
| PERS-16 |
Acknowledgement of Drug Policy |
2/24/2012 |
| PERS-18 |
Leave Donation Request |
1/12/2012 |
| PERS-22 |
Employment Application |
10/21/2019 |
| PERS-23 |
Application for Volunteer Services |
10/21/2019 |
| PERS-25 |
Request for Certification |
5/22/2017 |
| PERS-26A |
Personnel Action |
11/20/2013 |
| PERS-26C |
Personnel Action (This form should be used ONLY for Restitution and or County paid employees) |
11/21/2013 |
| PERS-30 |
Employee Counseling Record |
6/24/2015 |
| PERS-31 |
Notice of Disciplinary Action |
10/2/2008 |
| PERS-32 |
Notice of Termination of Employment |
7/13/2007 |
| PERS-33A Instructions |
Merit Evaluation Instructions |
7/1/2009 |
| PERS-39 |
Expense Claim For Temporary Judicial Aide (formerly Temporary Bailiff) |
3/31/2006 |
| PERS-53 |
Interim Payroll Report |
9/13/2023 |
| PERS-59 |
Physician's Report of Disability |
4/12/2007 |
| PERS-60 |
Applicant's Affidavit of Disability |
4/12/2007 |
| PERS-61 |
Request To Conduct Criminal Background Investigation |
7/5/2022 |
| SEICTF-1 |
SEICTF Guide to Benefits and Claim Filing |
9/3/2019 |
| SEICTF-2 |
Accident Report Employee's Statement |
9/3/2019 |
| SEICTF-3 |
Employer's First Report of Injury or Occupational Disease |
9/3/2019 |
| SEICTF-4 |
Authorization for Initial Treatment and Pharmacy |
9/3/2019 |
| SEICTF-5 |
SEICTF Gatekeepers List |
9/3/2019 |
| W-4 |
W-4 (2024) |
1/3/2024 |
| W-9 |
Request for Taxpayer Identification Number and Certification |
3/19/2024 |
| WH-380-F |
Certification of Health Care Provider for Family Member's Serious Health Condition (Family and Medical Leave Act) |
10/25/2023 |
| WH-381 |
Notice of Eligibility and Rights and Responsibilities (Family and Medical Leave Act) |
9/22/2023 |
| WH-382 |
Designation Notice (Family and Medical Leave Act) |
9/22/2023 |
| WH-384 |
Certification of Qualifying Exigency for Military Family Leave (Family and Medical Leave Act) |
9/22/2023 |
| WH-385 |
Certification for Serious Injury or Illness of Covered Service Member - for Military Family Leave (Family, Medical Leave Act) |
9/22/2023 |
| WH-385-V |
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (Family and Medical Leave Act) |
9/22/2023 |
|
Child Labor Certificates |
5/22/2024 |
|
Workers' Compensation Notice |
8/1/2022 |
|
Job Safety and Health |
8/1/2022 |
|
Equal Opportunity Employer Poster |
8/1/2022 |
|
Workplace Violence Prevention Poster |
8/2/2022 |
