Forms

• MS Word or MS Excel:
  - Right click on the link and choose "Save Target As". 
  - When the "Save As" window appears, go to the folder you want to save it to and click "Save".
• PDF: The free Adobe Reader allows you to view, complete and print PDF files.

Absence from the City Request (MS Word) (Print 2 copies)

Administrative Support Team Timesheet (PDF)

Alternative and Flexible Work Schedules Request (PDF) - (see APM 2-35 (PDF))

Application for Leave Without Pay (AWOP) 11 Days or Less (PDF)

Application for Leave Without Pay (AWOP) 12 Days or More (PDF)

Architectural Services Request Form (MS Word)

Authorization for Expenditure (MS Word) (see APM 1-6 (PDF))

Authorization to Hire Above Step 1 - Non-Represented Employees (MS Word)

Beneficiary Designation Instructions and Form (PDF) - CHANGE of Beneficiary Form (from Wisconsin Department of Employee Trust Funds)

Billing Authorization (PDF) - Also available as a Word template (BillAuth.dot)

Builders Risk Insurance Request (MS Word)

Common Council and Board and Commission Meeting Dates, Submission, Preparation and Coordination of Ordinances, Resolutions and Reports to the Common Council: (see APM 3-1 (PDF))

• Registration Statement (PDF)
• Registration Statement (MS Word)

Car Data Sheets:

• Personally Assigned Vehicles (MS Word)
• Police Personally Assigned Vehicles (MS Word)
• CARS Monitor (MS Word)

Certification Hiring Request (MS Word)

Committee Attendance Record (MS Excel)

Contract for Purchase of Services (MS Word)

Contract for Purchase of Services (Architect) (MS Word)

Contract for Purchase of Services (Design Professionals) (MS Word)

Contract for Purchase of Services (Public Health - Madison & Dane County) (MS Word)

Contract Request Form - Office of City Attorney (MS Word)

Dane County Printing and Services:

• Fast Copy Request (PDF)
• Production Printing Requisition (PDF)

Direct Deposit Authorization Agreement (PDF)

Direct Deposit Termination (PDF)

Document Services Request

Domestic Partner Health Insurance:

• Registration of Domestic Partnership (MS Word)
• Reimbursement Request Form (2007) (MS Word)
• Reimbursement Request Form (2008) (MS Word)

Effective Business Practice (PDF)

Emergency Contact Form (PDF)

Employee Change of Address and/or Telephone Number (MS Word) (see APM 2-37 (PDF))

Employee Evaluation Reports:

• Employee Probation Report (MS Word): Initial / Final

• Employee Trial Period Evaluation Report (MS Word): Initial / Final

• Employee Evaluation Report (MS Word): Initial / Final

Employee Self-Identification Form (PDF)

Employment Application for Promotion or Transfer (4 pages) (PDF) - Read these instructions first.

Employment Screening Authorization Form (PDF) - (see APM 2-25 (PDF))

Family/Medical Leave: (see APM 2-21 (PDF))

• Application (PDF)
• Health Care Provider Certification (Employee - Serious Health Condition) (PDF)
• Health Care Provider Certification (Family Member - Serious Health Condition) (PDF)
• City of Madison Family and Medical Leave Policy (PDF)
• Family and Medical Leave Act of 1993 (PDF)
• Wisconsin Family and Medical Leave Law (PDF)
• Procedure for the Administration of Family and Medical Leaves of Absence (PDF)

Family Partner Designation Form (PDF) (see APM 2-14 (PDF))

Flexible Spending Account:

• EBC Reimbursement Form (PDF)

• Flexible Spending Account Enrollment Memo (PDF)

• EBC Booklet (PDF)

Grievance Procedure for Non-Represented Employees Form (PDF) - (see APM 2-16 (PDF))

I-9 Package (PDF)

ICMA Enrollment/Change Form (PDF) - ICMA-RC - Maximums (PDF)

Incident Report (MS Word)

Leave Adjustments (PDF) - Also available as a Word template (LeaveAdj.dot)

LPO Form (MS Excel) - LPO Form Instructions (Excel)

• LPO Instructions (PDF) - Conditions of Purchase (PDF) - Authorization Form (MS Word)

Lincoln 457 Deferred Compensation Plan Change Form (PDF) - Alliance Benefit Group - Maximums (PDF)

• Investment Election Form - New Enrollees ONLY (PDF)

Merit Awards Program Description and Form

Mileage Log:

• January 1, 2008: Personal Auto Use (MS Excel) / Personal Auto Use (PDF)
• July 1, 2008: Personal Auto Use (MS Excel) / Personal Auto Use (PDF)
• Workers' Compensation (MS Excel) / Workers' Compensation (PDF)

Oath of Office (PDF 28KB)

Open Records Law (PDF) - Also available as a Word template (OpenRec.dot)

Past Due P-Card Statement (MS Word)

P-Card Agreement (MS Word) - P-Card Application (MS Word) - P-Card Problem Purchases (MS Word)

Personnel Action (PDF) - Also available as a Word template (Action.dot)

Policies and Procedures For Internal and External Training: (see APM 2-10 (PDF))

• Absence from the City Request (MS Word) (Print 2 copies)
• Training Request (Internal)
• Individual Development Plan (MS Word)

Position Description Instructions

• Position Description (MS Word) - Also available as a Word template (PosDesc.dot)
• Supervisory Analysis Form (MS Word) - Also available as a Word template (SupvForm.dot)

Pre-Pay & Supplemental Check Request (PDF) - Also available as a Word template (Prepay.dot)

Prohibited Harassment and/or Discrimination Policy: (see APM 3-5 (PDF))

• Complaint Register (Attachment 1) (MS Word)
• Notice of Investigation (Attachment 2) (MS Word)

Public Works Contracts Boilerplate (value over $100,000) (MS Word) - Public Works Prevailing Wage Rates (PDF)

Public Works Contracts Boilerplate (value under $100,000) (MS Word) - Public Works Prevailing Wage Rates (PDF)

Public Works Request for Project/Contract Number (MS Word)

Public Works Prevailing Wage Rates (PDF)

Request for Amendment to the Madison General Ordinance (MS Word)

Request for Transfer of Funds (PDF)

Request to City Attorney (MS Word)

Self-Declaration of Disability Form (PDF)

Sole Source Justification Form (MS Word)

Statement of Interests Form (PDF)

Surplus Auction Information Form (MS Word)

Take Our Daughters and Sons To Work Day

Tax Exempt Form S-211 (PDF)

Telecommuting Agreement (PDF) - (see APM 2-34 (PDF))

Telephone Service Requests (PDF)

Timesheet (MS Excel)

Training Evaluation (PDF)

Training Request (Internal)

Travel Guide (Pocket) (PDF)

Trip Settlement

• January 1, 2008 (MS Excel)
• July 1, 2008 (MS Excel)

W-4 Employee's Withholding Allowance Certificat (Federal) (PDF)

W-4 Employee's Withholding Allowance Certificate (State of Wisconsin) (PDF) (Print page 1 ONLY)

Workers' Compensation Accident Report

• Employee (PDF)
• Supervisor (PDF)