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Employee Relations Forms

Renaissance Tower - 1201 Elm Street, 23rd Floor, Suite 2300-B, Dallas, TX 75270
Telephone: (214) 653-7638 • Fax: (214) 653-7608


Employee Relations Forms:

To open and print a copy, click on the form name.

Grievance Form

ADA Accomodation

For ADA Accommodation questions, please contact CareWorks Absence Management at 1-888-436-9530 or visit https://timeoff.careworksabsence.com.

If you have policy related questions, please contact your HR Representative.

Harassment Form

Notice of Separation

Statement of Corrective Action

Performance Review Forms

Record of Counseling

Family and Medical Leave (FMLA) and Other Leave Forms:

Request for FMLA Leave Form

FMLA Designation Form

Notice of Eligibility and Rights

Certification of Qualifying Exigency

Certification of Health Care Provider – Family Member

Certification of Health Care Provider – Employee

Certification of Military Service Member

Certification of Veteran for Military Caregiver Leave

Leave of Absence Form

Primary Caregiver-Medical Certification Form

For FMLA/LOA questions please contact CareWorks Absence Management at 1-888-436-9530 or visit https://timeoff.careworksabsence.com

If you have policy related questions, please contact your H.R. Representative.

Catastrophic Vacation and Sick Leave Forms:

Catastrophic Leave Policy

Donation Form

Request Form

Medical Certification Form

Work Schedule Forms (Chapter 82-32):

Flexible Work Hours Request Form

Telecommuting Request Form

Telecommuting Request Form (Short-term)

Employment Forms (Chapter 86)

Background Investigation Authorization Form

Emergency Contact Form

Click Here to View Hiring Policy

All surveys are anonymous. Take Survey

Includes most recent, court ordered changes

Chapter 82
Personnel Benefits, Payroll, and Compensation

Chapter 86
Personnel and Employment

Click Here to view Dallas County’s Corrective Action Model and Related Forms.

Click here for procedures on filing a grievance, the grievance form and the complete grievance policy.

Click here To check out the Dallas County’s new policy on Employee Investigations. For guidelines on conducting an internal investigation, click here