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City of Chico

City of Chico

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Departments

Human Resources & Risk Management

Human Resources

Forms

Forms

General

Cell Phone Reimbursement Form
Fitness Reimb Request: CPOA, PSM, IAFF, CFME
Info Systems Setup Form
Key Request Form
Outside Employment
Personnel Transaction
Recruitment Request Form
L39 Safety Footwear Reimb Form
Sick Leave Payout Form (IAFF)
SEIU Certification Pay Request Form
SEIU Tool Allowance Form

Tuition Reimbursement Application for Program Approval

Tuition Reimbursement Program Claim Form
Union Time Bank Use Authorization

Leave of Absence

California Family Rights Act (CFRA) Fact Sheet

FMLA Fact Sheet
Leave Request Form (LOA-1)
Physician Certification of a Serious Health Condition (LOA-2)

Payroll & Scheduling

PAYROLL
2025 Payroll Calendar

2025 Form DE-4 (CA)

Deferred Compensation 457 Form
Change of Address/Name/Phone Looking for Avidia Bank Salary Redirection Forms? Visit the Employee Benefits Page.

SCHEDULING
Flexible Schedule Request
Voluntary Furlough Program Policy (FY 20-21)
Voluntary Furlough Program Application

Risk Management

ADA Complaint Form
Report of Accident, Theft, Damage or Loss Involving City Property (PDF)
Report of Accident, Theft, Damage or Loss Involving City Property (Word)
Ride Along Waiver

Volunteer/Intern Application

Unpaid Volunteer/Intern Application

Workers' Compensation

City of Chico Physician Letter
Claim Form DWC-1

Incident Report
Physician Pre-Designation Form
Workers' Compensation Flow Chart

Current Agendas

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Departments

Latest News

Current Agendas

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Departments

Latest News