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Forms

Forms are documents that are designed to ensure all information is captured necessary to comply with laws, regulations, policies, and standards. Click on the links below to view or download a form:

Applicants:

  • Request From [Drivers License] Record Holder Form DOR 4681 (required for applicants who will be driving)
  • Request For Criminal Record Check Form SHP-158
  • Employment Application Form 218-1
  • Internal Application Form 218-2
  • Information Release Waiver & Indemnity Form 218-3

Post Offer:

  • Federal Employee’s Withholding Allowance Certificate Form IRS W-4
  • Missouri Employment Eligibility Verification Form Mo W-4
  • Employment Eligibility Verification Form I-9
  • Certificate to Employ a Child 14 or 15 Years of Age Form DOL 500-1368 (if 14 or 15 years old)
  • Personnel Data Form 254-1
  • Personnel Action Form 254-2
  • Applicant Checklist Form 254-4
  • New Member Checklist Form 254-5
  • On-Call Acknowledgement Form XXX-1
  • Accident and Health Beneficiary Form

Other: