Personnel Resources | County of Glenn

GCPER 44-Conviction Form

Attachment	Size
GCPER 44-Conviction Form-Rev 03-2017.pdf (426.24 KB)	426.24 KB

County of Glenn Employment Application

Attachment	Size
County of Glenn Employment Application (234.53 KB)	234.53 KB

Concern Flyer

Attachment	Size
Concern Flyer (501.64 KB)	501.64 KB

Overview of Protected Statutory Leaves

Attachment	Size
Overview of Protected Leaves (215.56 KB)	215.56 KB

Pregnancy Leave Information Packet

Attachment	Size
Pregnancy Leave Information Packet (266.89 KB)	266.89 KB

Cash In-Lieu of Health Coverage

Attachment	Size
Cash In-Lieu of Health Coverage (34.24 KB)	34.24 KB

CalPERS Health Enrollment Form

Attachment	Size
CalPERS Health Enrollment Form (385.19 KB)	385.19 KB

Symetra Beneficiary Change Form

Attachment	Size
Symetra Beneficiary Change Form (330.47 KB)	330.47 KB

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

Attachment	Size
Symetra Life Insurance (562.94 KB)	562.94 KB

Protecting Yourself from Heat Stress

Attachment	Size
Protecting Yourself from Heat Stress (375.87 KB)	375.87 KB

Easy Ergonomics for Desktop Computer Users

Attachment	Size
Easy Ergonomics for Desktop Computer Users (5.93 MB)	5.93 MB

Ergonomics Workstation Adjustments

Attachment	Size
Ergonomics Workstation Adjustments (1.01 MB)	1.01 MB

Claim for Loss of or Damage to Personal Property

Attachment	Size
Claim for Loss of or Damage to Personal Property (69.52 KB)	69.52 KB

Salary Ranges and Steps FY 2023-2024

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - October 1, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 3, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 20, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2023 (4.65 MB)	4.65 MB

Salary Ranges and Steps FY 2022-2023

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 13, 2023 (4.65 MB)	4.65 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 16, 2023 (4.63 MB)	4.63 MB
Schedule of Personnel Classes, Salary Ranges and Steps - March 21, 2023 (4.65 MB)	4.65 MB
Schedule of Personnel Classes, Salary Ranges and Steps - February 5, 2023 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 24, 2023 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 2, 2023 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - December 11, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - November 1, 2022 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - October 2, 2022 (4.47 MB)	4.47 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 20, 2022 (4.36 MB)	4.36 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 18, 2022 (4.32 MB)	4.32 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 30, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 21, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 16, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 12, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 10, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2022 (4.32 MB)	4.32 MB

Vacation Cash-Out Request

Attachment	Size
Vacation Cash-Out Request - GCMMA (556.3 KB)	556.3 KB
Vacation Cash-Out Request - DSA, POA & SAA (556.55 KB)	556.55 KB
Vacation Cash-Out Request - Non-Rep (558.79 KB)	558.79 KB

Salary Ranges and Steps FY 2021-2022

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 21, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - May 1, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 19, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 5, 2022 (4.32 MB)	4.32 MB
Schedule of Personnel Classes, Salary Ranges and Steps - March 15, 2022 (4.29 MB)	4.29 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 4, 2022 (4.29 MB)	4.29 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 2, 2022 (4.28 MB)	4.28 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 1, 2022 (4.28 MB)	4.28 MB
Schedule of Personnel Classes, Salary Ranges and Steps - December 26, 2021 (4.38 MB)	4.38 MB
Schedule of Personnel Classes, Salary Ranges and Steps - November 28, 2021 (307.61 KB)	307.61 KB
Schedule of Personnel Classes, Salary Ranges and Steps - October 5, 2021 (4.27 MB)	4.27 MB
Schedule of Personnel Classes, Salary Ranges and Steps - October 3, 2021 (4.25 MB)	4.25 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 21, 2021 (304.09 KB)	304.09 KB
Schedule of Personnel Classes, Salary Ranges and Steps - August 22, 2021 (302.94 KB)	302.94 KB
Schedule of Personnel Classes, Salary Ranges and Steps - August 17, 2021 (303.05 KB)	303.05 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 20, 2021 (303 KB)	303 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2021 (298.69 KB)	298.69 KB

Employee Repayment Agreement

Attachment	Size
Employee Repayment Agreement (154.77 KB)	154.77 KB

Salary Ranges and Steps FY 2020-2021

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 29, 2021 (301.77 KB)	301.77 KB
Schedule of Personnel Classes, Salary Ranges and Steps - June 15, 2021 (301.08 KB)	301.08 KB
Schedule of Personnel Classes, Salary Ranges and Steps - May 4, 2021 (300.49 KB)	300.49 KB
Schedule of Personnel Classes, Salary Ranges and Steps - March 21, 2021 (301.25 KB)	301.25 KB
Schedule of Personnel Classes, Salary Ranges and Steps - February 13, 2021 (302.9 KB)	302.9 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 24, 2021 (298.26 KB)	298.26 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 19, 2021 (299.37 KB)	299.37 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 1, 2021 (298.74 KB)	298.74 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 27, 2020 (299.17 KB)	299.17 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 22, 2020 (298.54 KB)	298.54 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 15, 2020 (298.51 KB)	298.51 KB
Schedule of Personnel Classes, Salary Ranges and Steps - November 29, 2020 (297.91 KB)	297.91 KB
Schedule of Personnel Classes, Salary Ranges and Steps - October 20, 2020 (297.86 KB)	297.86 KB
Schedule of Personnel Classes, Salary Ranges and Steps - September 20, 2020 (297.25 KB)	297.25 KB
Schedule of Personnel Classes, Salary Ranges and Steps - September 15, 2020 (296.48 KB)	296.48 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2020 (292.77 KB)	292.77 KB

CalPERS - Special Power of Attorney

Attachment	Size
CalPERS - Special Power of Attorney (119.99 KB)	119.99 KB

New Hire Packet

Attachment	Size
New Hire Packet Checklist (114.69 KB)	114.69 KB
Personnel Action Form (193.33 KB)	193.33 KB
Direct Deposit (410.59 KB)	410.59 KB
2024 Payroll Dates (33.41 KB)	33.41 KB
Designation of Person (79.63 KB)	79.63 KB
Oath of Office (59.42 KB)	59.42 KB
Employee Personal Information Form (50.89 KB)	50.89 KB
CalPERS Membership Questionnaire (383.1 KB)	383.1 KB
CalPERS Retirement Questionnaire (383.39 KB)	383.39 KB
Reciprocal Self-Certification (836.06 KB)	836.06 KB
Employee Acknowledgment Form (296.13 KB)	296.13 KB
Admin Manual Title 10 (4.13 MB)	4.13 MB
Admin Manual Title 12 (8.16 MB)	8.16 MB
Rights of Victims of Domestic Violence Information (429.26 KB)	429.26 KB
Transgender Rights in the Workplace (295.03 KB)	295.03 KB
LGBTQ+ Fact Sheet (202.35 KB)	202.35 KB
Hate Violence & Civil Rights (496.81 KB)	496.81 KB
Disaster Service Workers Handout (599.98 KB)	599.98 KB
Sexual Harassment Fact Sheet (398.77 KB)	398.77 KB
Health Care Reform Notice/ACA Information Handout (1.15 MB)	1.15 MB
Federal Privacy Act (48.35 KB)	48.35 KB
Electronic Systems Policy (472.98 KB)	472.98 KB
Lactation Policy (404.67 KB)	404.67 KB
Vector Solutions Log-in Handout (479.61 KB)	479.61 KB
Personal Physician Pre-Designation Form (22.75 KB)	22.75 KB
Notice to Employee (146.5 KB)	146.5 KB

Salary Ranges and Steps FY 2019-2020

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - May 5, 2020 (527.09 KB)	527.09 KB
Schedule of Personnel Classes, Salary Ranges and Steps - March 17, 2020 (527.8 KB)	527.8 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Dec. 30, 2019 (525.69 KB)	525.69 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Dec. 10, 2019 (527.05 KB)	527.05 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Oct. 1, 2019 (525.61 KB)	525.61 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 22, 2019 (524.07 KB)	524.07 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 17, 2019 (522.46 KB)	522.46 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 6, 2019 (522.52 KB)	522.52 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 3, 2019 (516.02 KB)	516.02 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Aug. 16, 2019 (515.93 KB)	515.93 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2018 (497.25 KB)	497.25 KB

HHSA Work Schedule Request Form

Attachment	Size
HHSA Work Schedule Request Form (335.97 KB)	335.97 KB

Salary Ranges and Steps

Attachment	Size
Schedule of Salary Ranges and Steps (314.55 KB)	314.55 KB

Salary Ranges and Steps FY 2017-2018

Attachment	Size
Schedule of Salary Ranges and Steps by Job Title - May 20, 2018 (495.55 KB)	495.55 KB
Schedule of Salary Ranges and Steps by Job Title - May 15, 2018 (494.64 KB)	494.64 KB
Schedule of Salary Ranges and Steps by Job Title - April 17,2018 (493.46 KB)	493.46 KB
Schedule of Salary Ranges and Steps by Job Title - March 20,2018 (494.6 KB)	494.6 KB
Schedule of Salary Ranges and Steps by Job Title - March 6, 2018 (494.54 KB)	494.54 KB
Schedule of Salary Ranges and Steps by Job Title - Feb 6, 2018 (493.53 KB)	493.53 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 16, 2018 (493.9 KB)	493.9 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 14, 2018 (490.53 KB)	490.53 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 2, 2018 (489.48 KB)	489.48 KB
Schedule of Salary Ranges and Steps by Job Title - Dec 19, 2017 (489.06 KB)	489.06 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 19, 2017 (494.13 KB)	494.13 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 17, 2017 (491.58 KB)	491.58 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 1, 2017 (490.4 KB)	490.4 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 19, 2017 (486.79 KB)	486.79 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 5, 2017 (486.28 KB)	486.28 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 29, 2017 (485.48 KB)	485.48 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 27, 2017 (484.88 KB)	484.88 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 15, 2017 (483.66 KB)	483.66 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 1, 2017 (482.94 KB)	482.94 KB
Schedule of Salary Ranges and Steps by Job Title - July 18, 2017 (483.01 KB)	483.01 KB
Schedule of Salary Ranges and Steps by Job Title - July 2, 2017 (481.72 KB)	481.72 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2017 (634.02 KB)	634.02 KB

New Employee Checklist (Supervisor)

Attachment	Size
New Employee Checklist (231.56 KB)	231.56 KB

HHSA Confidentiality Policy

Attachment	Size
HHSA Confidentiality Policy (1.3 MB)	1.3 MB

HHSA Confidentiality Policy

Attachment	Size
Confidentiality_1-20-18.pdf (1.3 MB)	1.3 MB

FLSA Exemption Test Worksheet

Attachment	Size
FLSA Exemption Test Worksheet (708.48 KB)	708.48 KB

Job Reclassification Request Form

Attachment	Size
Job Re-Classification Request Form (98.27 KB)	98.27 KB

Job Analysis Request - Supervisory Position Supplement

Attachment	Size
Job Analysis Request - Supervisory Position Supplement (56.71 KB)	56.71 KB

Grievance Form - DSA Employees

Attachment	Size
GCPER 17 Grievance - DSA.pdf (225.12 KB)	225.12 KB

Grievance Form - POA Employees

Attachment	Size
GCPER 17 Grievance - POA.pdf (223.58 KB)	223.58 KB

Grievance Form - Mid Manager Employees

Attachment	Size
GCPER 17 Grievance - MMA.pdf (284.29 KB)	284.29 KB

Grievance Form - General Unit Employees

Attachment	Size
GCPER 17 Grievance - General Unit.pdf (152.74 KB)	152.74 KB

Grievance Form - Non Represented Employees

Attachment	Size
GCPER 17 Grievance - Non Rep.pdf (216.53 KB)	216.53 KB

Glenn County Equal Employment Opportunity Plan

Attachment	Size
Glenn County Equal Employment Opportunity Plan 2019 (563.75 KB)	563.75 KB
Glenn County Equal Employment Opportunity Plan 2015 (12.17 MB)	12.17 MB

Salary Ranges and Steps FY 2018-2019

Attachment	Size
Schedule of Salary Ranges and Steps by Job Title - June 30, 2019 (500.36 KB)	500.36 KB
Schedule of Salary Ranges and Steps by Job Title - June 18, 2019 (504.46 KB)	504.46 KB
Schedule of Salary Ranges and Steps by Job Title - May 21, 2019 (500.09 KB)	500.09 KB
Schedule of Salary Ranges and Steps by Job Title - May 20, 2019 (499.91 KB)	499.91 KB
Schedule of Salary Ranges and Steps by Job Title - April 30, 2019 (500.5 KB)	500.5 KB
Schedule of Salary Ranges and Steps by Job Title - April 16, 2019 (499.83 KB)	499.83 KB
Schedule of Salary Ranges and Steps by Job Title - Feb. 19, 2019 (499.01 KB)	499.01 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 29, 2019 (498.46 KB)	498.46 KB
Schedule of Salary Ranges and Steps by Job Title - Dec 18, 2018 (498.63 KB)	498.63 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 6, 2018 (498.3 KB)	498.3 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 4, 2018 (498.77 KB)	498.77 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 30, 2018 (496.61 KB)	496.61 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 9, 2018 (498.23 KB)	498.23 KB
Schedule of Salary Ranges and Steps by Job Title - Sept. 23, 2018 (498.56 KB)	498.56 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 18, 2018 (497.83 KB)	497.83 KB
Schedule of Salary Ranges and Steps by Job Title - July 31, 2018 (496 KB)	496 KB
Schedule of Salary Ranges and Steps by Job Title - July 17, 2018 (494.95 KB)	494.95 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2018 (494.94 KB)	494.94 KB

Employee Tax Withholding Form

Attachment	Size
Federal - W-4 2024 (185.47 KB)	185.47 KB
State - DE4 (192.19 KB)	192.19 KB

Salary Redirection Agreement

Attachment	Size
Salary Redirection Agreement (92.12 KB)	92.12 KB

Extra Help Agreement

Attachment	Size
Extra Help Agreement (12.47 KB)	12.47 KB

Predesignation of Personal Physician WC - DWC Form 9783

Attachment	Size
Predesignation of Personal Physician WC - DWC Form 9783 (45.78 KB)	45.78 KB

Personnel Action Form (PAF)

Attachment	Size
GCPER 37 - Pay Action Form (197.16 KB)	197.16 KB

OATH of Office

Attachment	Size
Oath of Office (58.77 KB)	58.77 KB

Job Analysis Request

Attachment	Size
Job Analysis Request (58.09 KB)	58.09 KB

Independent Contractor Questionnaire

Attachment	Size
Independent Contractor Questionnaire (308.33 KB)	308.33 KB

Incident Report

Attachment	Size
Incident Report (15.54 KB)	15.54 KB

Health and Human Services Agency New Employee Checklist

Attachment	Size
HHSA New Employee Checklist (Supervisor) (564.17 KB)	564.17 KB

Health and Human Services Agency Employee Departure Checklist

Attachment	Size
HHSA Employee Departure Checklist (549.2 KB)	549.2 KB

Employment Verification Form I-9

Attachment	Size
Employment Verification Form I-9 (260.74 KB)	260.74 KB

Employment Application

Attachment	Size
Employment Application (233.33 KB)	233.33 KB

Employee Performance Evaluation

Attachment	Size
Employee Performance Evaluation (464.21 KB)	464.21 KB

Discrimination Complaint Form

Attachment	Size
Discrimination Complaint Form (132.33 KB)	132.33 KB

Direct Deposit Authorization

Attachment	Size
Direct Deposit Authorization (104.39 KB)	104.39 KB

Change of Employee Information Request Form

Attachment	Size
Change of Employee Information Request Form - Electronic Form (293.08 KB)	293.08 KB
Change of Employee Information Request Form - Hard Copy (279.09 KB)	279.09 KB

Claim for Loss of or Damage to Personal Property

Attachment	Size
Claim for Loss of or Damage to Personal Property (69.52 KB)	69.52 KB

Vacation Cash-Out Request

Attachment	Size
Vacation Cash-Out Request - GCMMA (556.3 KB)	556.3 KB
Vacation Cash-Out Request - DSA, POA & SAA (556.55 KB)	556.55 KB
Vacation Cash-Out Request - Non-Rep (558.79 KB)	558.79 KB

Glenn County Flexible Work Schedule Agreement

Attachment	Size
Glenn County Flexible Work Schedule Agreement (532.8 KB)	532.8 KB

Reasonable Suspicion Checklist

Attachment	Size
Reasonable Suspicion Checklist (551.45 KB)	551.45 KB

Employee Repayment Agreement

Attachment	Size
Employee Repayment Agreement (154.77 KB)	154.77 KB

Volunteer / Intern Action Form

Attachment	Size
Volunteer / Intern Action Form (109.95 KB)	109.95 KB

Volunteer / Intern Application

Attachment	Size
Volunteer / Intern Application (377.21 KB)	377.21 KB

HHSA Work Schedule Request Form

Attachment	Size
HHSA Work Schedule Request Form (335.97 KB)	335.97 KB

New Employee Checklist (Supervisor)

Attachment	Size
New Employee Checklist (231.56 KB)	231.56 KB

Incident Report

Attachment	Size
Incident Report (24.96 KB)	24.96 KB

HHSA Confidentiality Policy

Attachment	Size
HHSA Confidentiality Policy (1.3 MB)	1.3 MB

HHSA Confidentiality Policy

Attachment	Size
Confidentiality_1-20-18.pdf (1.3 MB)	1.3 MB

FLSA Exemption Test Worksheet

Attachment	Size
FLSA Exemption Test Worksheet (708.48 KB)	708.48 KB

Job Reclassification Request Form

Attachment	Size
Job Re-Classification Request Form (98.27 KB)	98.27 KB

Request For Reasonable Accommodation

Attachment	Size
Request for Reasonable Accommodation (1.17 MB)	1.17 MB

Preliminary Designation Notice - Department Use

Attachment	Size
Preliminary Designation Notice (187.67 KB)	187.67 KB

Job Analysis Request - Supervisory Position Supplement

Attachment	Size
Job Analysis Request - Supervisory Position Supplement (56.71 KB)	56.71 KB

Grievance Form - DSA Employees

Attachment	Size
GCPER 17 Grievance - DSA.pdf (225.12 KB)	225.12 KB

Grievance Form - POA Employees

Attachment	Size
GCPER 17 Grievance - POA.pdf (223.58 KB)	223.58 KB

Grievance Form - Mid Manager Employees

Attachment	Size
GCPER 17 Grievance - MMA.pdf (284.29 KB)	284.29 KB

Grievance Form - General Unit Employees

Attachment	Size
GCPER 17 Grievance - General Unit.pdf (152.74 KB)	152.74 KB

Grievance Form - Non Represented Employees

Attachment	Size
GCPER 17 Grievance - Non Rep.pdf (216.53 KB)	216.53 KB

Step 6 - Pre-employment Testing/Background Check (If applicable)

Attachment	Size
Background Check Authorization Form (519.93 KB)	519.93 KB
Background Check Investigation Documentation (420.38 KB)	420.38 KB
Background Check Personal History Statement (244.43 KB)	244.43 KB
Background Check Law Enforcement Contact Form (301.73 KB)	301.73 KB

Physician Certification of a Serious Health Condition for a Family Member

Attachment	Size
Physical Certification of a Serious Health Condition for a Family Member (355.53 KB)	355.53 KB

Military FMLA Leave Request Form

Attachment	Size
Military FMLA Leave Request Form (195.21 KB)	195.21 KB

Return to Work Authorization GCPER31

Attachment	Size
Return to Work Authorization - GCPER31 (185.24 KB)	185.24 KB

Physician Certification of a Serious Health Condition GCPER30

Attachment	Size
Physician Certification of A Serious Health Condition GCPER30 (275.75 KB)	275.75 KB

Coordination of Benefits While on a Leave Form

Attachment	Size
Coordination of Benefits (125.94 KB)	125.94 KB

Leave Request Form GCPER14

Attachment	Size
Leave Request Form GCPER14 (179.83 KB)	179.83 KB

Catastrophic Leave Request Form

Attachment	Size
Catastrophic Leave Request Form (47.71 KB)	47.71 KB

Employee Tax Withholding Form

Attachment	Size
Federal - W-4 2024 (185.47 KB)	185.47 KB
State - DE4 (192.19 KB)	192.19 KB

Salary Redirection Agreement

Attachment	Size
Salary Redirection Agreement (92.12 KB)	92.12 KB

Step 1 - Request Recruitment

Attachment	Size
Recruitment Request (577.79 KB)	577.79 KB

Extra Help Agreement

Attachment	Size
Extra Help Agreement (12.47 KB)	12.47 KB

Predesignation of Personal Physician WC - DWC Form 9783

Attachment	Size
Predesignation of Personal Physician WC - DWC Form 9783 (45.78 KB)	45.78 KB

Personnel Action Form (PAF)

Attachment	Size
GCPER 37 - Pay Action Form (197.16 KB)	197.16 KB

OATH of Office

Attachment	Size
Oath of Office (58.77 KB)	58.77 KB

Job Analysis Request

Attachment	Size
Job Analysis Request (58.09 KB)	58.09 KB

Independent Contractor Questionnaire

Attachment	Size
Independent Contractor Questionnaire (308.33 KB)	308.33 KB

Incident Report

Attachment	Size
Incident Report (15.54 KB)	15.54 KB

Health and Human Services Agency New Employee Checklist

Attachment	Size
HHSA New Employee Checklist (Supervisor) (564.17 KB)	564.17 KB

Health and Human Services Agency Employee Departure Checklist

Attachment	Size
HHSA Employee Departure Checklist (549.2 KB)	549.2 KB

Employment Verification Form I-9

Attachment	Size
Employment Verification Form I-9 (260.74 KB)	260.74 KB

Employment Application

Attachment	Size
Employment Application (233.33 KB)	233.33 KB

Employee Performance Evaluation

Attachment	Size
Employee Performance Evaluation (464.21 KB)	464.21 KB

Discrimination Complaint Form

Attachment	Size
Discrimination Complaint Form (132.33 KB)	132.33 KB

Direct Deposit Authorization

Attachment	Size
Direct Deposit Authorization (104.39 KB)	104.39 KB

Change of Employee Information Request Form

Attachment	Size
Change of Employee Information Request Form - Electronic Form (293.08 KB)	293.08 KB
Change of Employee Information Request Form - Hard Copy (279.09 KB)	279.09 KB

Vehicle Incident Information

Attachment	Size
Vehicle Incident Information (15.33 KB)	15.33 KB

Site Inspection Form

Attachment	Size
Site Inspection Form (33.11 KB)	33.11 KB

Safety and Health Orientation Checklist

Attachment	Size
Safety and Health Orientation Checklist (15.84 KB)	15.84 KB

Job Safety Analysis Form

Attachment	Size
Job Safety Analysis Form (15.27 KB)	15.27 KB

Incident Report Form

Attachment	Size
Incident Report Form (25.07 KB)	25.07 KB

Ergonomic Evaluation Checklist

Attachment	Size
Ergonomic Evaluation Checklist (337.23 KB)	337.23 KB

Ergonomic Evaluation Request Form

Attachment	Size
Ergonomic Evaluation Request Form (262.14 KB)	262.14 KB

Employee Report of Unsafe Condition or Hazard Form

Attachment	Size
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB

Accident Investigation Form

Attachment	Size
Accident Investigation Form (201.01 KB)	201.01 KB

Cash In-Lieu of Health Coverage

Attachment	Size
Cash In-Lieu of Health Coverage (34.24 KB)	34.24 KB

CalPERS Health Enrollment Form

Attachment	Size
CalPERS Health Enrollment Form (385.19 KB)	385.19 KB

Symetra Beneficiary Change Form

Attachment	Size
Symetra Beneficiary Change Form (330.47 KB)	330.47 KB

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

Attachment	Size
Symetra Life Insurance (562.94 KB)	562.94 KB

Step 5- Recruitment Selection

Attachment	Size
Recruitment Selection Form (368.08 KB)	368.08 KB
Pre-Hire Tracking List (828.46 KB)	828.46 KB

Step 3 - Paper Screen Applications

Attachment	Size
Paper Screening Form (271.58 KB)	271.58 KB

Step 4 - Oral Interview

Attachment	Size
Oral Interview Screening Criteria (336.57 KB)	336.57 KB
Conviction Form - Interview Only (428.86 KB)	428.86 KB

Step 2 - Sign Confidentiality Form

Attachment	Size
Confidentiality Form (84.51 KB)	84.51 KB
Guidelines for the Hiring Interview (187.33 KB)	187.33 KB

Heat Stress Policy

Attachment	Size
Heat Stress Policy (33.95 KB)	33.95 KB

First Aid Kit and Protective Equipment Policy and Guidelines

Attachment	Size
First Aid Kit and Protective Equipment Policy and Guidelines (23.85 KB)	23.85 KB

Hiring/Selection Panel Handbook

Screening and Oral Interview Panels are selected by the Appointing Authority in accordance with Glenn County Personnel Rules. All Panels shall have a Chair either designated by the Appointing Authority or, in the absence of a designation, self-voted by the Panel.

Attachment	Size
Hiring/Selection Panel Handbook (462.51 KB)	462.51 KB

Easy Ergonomics for Desktop Computer Users

Attachment	Size
Easy Ergonomics for Desktop Computer Users (5.93 MB)	5.93 MB

Ergonomics Workstation Adjustments

Attachment	Size
Ergonomics Workstation Adjustments (1.01 MB)	1.01 MB

Heat Stress Policy

Attachment	Size
Heat Stress Policy (33.95 KB)	33.95 KB

First Aid Kit and Protective Equipment Policy and Guidelines

Attachment	Size
First Aid Kit and Protective Equipment Policy and Guidelines (23.85 KB)	23.85 KB

Injury and Illness Prevention Program (IIPP)

Attachment	Size
Injury and Illness Prevention Program (IIPP) (137.81 KB)	137.81 KB

Ergonomics Program

Attachment	Size
Ergonomics Program (23.95 KB)	23.95 KB

Cash In-Lieu of Health Coverage

Attachment	Size
Cash In-Lieu of Health Coverage (34.24 KB)	34.24 KB

CalPERS Health Enrollment Form

Attachment	Size
CalPERS Health Enrollment Form (385.19 KB)	385.19 KB

Symetra Beneficiary Change Form

Attachment	Size
Symetra Beneficiary Change Form (330.47 KB)	330.47 KB

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

Attachment	Size
Symetra Life Insurance (562.94 KB)	562.94 KB

Request For Reasonable Accommodation

Attachment	Size
Request for Reasonable Accommodation (1.17 MB)	1.17 MB

Overview of Protected Leaves

Attachment	Size
Overview of Protected Leaves (1.84 MB)	1.84 MB

Preliminary Designation Notice - Department Use

Attachment	Size
Preliminary Designation Notice (187.67 KB)	187.67 KB

Physician Certification of a Serious Health Condition for a Family Member

Attachment	Size
Physical Certification of a Serious Health Condition for a Family Member (355.53 KB)	355.53 KB

Military FMLA Leave Request Form

Attachment	Size
Military FMLA Leave Request Form (195.21 KB)	195.21 KB

Return to Work Authorization GCPER31

Attachment	Size
Return to Work Authorization - GCPER31 (185.24 KB)	185.24 KB

Physician Certification of a Serious Health Condition GCPER30

Attachment	Size
Physician Certification of A Serious Health Condition GCPER30 (275.75 KB)	275.75 KB

Coordination of Benefits While on a Leave Form

Attachment	Size
Coordination of Benefits (125.94 KB)	125.94 KB

Leave Request Form GCPER14

Attachment	Size
Leave Request Form GCPER14 (179.83 KB)	179.83 KB

Catastrophic Leave Request Form

Attachment	Size
Catastrophic Leave Request Form (47.71 KB)	47.71 KB

Glenn County Sheriffs' Administration Association (SAA) MOU

Attachment	Size
Glenn County Sheriffs' Administration Association MOU 2023-2025 (32.74 MB)	32.74 MB
Sheriffs' Administration Association Summary of Benefits (307.45 KB)	307.45 KB

Summary of Benefits - Elected Officials, Department Heads and Non Represented Employees

Attachment	Size
Board of Supervisor (301.74 KB)	301.74 KB
Elected Official (256.48 KB)	256.48 KB
Department Head (329.04 KB)	329.04 KB
Non-Represented Employee (293.75 KB)	293.75 KB
Extra Help Employee (276.61 KB)	276.61 KB

Glenn County Deputy Sheriffs' Association (DSA) MOU

Attachment	Size
Glenn County Deputy Sheriffs' Association (DSA) MOU 2022-2024 (29.82 MB)	29.82 MB
Deputy Sheriff's Association Summary of Benefits (323.85 KB)	323.85 KB

Glenn County Peace Officers' Association (POA) MOU

Attachment	Size
Glenn County Peace Officers' Association (POA) MOU 2019-2020 (1.96 MB)	1.96 MB
POA Side Letter 2020 (137.3 KB)	137.3 KB
POA Side Letter 2022 (2.4 MB)	2.4 MB
Peace Officers Association Summary of Benefits (560.38 KB)	560.38 KB

Glenn County Mid-Managers' Association (GCMMA) MOU

Attachment	Size
Glenn County Mid-Managers' Association (GCMMA) MOU 2023-2026 (58.26 MB)	58.26 MB
Mid Managers Association Summary of Benefits (306.14 KB)	306.14 KB

Glenn County General Unit MOU

Attachment	Size
Glenn County General Unit UPEC Local 792 (GU) 2023-2026 (61.12 MB)	61.12 MB
General Unit Summary of Benefits (311.04 KB)	311.04 KB

New Hire Packet

Attachment	Size
New Hire Packet Checklist (114.69 KB)	114.69 KB
Personnel Action Form (193.33 KB)	193.33 KB
Direct Deposit (410.59 KB)	410.59 KB
2024 Payroll Dates (33.41 KB)	33.41 KB
Designation of Person (79.63 KB)	79.63 KB
Oath of Office (59.42 KB)	59.42 KB
Employee Personal Information Form (50.89 KB)	50.89 KB
CalPERS Membership Questionnaire (383.1 KB)	383.1 KB
CalPERS Retirement Questionnaire (383.39 KB)	383.39 KB
Reciprocal Self-Certification (836.06 KB)	836.06 KB
Employee Acknowledgment Form (296.13 KB)	296.13 KB
Admin Manual Title 10 (4.13 MB)	4.13 MB
Admin Manual Title 12 (8.16 MB)	8.16 MB
Rights of Victims of Domestic Violence Information (429.26 KB)	429.26 KB
Transgender Rights in the Workplace (295.03 KB)	295.03 KB
LGBTQ+ Fact Sheet (202.35 KB)	202.35 KB
Hate Violence & Civil Rights (496.81 KB)	496.81 KB
Disaster Service Workers Handout (599.98 KB)	599.98 KB
Sexual Harassment Fact Sheet (398.77 KB)	398.77 KB
Health Care Reform Notice/ACA Information Handout (1.15 MB)	1.15 MB
Federal Privacy Act (48.35 KB)	48.35 KB
Electronic Systems Policy (472.98 KB)	472.98 KB
Lactation Policy (404.67 KB)	404.67 KB
Vector Solutions Log-in Handout (479.61 KB)	479.61 KB
Personal Physician Pre-Designation Form (22.75 KB)	22.75 KB
Notice to Employee (146.5 KB)	146.5 KB

Claim for Loss of or Damage to Personal Property

Attachment	Size
Claim for Loss of or Damage to Personal Property (69.52 KB)	69.52 KB

Concern Flyer

Attachment	Size
Concern Flyer (501.64 KB)	501.64 KB

Salary Ranges and Steps FY 2023-2024

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - October 1, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 3, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 20, 2023 (3.82 MB)	3.82 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2023 (4.65 MB)	4.65 MB

Salary Ranges and Steps FY 2022-2023

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 13, 2023 (4.65 MB)	4.65 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 16, 2023 (4.63 MB)	4.63 MB
Schedule of Personnel Classes, Salary Ranges and Steps - March 21, 2023 (4.65 MB)	4.65 MB
Schedule of Personnel Classes, Salary Ranges and Steps - February 5, 2023 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 24, 2023 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 2, 2023 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - December 11, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - November 1, 2022 (4.37 MB)	4.37 MB
Schedule of Personnel Classes, Salary Ranges and Steps - October 2, 2022 (4.47 MB)	4.47 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 20, 2022 (4.36 MB)	4.36 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 18, 2022 (4.32 MB)	4.32 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 30, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 21, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - August 16, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 12, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 10, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2022 (4.32 MB)	4.32 MB

Telecommuting Policy Documents

Attachment	Size
Telework Agreement (824.79 KB)	824.79 KB
Telework Schedule (30.23 KB)	30.23 KB
Telework Safety Checklist #1 (553.69 KB)	553.69 KB
Telework Safety Checklist #2 (38.2 KB)	38.2 KB

Vacation Cash-Out Request

Attachment	Size
Vacation Cash-Out Request - GCMMA (556.3 KB)	556.3 KB
Vacation Cash-Out Request - DSA, POA & SAA (556.55 KB)	556.55 KB
Vacation Cash-Out Request - Non-Rep (558.79 KB)	558.79 KB

Glenn County Flexible Work Schedule Agreement

Attachment	Size
Glenn County Flexible Work Schedule Agreement (532.8 KB)	532.8 KB

Reasonable Suspicion Checklist

Attachment	Size
Reasonable Suspicion Checklist (551.45 KB)	551.45 KB

Salary Ranges and Steps FY 2021-2022

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 21, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - May 1, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 19, 2022 (4.33 MB)	4.33 MB
Schedule of Personnel Classes, Salary Ranges and Steps - April 5, 2022 (4.32 MB)	4.32 MB
Schedule of Personnel Classes, Salary Ranges and Steps - March 15, 2022 (4.29 MB)	4.29 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 4, 2022 (4.29 MB)	4.29 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 2, 2022 (4.28 MB)	4.28 MB
Schedule of Personnel Classes, Salary Ranges and Steps - January 1, 2022 (4.28 MB)	4.28 MB
Schedule of Personnel Classes, Salary Ranges and Steps - December 26, 2021 (4.38 MB)	4.38 MB
Schedule of Personnel Classes, Salary Ranges and Steps - November 28, 2021 (307.61 KB)	307.61 KB
Schedule of Personnel Classes, Salary Ranges and Steps - October 5, 2021 (4.27 MB)	4.27 MB
Schedule of Personnel Classes, Salary Ranges and Steps - October 3, 2021 (4.25 MB)	4.25 MB
Schedule of Personnel Classes, Salary Ranges and Steps - September 21, 2021 (304.09 KB)	304.09 KB
Schedule of Personnel Classes, Salary Ranges and Steps - August 22, 2021 (302.94 KB)	302.94 KB
Schedule of Personnel Classes, Salary Ranges and Steps - August 17, 2021 (303.05 KB)	303.05 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 20, 2021 (303 KB)	303 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2021 (298.69 KB)	298.69 KB

Employee Repayment Agreement

Attachment	Size
Employee Repayment Agreement (154.77 KB)	154.77 KB

Glenn County Sheriffs' Administration Association (SAA) MOU

Attachment	Size
Glenn County Sheriffs' Administration Association MOU 2023-2025 (32.74 MB)	32.74 MB
Sheriffs' Administration Association Summary of Benefits (307.45 KB)	307.45 KB

Salary Ranges and Steps FY 2020-2021

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - June 29, 2021 (301.77 KB)	301.77 KB
Schedule of Personnel Classes, Salary Ranges and Steps - June 15, 2021 (301.08 KB)	301.08 KB
Schedule of Personnel Classes, Salary Ranges and Steps - May 4, 2021 (300.49 KB)	300.49 KB
Schedule of Personnel Classes, Salary Ranges and Steps - March 21, 2021 (301.25 KB)	301.25 KB
Schedule of Personnel Classes, Salary Ranges and Steps - February 13, 2021 (302.9 KB)	302.9 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 24, 2021 (298.26 KB)	298.26 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 19, 2021 (299.37 KB)	299.37 KB
Schedule of Personnel Classes, Salary Ranges and Steps - January 1, 2021 (298.74 KB)	298.74 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 27, 2020 (299.17 KB)	299.17 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 22, 2020 (298.54 KB)	298.54 KB
Schedule of Personnel Classes, Salary Ranges and Steps - December 15, 2020 (298.51 KB)	298.51 KB
Schedule of Personnel Classes, Salary Ranges and Steps - November 29, 2020 (297.91 KB)	297.91 KB
Schedule of Personnel Classes, Salary Ranges and Steps - October 20, 2020 (297.86 KB)	297.86 KB
Schedule of Personnel Classes, Salary Ranges and Steps - September 20, 2020 (297.25 KB)	297.25 KB
Schedule of Personnel Classes, Salary Ranges and Steps - September 15, 2020 (296.48 KB)	296.48 KB
Schedule of Personnel Classes, Salary Ranges and Steps - July 1, 2020 (292.77 KB)	292.77 KB

CalPERS - Special Power of Attorney

Attachment	Size
CalPERS - Special Power of Attorney (119.99 KB)	119.99 KB

New Hire Packet

Attachment	Size
New Hire Packet Checklist (114.69 KB)	114.69 KB
Personnel Action Form (193.33 KB)	193.33 KB
Direct Deposit (410.59 KB)	410.59 KB
2024 Payroll Dates (33.41 KB)	33.41 KB
Designation of Person (79.63 KB)	79.63 KB
Oath of Office (59.42 KB)	59.42 KB
Employee Personal Information Form (50.89 KB)	50.89 KB
CalPERS Membership Questionnaire (383.1 KB)	383.1 KB
CalPERS Retirement Questionnaire (383.39 KB)	383.39 KB
Reciprocal Self-Certification (836.06 KB)	836.06 KB
Employee Acknowledgment Form (296.13 KB)	296.13 KB
Admin Manual Title 10 (4.13 MB)	4.13 MB
Admin Manual Title 12 (8.16 MB)	8.16 MB
Rights of Victims of Domestic Violence Information (429.26 KB)	429.26 KB
Transgender Rights in the Workplace (295.03 KB)	295.03 KB
LGBTQ+ Fact Sheet (202.35 KB)	202.35 KB
Hate Violence & Civil Rights (496.81 KB)	496.81 KB
Disaster Service Workers Handout (599.98 KB)	599.98 KB
Sexual Harassment Fact Sheet (398.77 KB)	398.77 KB
Health Care Reform Notice/ACA Information Handout (1.15 MB)	1.15 MB
Federal Privacy Act (48.35 KB)	48.35 KB
Electronic Systems Policy (472.98 KB)	472.98 KB
Lactation Policy (404.67 KB)	404.67 KB
Vector Solutions Log-in Handout (479.61 KB)	479.61 KB
Personal Physician Pre-Designation Form (22.75 KB)	22.75 KB
Notice to Employee (146.5 KB)	146.5 KB

Summary of Benefits - Elected Officials, Department Heads and Non Represented Employees

Attachment	Size
Board of Supervisor (301.74 KB)	301.74 KB
Elected Official (256.48 KB)	256.48 KB
Department Head (329.04 KB)	329.04 KB
Non-Represented Employee (293.75 KB)	293.75 KB
Extra Help Employee (276.61 KB)	276.61 KB

Volunteer / Intern Action Form

Attachment	Size
Volunteer / Intern Action Form (109.95 KB)	109.95 KB

Volunteer / Intern Application

Attachment	Size
Volunteer / Intern Application (377.21 KB)	377.21 KB

Salary Ranges and Steps FY 2019-2020

Attachment	Size
Schedule of Personnel Classes, Salary Ranges and Steps - May 5, 2020 (527.09 KB)	527.09 KB
Schedule of Personnel Classes, Salary Ranges and Steps - March 17, 2020 (527.8 KB)	527.8 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Dec. 30, 2019 (525.69 KB)	525.69 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Dec. 10, 2019 (527.05 KB)	527.05 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Oct. 1, 2019 (525.61 KB)	525.61 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 22, 2019 (524.07 KB)	524.07 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 17, 2019 (522.46 KB)	522.46 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 6, 2019 (522.52 KB)	522.52 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Sep. 3, 2019 (516.02 KB)	516.02 KB
Schedule of Personnel Classes, Salary Ranges and Steps - Aug. 16, 2019 (515.93 KB)	515.93 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2018 (497.25 KB)	497.25 KB

HHSA Work Schedule Request Form

Attachment	Size
HHSA Work Schedule Request Form (335.97 KB)	335.97 KB

Salary Ranges and Steps

Attachment	Size
Schedule of Salary Ranges and Steps (314.55 KB)	314.55 KB

Salary Ranges and Steps FY 2017-2018

Attachment	Size
Schedule of Salary Ranges and Steps by Job Title - May 20, 2018 (495.55 KB)	495.55 KB
Schedule of Salary Ranges and Steps by Job Title - May 15, 2018 (494.64 KB)	494.64 KB
Schedule of Salary Ranges and Steps by Job Title - April 17,2018 (493.46 KB)	493.46 KB
Schedule of Salary Ranges and Steps by Job Title - March 20,2018 (494.6 KB)	494.6 KB
Schedule of Salary Ranges and Steps by Job Title - March 6, 2018 (494.54 KB)	494.54 KB
Schedule of Salary Ranges and Steps by Job Title - Feb 6, 2018 (493.53 KB)	493.53 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 16, 2018 (493.9 KB)	493.9 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 14, 2018 (490.53 KB)	490.53 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 2, 2018 (489.48 KB)	489.48 KB
Schedule of Salary Ranges and Steps by Job Title - Dec 19, 2017 (489.06 KB)	489.06 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 19, 2017 (494.13 KB)	494.13 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 17, 2017 (491.58 KB)	491.58 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 1, 2017 (490.4 KB)	490.4 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 19, 2017 (486.79 KB)	486.79 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 5, 2017 (486.28 KB)	486.28 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 29, 2017 (485.48 KB)	485.48 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 27, 2017 (484.88 KB)	484.88 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 15, 2017 (483.66 KB)	483.66 KB
Schedule of Salary Ranges and Steps by Job Title - Aug 1, 2017 (482.94 KB)	482.94 KB
Schedule of Salary Ranges and Steps by Job Title - July 18, 2017 (483.01 KB)	483.01 KB
Schedule of Salary Ranges and Steps by Job Title - July 2, 2017 (481.72 KB)	481.72 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2017 (634.02 KB)	634.02 KB

New Employee Checklist (Supervisor)

Attachment	Size
New Employee Checklist (231.56 KB)	231.56 KB

Incident Report

Attachment	Size
Incident Report (24.96 KB)	24.96 KB

HHSA Confidentiality Policy

Attachment	Size
HHSA Confidentiality Policy (1.3 MB)	1.3 MB

HHSA Confidentiality Policy

Attachment	Size
Confidentiality_1-20-18.pdf (1.3 MB)	1.3 MB

FLSA Exemption Test Worksheet

Attachment	Size
FLSA Exemption Test Worksheet (708.48 KB)	708.48 KB

Job Reclassification Request Form

Attachment	Size
Job Re-Classification Request Form (98.27 KB)	98.27 KB

Request For Reasonable Accommodation

Attachment	Size
Request for Reasonable Accommodation (1.17 MB)	1.17 MB

Overview of Protected Leaves

Attachment	Size
Overview of Protected Leaves (1.84 MB)	1.84 MB

Preliminary Designation Notice - Department Use

Attachment	Size
Preliminary Designation Notice (187.67 KB)	187.67 KB

Job Analysis Request - Supervisory Position Supplement

Attachment	Size
Job Analysis Request - Supervisory Position Supplement (56.71 KB)	56.71 KB

Grievance Form - DSA Employees

Attachment	Size
GCPER 17 Grievance - DSA.pdf (225.12 KB)	225.12 KB

Grievance Form - POA Employees

Attachment	Size
GCPER 17 Grievance - POA.pdf (223.58 KB)	223.58 KB

Grievance Form - Mid Manager Employees

Attachment	Size
GCPER 17 Grievance - MMA.pdf (284.29 KB)	284.29 KB

Grievance Form - General Unit Employees

Attachment	Size
GCPER 17 Grievance - General Unit.pdf (152.74 KB)	152.74 KB

Grievance Form - Non Represented Employees

Attachment	Size
GCPER 17 Grievance - Non Rep.pdf (216.53 KB)	216.53 KB

Step 6 - Pre-employment Testing/Background Check (If applicable)

Attachment	Size
Background Check Authorization Form (519.93 KB)	519.93 KB
Background Check Investigation Documentation (420.38 KB)	420.38 KB
Background Check Personal History Statement (244.43 KB)	244.43 KB
Background Check Law Enforcement Contact Form (301.73 KB)	301.73 KB

Physician Certification of a Serious Health Condition for a Family Member

Attachment	Size
Physical Certification of a Serious Health Condition for a Family Member (355.53 KB)	355.53 KB

Military FMLA Leave Request Form

Attachment	Size
Military FMLA Leave Request Form (195.21 KB)	195.21 KB

Overview of Protected Statutory Leaves

Attachment	Size
Overview of Protected Leaves (215.56 KB)	215.56 KB

Glenn County Deputy Sheriffs' Association (DSA) MOU

Attachment	Size
Glenn County Deputy Sheriffs' Association (DSA) MOU 2022-2024 (29.82 MB)	29.82 MB
Deputy Sheriff's Association Summary of Benefits (323.85 KB)	323.85 KB

Glenn County Peace Officers' Association (POA) MOU

Attachment	Size
Glenn County Peace Officers' Association (POA) MOU 2019-2020 (1.96 MB)	1.96 MB
POA Side Letter 2020 (137.3 KB)	137.3 KB
POA Side Letter 2022 (2.4 MB)	2.4 MB
Peace Officers Association Summary of Benefits (560.38 KB)	560.38 KB

Glenn County Equal Employment Opportunity Plan

Attachment	Size
Glenn County Equal Employment Opportunity Plan 2019 (563.75 KB)	563.75 KB
Glenn County Equal Employment Opportunity Plan 2015 (12.17 MB)	12.17 MB

GCPER 44-Conviction Form

Attachment	Size
GCPER 44-Conviction Form-Rev 03-2017.pdf (426.24 KB)	426.24 KB

County of Glenn Employment Application

Attachment	Size
County of Glenn Employment Application (234.53 KB)	234.53 KB

Glenn County Mid-Managers' Association (GCMMA) MOU

Attachment	Size
Glenn County Mid-Managers' Association (GCMMA) MOU 2023-2026 (58.26 MB)	58.26 MB
Mid Managers Association Summary of Benefits (306.14 KB)	306.14 KB

Glenn County General Unit MOU

Attachment	Size
Glenn County General Unit UPEC Local 792 (GU) 2023-2026 (61.12 MB)	61.12 MB
General Unit Summary of Benefits (311.04 KB)	311.04 KB

Salary Ranges and Steps FY 2018-2019

Attachment	Size
Schedule of Salary Ranges and Steps by Job Title - June 30, 2019 (500.36 KB)	500.36 KB
Schedule of Salary Ranges and Steps by Job Title - June 18, 2019 (504.46 KB)	504.46 KB
Schedule of Salary Ranges and Steps by Job Title - May 21, 2019 (500.09 KB)	500.09 KB
Schedule of Salary Ranges and Steps by Job Title - May 20, 2019 (499.91 KB)	499.91 KB
Schedule of Salary Ranges and Steps by Job Title - April 30, 2019 (500.5 KB)	500.5 KB
Schedule of Salary Ranges and Steps by Job Title - April 16, 2019 (499.83 KB)	499.83 KB
Schedule of Salary Ranges and Steps by Job Title - Feb. 19, 2019 (499.01 KB)	499.01 KB
Schedule of Salary Ranges and Steps by Job Title - Jan 29, 2019 (498.46 KB)	498.46 KB
Schedule of Salary Ranges and Steps by Job Title - Dec 18, 2018 (498.63 KB)	498.63 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 6, 2018 (498.3 KB)	498.3 KB
Schedule of Salary Ranges and Steps by Job Title - Nov 4, 2018 (498.77 KB)	498.77 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 30, 2018 (496.61 KB)	496.61 KB
Schedule of Salary Ranges and Steps by Job Title - Oct 9, 2018 (498.23 KB)	498.23 KB
Schedule of Salary Ranges and Steps by Job Title - Sept. 23, 2018 (498.56 KB)	498.56 KB
Schedule of Salary Ranges and Steps by Job Title - Sept 18, 2018 (497.83 KB)	497.83 KB
Schedule of Salary Ranges and Steps by Job Title - July 31, 2018 (496 KB)	496 KB
Schedule of Salary Ranges and Steps by Job Title - July 17, 2018 (494.95 KB)	494.95 KB
Schedule of Salary Ranges and Steps by Job Title - July 1, 2018 (494.94 KB)	494.94 KB

Return to Work Authorization GCPER31

Attachment	Size
Return to Work Authorization - GCPER31 (185.24 KB)	185.24 KB

Physician Certification of a Serious Health Condition GCPER30

Attachment	Size
Physician Certification of A Serious Health Condition GCPER30 (275.75 KB)	275.75 KB

Coordination of Benefits While on a Leave Form

Attachment	Size
Coordination of Benefits (125.94 KB)	125.94 KB

Leave Request Form GCPER14

Attachment	Size
Leave Request Form GCPER14 (179.83 KB)	179.83 KB

Catastrophic Leave Request Form

Attachment	Size
Catastrophic Leave Request Form (47.71 KB)	47.71 KB

Employee Tax Withholding Form

Attachment	Size
Federal - W-4 2024 (185.47 KB)	185.47 KB
State - DE4 (192.19 KB)	192.19 KB

Salary Redirection Agreement

Attachment	Size
Salary Redirection Agreement (92.12 KB)	92.12 KB

Step 1 - Request Recruitment

Attachment	Size
Recruitment Request (577.79 KB)	577.79 KB

Extra Help Agreement

Attachment	Size
Extra Help Agreement (12.47 KB)	12.47 KB

Predesignation of Personal Physician WC - DWC Form 9783

Attachment	Size
Predesignation of Personal Physician WC - DWC Form 9783 (45.78 KB)	45.78 KB

Personnel Action Form (PAF)

Attachment	Size
GCPER 37 - Pay Action Form (197.16 KB)	197.16 KB

OATH of Office

Attachment	Size
Oath of Office (58.77 KB)	58.77 KB

Job Analysis Request

Attachment	Size
Job Analysis Request (58.09 KB)	58.09 KB

Independent Contractor Questionnaire

Attachment	Size
Independent Contractor Questionnaire (308.33 KB)	308.33 KB

Incident Report

Attachment	Size
Incident Report (15.54 KB)	15.54 KB

Health and Human Services Agency New Employee Checklist

Attachment	Size
HHSA New Employee Checklist (Supervisor) (564.17 KB)	564.17 KB

Health and Human Services Agency Employee Departure Checklist

Attachment	Size
HHSA Employee Departure Checklist (549.2 KB)	549.2 KB

Employment Verification Form I-9

Attachment	Size
Employment Verification Form I-9 (260.74 KB)	260.74 KB

Employment Application

Attachment	Size
Employment Application (233.33 KB)	233.33 KB

Employee Performance Evaluation

Attachment	Size
Employee Performance Evaluation (464.21 KB)	464.21 KB

Discrimination Complaint Form

Attachment	Size
Discrimination Complaint Form (132.33 KB)	132.33 KB

Direct Deposit Authorization

Attachment	Size
Direct Deposit Authorization (104.39 KB)	104.39 KB

Change of Employee Information Request Form

Attachment	Size
Change of Employee Information Request Form - Electronic Form (293.08 KB)	293.08 KB
Change of Employee Information Request Form - Hard Copy (279.09 KB)	279.09 KB

Protecting Yourself from Heat Stress

Attachment	Size
Protecting Yourself from Heat Stress (375.87 KB)	375.87 KB

Easy Ergonomics for Desktop Computer Users

Attachment	Size
Easy Ergonomics for Desktop Computer Users (5.93 MB)	5.93 MB

Ergonomics Workstation Adjustments

Attachment	Size
Ergonomics Workstation Adjustments (1.01 MB)	1.01 MB

Heat Stress Policy

Attachment	Size
Heat Stress Policy (33.95 KB)	33.95 KB

First Aid Kit and Protective Equipment Policy and Guidelines

Attachment	Size
First Aid Kit and Protective Equipment Policy and Guidelines (23.85 KB)	23.85 KB

Injury and Illness Prevention Program (IIPP)

Attachment	Size
Injury and Illness Prevention Program (IIPP) (137.81 KB)	137.81 KB

Ergonomics Program

Attachment	Size
Ergonomics Program (23.95 KB)	23.95 KB

Vehicle Incident Information

Attachment	Size
Vehicle Incident Information (15.33 KB)	15.33 KB

Site Inspection Form

Attachment	Size
Site Inspection Form (33.11 KB)	33.11 KB

Safety and Health Orientation Checklist

Attachment	Size
Safety and Health Orientation Checklist (15.84 KB)	15.84 KB

Job Safety Analysis Form

Attachment	Size
Job Safety Analysis Form (15.27 KB)	15.27 KB

Incident Report Form

Attachment	Size
Incident Report Form (25.07 KB)	25.07 KB

Ergonomic Evaluation Checklist

Attachment	Size
Ergonomic Evaluation Checklist (337.23 KB)	337.23 KB

Ergonomic Evaluation Request Form

Attachment	Size
Ergonomic Evaluation Request Form (262.14 KB)	262.14 KB

Employee Report of Unsafe Condition or Hazard Form

Attachment	Size
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB

Accident Investigation Form

Attachment	Size
Accident Investigation Form (201.01 KB)	201.01 KB

Pregnancy Leave Information Packet

Attachment	Size
Pregnancy Leave Information Packet (266.89 KB)	266.89 KB

Cash In-Lieu of Health Coverage

Attachment	Size
Cash In-Lieu of Health Coverage (34.24 KB)	34.24 KB

CalPERS Health Enrollment Form

Attachment	Size
CalPERS Health Enrollment Form (385.19 KB)	385.19 KB

Symetra Beneficiary Change Form

Attachment	Size
Symetra Beneficiary Change Form (330.47 KB)	330.47 KB

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

Attachment	Size
Symetra Life Insurance (562.94 KB)	562.94 KB

Hiring/Selection Panel Handbook

Attachment	Size
Hiring/Selection Panel Handbook (462.51 KB)	462.51 KB

Step 5- Recruitment Selection

Attachment	Size
Recruitment Selection Form (368.08 KB)	368.08 KB
Pre-Hire Tracking List (828.46 KB)	828.46 KB

Step 3 - Paper Screen Applications

Attachment	Size
Paper Screening Form (271.58 KB)	271.58 KB

Step 4 - Oral Interview

Attachment	Size
Oral Interview Screening Criteria (336.57 KB)	336.57 KB
Conviction Form - Interview Only (428.86 KB)	428.86 KB

Step 2 - Sign Confidentiality Form

Attachment	Size
Confidentiality Form (84.51 KB)	84.51 KB
Guidelines for the Hiring Interview (187.33 KB)	187.33 KB

Glenn County Equal Employment Opportunity Plan

Attachment	Size
Glenn County Equal Employment Opportunity Plan 2019 (563.75 KB)	563.75 KB
Glenn County Equal Employment Opportunity Plan 2015 (12.17 MB)	12.17 MB

Protecting Yourself from Heat Stress

Attachment	Size
Protecting Yourself from Heat Stress (375.87 KB)	375.87 KB

Heat Stress Policy

Attachment	Size
Heat Stress Policy (33.95 KB)	33.95 KB

First Aid Kit and Protective Equipment Policy and Guidelines

Attachment	Size
First Aid Kit and Protective Equipment Policy and Guidelines (23.85 KB)	23.85 KB

Injury and Illness Prevention Program (IIPP)

Attachment	Size
Injury and Illness Prevention Program (IIPP) (137.81 KB)	137.81 KB

Ergonomics Program

Attachment	Size
Ergonomics Program (23.95 KB)	23.95 KB

Cash In-Lieu of Health Coverage

Attachment	Size
Cash In-Lieu of Health Coverage (34.24 KB)	34.24 KB

CalPERS Health Enrollment Form

Attachment	Size
CalPERS Health Enrollment Form (385.19 KB)	385.19 KB

Symetra Beneficiary Change Form

Attachment	Size
Symetra Beneficiary Change Form (330.47 KB)	330.47 KB

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

Attachment	Size
Symetra Life Insurance (562.94 KB)	562.94 KB

Step 6 - Pre-employment Testing/Background Check (If applicable)

Attachment	Size
Background Check Authorization Form (519.93 KB)	519.93 KB
Background Check Investigation Documentation (420.38 KB)	420.38 KB
Background Check Personal History Statement (244.43 KB)	244.43 KB
Background Check Law Enforcement Contact Form (301.73 KB)	301.73 KB

Step 1 - Request Recruitment

Attachment	Size
Recruitment Request (577.79 KB)	577.79 KB

Hiring/Selection Panel Handbook

Attachment	Size
Hiring/Selection Panel Handbook (462.51 KB)	462.51 KB

Step 5- Recruitment Selection

Attachment	Size
Recruitment Selection Form (368.08 KB)	368.08 KB
Pre-Hire Tracking List (828.46 KB)	828.46 KB

Step 3 - Paper Screen Applications

Attachment	Size
Paper Screening Form (271.58 KB)	271.58 KB

Step 4 - Oral Interview

Attachment	Size
Oral Interview Screening Criteria (336.57 KB)	336.57 KB
Conviction Form - Interview Only (428.86 KB)	428.86 KB

Step 2 - Sign Confidentiality Form

Attachment	Size
Confidentiality Form (84.51 KB)	84.51 KB
Guidelines for the Hiring Interview (187.33 KB)	187.33 KB

Incident Report

Attachment	Size
Incident Report (24.96 KB)	24.96 KB

Protecting Yourself from Heat Stress

Attachment	Size
Protecting Yourself from Heat Stress (375.87 KB)	375.87 KB

Easy Ergonomics for Desktop Computer Users

Attachment	Size
Easy Ergonomics for Desktop Computer Users (5.93 MB)	5.93 MB

Ergonomics Workstation Adjustments

Attachment	Size
Ergonomics Workstation Adjustments (1.01 MB)	1.01 MB

Heat Stress Policy

Attachment	Size
Heat Stress Policy (33.95 KB)	33.95 KB

First Aid Kit and Protective Equipment Policy and Guidelines

Attachment	Size
First Aid Kit and Protective Equipment Policy and Guidelines (23.85 KB)	23.85 KB

Injury and Illness Prevention Program (IIPP)

Attachment	Size
Injury and Illness Prevention Program (IIPP) (137.81 KB)	137.81 KB

Ergonomics Program

Attachment	Size
Ergonomics Program (23.95 KB)	23.95 KB

Vehicle Incident Information

Attachment	Size
Vehicle Incident Information (15.33 KB)	15.33 KB

Site Inspection Form

Attachment	Size
Site Inspection Form (33.11 KB)	33.11 KB

Safety and Health Orientation Checklist

Attachment	Size
Safety and Health Orientation Checklist (15.84 KB)	15.84 KB

Job Safety Analysis Form

Attachment	Size
Job Safety Analysis Form (15.27 KB)	15.27 KB

Incident Report Form

Attachment	Size
Incident Report Form (25.07 KB)	25.07 KB

Ergonomic Evaluation Checklist

Attachment	Size
Ergonomic Evaluation Checklist (337.23 KB)	337.23 KB

Ergonomic Evaluation Request Form

Attachment	Size
Ergonomic Evaluation Request Form (262.14 KB)	262.14 KB

Employee Report of Unsafe Condition or Hazard Form

Attachment	Size
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB
Employee Report of Unsafe Condition or Hazard Form (34.74 KB)	34.74 KB

Accident Investigation Form

Attachment	Size
Accident Investigation Form (201.01 KB)	201.01 KB

Protecting Yourself from Heat Stress

Attachment	Size
Protecting Yourself from Heat Stress (375.87 KB)	375.87 KB

Ergonomics Workstation Adjustments

Attachment	Size
Ergonomics Workstation Adjustments (1.01 MB)	1.01 MB

Easy Ergonomics for Desktop Computer Users

Attachment	Size
Easy Ergonomics for Desktop Computer Users (5.93 MB)	5.93 MB

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