Personnel Resources
Applications
County of Glenn Employment Application
GCPER 44-Conviction Form
Benefits
CalPERS Health Enrollment Form
Cash In-Lieu of Health Coverage
MES Vision Plan Enrollment Form
MHN Employee Assistance Program (EAP) Brochure - Glenn County
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Overview of Protected Statutory Leaves
Pregnancy Leave Information Packet
Symetra Beneficiary Change Form
Symetra Group Life Insurance and Disability Income Insurance Enrollment Form
Bids
Request for Proposals - Administrative Hearing Officer
Request for Proposals - Indigent Defense Conflict Counsel
Request for Qualifications - Public Defender
Brochures & Information
Easy Ergonomics for Desktop Computer Users
Ergonomics Workstation Adjustments
MHN EAP Brochure - Glenn County
MHN EAP Overview Flyer - Glenn County
MHN Employee Assistance Program (EAP) Brochure - Glenn County
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Protecting Yourself from Heat Stress
Counseling
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Employment
CalPERS - Special Power of Attorney
Change of Employee Information Request Form
Coronavirus (COVID-19) Documents






Direct Deposit Authorization
Discrimination Complaint Form
Employee Performance Evaluation
Employee Repayment Agreement
Employee Tax Withholding Form
Employment Verification Form I-9
FLSA Exemption Test Worksheet
Glenn County Equal Employment Opportunity Plan
Grievance Form - DSA Employees
Grievance Form - General Unit Employees
Grievance Form - Mid Manager Employees
Grievance Form - Non Represented Employees
Grievance Form - POA Employees
Health and Human Services Agency Employee Departure Checklist
Health and Human Services Agency New Employee Checklist
Health and Human Services Agency Pre-Hire Tracking List
HHSA Confidentiality Policy
HHSA Work Schedule Request Form
Independent Contractor Questionnaire
IT Form - Employee Termination
IT Form - Employee Transfer
IT Form - New Employee Setup
Job Analysis Request - Supervisory Position Supplement
Job Reclassification Request Form
New Hire Packet

























Personnel Action Form (PAF)
Predesignation of Personal Physician WC - DWC Form 9783
Public Service Employee (PSE) Agreement
Salary Ranges and Steps
Salary Ranges and Steps FY 2017-2018






















Salary Ranges and Steps FY 2018-2019


















Salary Ranges and Steps FY 2019-2020











Salary Ranges and Steps FY 2020-2021
















Salary Ranges and Steps FY 2021-2022
















Salary Ranges and Steps FY 2022-2023















Salary Redirection Agreement
Vacation Cash-Out Request
Forms
Accident Investigation Form
CalPERS Health Enrollment Form
Cash In-Lieu of Health Coverage
Catastrophic Leave Request Form
Change of Employee Information Request Form
Coordination of Benefits While on a Leave Form
Designation Notice - Department Use
Direct Deposit Authorization
Discrimination Complaint Form
Employee Performance Evaluation
Employee Repayment Agreement
Employee Report of Unsafe Condition or Hazard Form
Employee Tax Withholding Form
Employment Verification Form I-9
Ergonomic Evaluation Checklist
Ergonomic Evaluation Request Form
FLSA Exemption Test Worksheet
Glenn County Flexible Work Schedule Agreement
Grievance Form - DSA Employees
Grievance Form - General Unit Employees
Grievance Form - Mid Manager Employees
Grievance Form - Non Represented Employees
Grievance Form - POA Employees
Health and Human Services Agency Employee Departure Checklist
Health and Human Services Agency New Employee Checklist
Health and Human Services Agency Pre-Hire Tracking List
HHSA Confidentiality Policy
HHSA Work Schedule Request Form
Incident Report Form
Independent Contractor Questionnaire
IT Form - Employee Termination
IT Form - Employee Transfer
IT Form - New Employee Setup
Job Analysis Request - Supervisory Position Supplement
Job Reclassification Request Form
Job Safety Analysis Form
Leave Request Form GCPER14
MES Vision Plan Enrollment Form
Military FMLA Leave Request Form
Personnel Action Form (PAF)
Physician Certification of a Serious Health Condition for a Family Member
Physician Certification of a Serious Health Condition GCPER30
Predesignation of Personal Physician WC - DWC Form 9783
Preliminary Designation Notice - Department Use
Public Service Employee (PSE) Agreement
Request For Reasonable Accommodation
Return to Work Authorization GCPER31
Safety and Health Orientation Checklist
Salary Redirection Agreement
Site Inspection Form
Step 2 - Sign Confidentiality Form
Step 3 - Paper Screen Applications
Step 4 - Oral Interview
Step 5- Recruitment Selection
Step 6 - Pre-employment Testing/Background Check (If applicable)
Symetra Beneficiary Change Form
Symetra Group Life Insurance and Disability Income Insurance Enrollment Form
Vacation Cash-Out Request
Vehicle Incident Information
Guidelines
First Aid Kit and Protective Equipment Policy and Guidelines
Heat Stress Policy
Hiring/Selection Panel Handbook
Loss Prevention Incentive Program (LPIP)
Health
CalPERS Health Enrollment Form
Cash In-Lieu of Health Coverage
Easy Ergonomics for Desktop Computer Users
Ergonomics Program
Ergonomics Workstation Adjustments
First Aid Kit and Protective Equipment Policy and Guidelines
Heat Stress Policy
Injury and Illness Prevention Program (IIPP)
MES Vision Plan Enrollment Form
MHN Employee Assistance Program (EAP) Brochure - Glenn County
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Symetra Beneficiary Change Form
Symetra Group Life Insurance and Disability Income Insurance Enrollment Form
Leave Request
Catastrophic Leave Request Form
Coordination of Benefits While on a Leave Form
Designation Notice - Department Use
Leave Request Form GCPER14
Military FMLA Leave Request Form
Overview of Protected Leaves
Physician Certification of a Serious Health Condition for a Family Member
Physician Certification of a Serious Health Condition GCPER30
Preliminary Designation Notice - Department Use
Request For Reasonable Accommodation
Return to Work Authorization GCPER31
Memoranda of Understanding (MOUs)
Glenn County Deputy Sheriffs' Association (DSA) MOU
Glenn County General Unit MOU
Glenn County Mid-Managers' Association (GCMMA) MOU
Glenn County Peace Officers' Association (POA) MOU
Glenn County Sheriffs' Administration Association (SAA) MOU
Summary of Benefits - Elected Officials, Department Heads and Non Represented Employees
Parenting & Family
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Personnel Liaisons
New Hire Packet

























Personnel Resources
Accident Investigation Form
CalPERS - Special Power of Attorney
CalPERS Health Enrollment Form
Cash In-Lieu of Health Coverage
Catastrophic Leave Request Form
Change of Employee Information Request Form
Coordination of Benefits While on a Leave Form
Coronavirus (COVID-19) Documents






County of Glenn Employment Application
Designation Notice - Department Use
Direct Deposit Authorization
Discrimination Complaint Form
Easy Ergonomics for Desktop Computer Users
Employee Performance Evaluation
Employee Repayment Agreement
Employee Report of Unsafe Condition or Hazard Form
Employee Tax Withholding Form
Employment Verification Form I-9
Ergonomic Evaluation Checklist
Ergonomic Evaluation Request Form
Ergonomics Program
Ergonomics Workstation Adjustments
First Aid Kit and Protective Equipment Policy and Guidelines
FLSA Exemption Test Worksheet
GCPER 44-Conviction Form
Glenn County Deputy Sheriffs' Association (DSA) MOU
Glenn County Equal Employment Opportunity Plan
Glenn County Flexible Work Schedule Agreement
Glenn County General Unit MOU
Glenn County Mid-Managers' Association (GCMMA) MOU
Glenn County Peace Officers' Association (POA) MOU
Glenn County Sheriffs' Administration Association (SAA) MOU
Grievance Form - DSA Employees
Grievance Form - General Unit Employees
Grievance Form - Mid Manager Employees
Grievance Form - Non Represented Employees
Grievance Form - POA Employees
Health and Human Services Agency Employee Departure Checklist
Health and Human Services Agency New Employee Checklist
Health and Human Services Agency Pre-Hire Tracking List
Heat Stress Policy
HHSA Confidentiality Policy
HHSA Work Schedule Request Form
Hiring/Selection Panel Handbook
Incident Report Form
Independent Contractor Questionnaire
Injury and Illness Prevention Program (IIPP)
IT Form - Employee Termination
IT Form - Employee Transfer
IT Form - New Employee Setup
Job Analysis Request - Supervisory Position Supplement
Job Reclassification Request Form
Job Safety Analysis Form
Leave Request Form GCPER14
Loss Prevention Incentive Program (LPIP)
MES Vision Plan Enrollment Form
MHN EAP Brochure - Glenn County
MHN EAP Overview Flyer - Glenn County
MHN Employee Assistance Program (EAP) Brochure - Glenn County
MHN Employee Assistance Program (EAP) Overview Flyer - Glenn County
Military FMLA Leave Request Form
New Hire Packet

























Overview of Protected Leaves
Overview of Protected Statutory Leaves
Personnel Action Form (PAF)
Physician Certification of a Serious Health Condition for a Family Member
Physician Certification of a Serious Health Condition GCPER30
Predesignation of Personal Physician WC - DWC Form 9783
Pregnancy Leave Information Packet
Preliminary Designation Notice - Department Use
Protecting Yourself from Heat Stress
Public Service Employee (PSE) Agreement
Request For Reasonable Accommodation
Return to Work Authorization GCPER31
Safety and Health Orientation Checklist
Salary Ranges and Steps
Salary Ranges and Steps FY 2017-2018






















Salary Ranges and Steps FY 2018-2019


















Salary Ranges and Steps FY 2019-2020











Salary Ranges and Steps FY 2020-2021
















Salary Ranges and Steps FY 2021-2022
















Salary Ranges and Steps FY 2022-2023














