Forms

Employee Tax Withholding Form

PDF icon Federal - W-4 2023
PDF icon State - DE4
Personnel
Personnel Resources, Employment, Forms

Employment Application

PDF icon Employment Application
Personnel
Employment, Forms, Personnel Resources

Employment Verification Form I-9

PDF icon Employment Verification Form I-9
Personnel
Personnel Resources, Employment, Forms

Encumbrance Form

Office spreadsheet icon Encumbrance Form
Finance
Financial, Forms

Ergonomic Evaluation Checklist

PDF icon Ergonomic Evaluation Checklist
Personnel
Safety Committee
Personnel Resources, Safety, Forms

Ergonomic Evaluation Request Form

PDF icon Ergonomic Evaluation Request Form
Personnel
Safety Committee
Personnel Resources, Safety, Forms

Federal W-4 Withholding Form

Federal W-4 Withholding Form
Finance
Employment, Financial, Forms

Fictitious Business Name Statement Form (FBN)

EFFECTIVE 4-26-2019

PDF icon Instruction to Complete the FBN Form EFFECTIVE 1-1-2013
PDF icon Fictitious Business Name Statement Form(FBN)
PDF icon List of Newspapers for Publishing FBN
Clerk-Recorder
Forms

Fixed Asset Transfer Form

Microsoft Office document icon Fixed Asset Transfer Form
Finance
Property, Financial, Forms

Food Facility Plan Check Request Form

Environmental Health
Food Safety, Food Facility, Forms

Fraud Referral and Prevention Form

PDF icon Fraud Referral and Prevention Form
Health & Human Services
Forms

Glenn CA - Electronic Death Registration System (EDRS) Procedures

EFFECTIVE 4-26-2019

PDF icon Fax Request For EDRS Records
PDF icon Electronic Death Registration Information Sheet
Clerk-Recorder
Forms

Glenn County Assessor Change of Address Form

Effective 5-13-2019

PDF icon Change of Address
Assessor
Forms

Glenn County Code Enforcement Complaint Form

PDF icon Code Enforcement Complaint Form.pdf
Building Inspector
County Code, Code Enforcement, Forms

Glenn County Groundwater Reliability & Recharge Pilot Project - March 29, 2011

PDF icon Outreach Plan - March 29, 2011
PDF icon Background & Work Plan - March 29, 2011
PDF icon Schedule - March 29, 2011
PDF icon State Water Resources Control Board Approval
Water Advisory Committee
Forms, Plans, Water

Glenn County Sheriff’s Civil Unit Letter of Instruction

Microsoft Office document icon Glenn County Sheriff’s Civil Unit Letter of Instruction
Civil Division
Forms, Law Enforcement

Grand Jury Complaint Form

PDF icon Complaint Form - Grand Jury Glenn County
Grand Jury
Forms

Grant Information Record

Microsoft Office document icon Grant Information Record
Finance
Financial, Forms

Grievance Form - DSA Employees

PDF icon GCPER 17 Grievance - DSA.pdf
Personnel
Employment, Forms, Personnel Resources

Grievance Form - General Unit Employees

PDF icon GCPER 17 Grievance - General Unit.pdf
Personnel
Employment, Forms, Personnel Resources

Grievance Form - Mid Manager Employees

PDF icon GCPER 17 Grievance - MMA.pdf
Personnel
Employment, Forms, Personnel Resources

Grievance Form - Non Represented Employees

PDF icon GCPER 17 Grievance - Non Rep.pdf
Personnel
Employment, Forms, Personnel Resources

Grievance Form - POA Employees

PDF icon GCPER 17 Grievance - POA.pdf
Personnel
Employment, Forms, Personnel Resources

Hazardous Materials Business Plan - Facility Map

Microsoft Office document icon Hazardous Materials Business Plan - Facility Map
CUPA - Certified Unified Program Agency
Environment, Forms, Hazardous Materials, Maps

Health and Human Services Agency Employee Departure Checklist

PDF icon HHSA Employee Departure Checklist
Personnel
Personnel Resources, Employment, Forms