Forms & Resources

Employee Evaluation​ Forms

o   Self Evaluation Form

o   Clerical Evaluation

o   Executive & Middle Management

o   Maintenance Related Personnel

o   Police

o   Supervisors

o   Professional and Technical


General Forms

o   Alternate Work Schedule Agreement

o   Comp Time Cash Out Form

o   Direct Deposit of Paycheck Form

o   Donated Sick Leave Form

o   Drug Testing (Consent for Collection for Minors)

o   Employee Information Change Form

o   Family Medical Leave Act - Employee Kit

o   Family Medical Leave Act - Family Member Kit

o   Outside Employment Form

o   Release of Information Form

o   Request for Public Records Form

o   STAR Award - Printable

o   STAR Award - Fillable

o   Telework Agreement - Fillable

o   2020 Federal W-4 Fillable

o   2020 Federal W-4 Printable

o   2019 Montana W-4 Fillable

o   2019 Montana W-4 Printable

Health Insurance Forms

o   Benefits-at-a-Glance

o   Healthy IS Wellness Incentive Flier

o   Qualified Life Event Form

o   2020 City of Billings Employees Benefit Plan Document and Summary of Benefits & Coverages

o   2020 Overview of Medical, Dental, Vision, Flex and HSA Benefits - ACTIVES

o   2020 VSP Benefit Summary

o   2020 VSP Plan Document

o   2020 Annual Wellness Exam Incentive Program Form

o   2020 Health Insurance Announcement Benefit Guide


EBMS Forms

o   EBMS Forms

o   City of Billings Network Provider - Rocky Mountain                        Health Network (RMHN)

o   miRX Patient Profile Prescription Order Form
o   miRX Vaccine Administration Record-Consent Form