Forms

Klamath County Human Resources (KCHR) Forms


  1. Fed W4 2021
  2. OR W4 2021
  3. Direct Deposit Form
  4. Employment Reference Verification
  5. OFLA/FMLA Request (PDF fillable)
  6. KCHR1 Employment Requisition
  7. KCHR2 Employee Leave Request
  8. KCHR3 Employee Information Sheet
  9. KCHR4 Human Resources Interview New Hire Information
  10. KCHR6 B Volunteer Application
  11. KCHR7 Property Control In-Out Processing Checklist
  12. KCHR8 Injury report
  13. KCHR9 Incident-Accident Report
  14. KCHR16 Applicant Release Addendum
  15. KCHR28 Guest Passenger Agreement
  16. KCHR29A Consent Decline of Testing - Exposure
  1. KCHR29B Consent Decline of Testing - Exposure Source
  2. New 801_2010 Form
  3. KCHR30 Refusal to File 801
  4. KCHR31 Public Use AED Event Information
  5. KCHR32 Guidelines for Use of Personally Owned Vehicles
  6. KCHR33 Volunteer Vehicle Form
  7. KCHR34 Counseling Statement
  8. KCHR34 Counseling Statement-Fillable
  9. KCHR35A Pension Plan Update Form
  10. KCHR38 HSA Additional Contribution Form
  11. KCHR200 New Hire-Rehire Request Form
  12. Emergency Cell Phone Notification Contact
  13. Employee Report of Unsafe Conditionor Hazard Form 2018
  14. KCHR39 Cell Phone Allowance Request
  15. 811 Vehicle Use Policy
  16. Employee Election for Transportation Fringe Benefits

Public Records Request Form