Forms
Employee Forms
Below are links to PDF or DOC forms that can be filled-in electronically. Once a form is completed, print it out, sign and date it where indicated and send it to Human Resources.
Frequently Used Forms
Insurance Forms
- Retiree Benefits Enrollment Form
- Retiree Benefits Guide
- Aetna Medical Claim Form
- Aetna Dental Claim Form
- Aetna Vision Claim Form
- Aetna EyeMed Out of Network Claim Form
- Aetna RX Home Delivery (mail order prescriptions)
Forms Needed to Apply for Family Medical Leave of Absence (FMLA)
- FMLA Leave Process Summary
- FMLA Leave Request
- Emergency Paid Sick Leave Request (COVID-19)
- Emergency FMLA Expansion Leave Request (COVID-19)
Catastrophic Leave Forms
- Catastrophic Leave Application
- Catastrophic Leave Qualifications Sheet
- Catastrophic Leave Healthcare Provider Form
- Catastrophic Leave Donation Form
The City of Round Rock provides an Employee Assistance Program for employees and their families as well as access to low cost legal assistance and education assistance.
Supervisor Forms
Below are some commonly used forms for supervisors.
- Employee Performance Evaluation Form — General Employees
- Employee Performance Evaluation Form — Management and Supervisory Employees
- Employee Performance Management Fact Sheet
Disciplinary
New Hire
- Conditional Job Offer
- Reference Check Form by Fax
- Reference Check Form by Phone
- Top Candidate Form
- NEO Checklist
- New Hire Safety Orientation Checklist
Exiting Employees
- Acceptance of Employment Resignation
- Probationary Employee Termination Letter
- Temporary Seasonal Assignment End
Civil Service Forms and Rules
Forms for Civil Service employees in the Fire Department.