Employee Relations Forms
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Employee Relations Forms
Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202
Phone: (214) 653-7638 • Fax: (214) 653-7608
To open and print a copy, click on the form name.
ADA Accommodation Forms:
For ADA Accommodation questions, please contact Sedgwick Absence Management at 1-888-436-9530 or visit https://timeoff.yorkrisk.com/.
If you have policy related questions, please contact your HR Representative.
Catastrophic Vacation and Sick Leave Forms:
Complaint Report:
Employment Forms (Chapter 86):
Family and Medical Leave (FMLA) and Other Leave Forms:
Please note, as of November 11, 2019 our FMLA leave provider was re-branded from York to Sedgwick. Click here for more information.
- Request for FMLA Leave Form
- FMLA Designation Form
- Notice of Eligibility and Rights
- Certification of Qualifying Exigency
- Certification of Health Care Provider Family Member
- Certification of Health Care Provider Employee
- Certification of Military Service Member
- Certification of Veteran for Military Caregiver Leave
- Leave of Absence Form
- Primary Caregiver-Medical Certification Form
For FMLA/LOA questions please contact Sedgwick at 1-888-436-9530 or visit https://timeoff.yorkrisk.com/.
If you have policy related questions, please contact your H.R. Representative.
Grievance Forms:
- Application for Discretionary Review Form
- Formal Grievance Form
- Formal Grievance Form – Juvenile Department Only
- Formal Grievance Form FAQ
- Formal Grievance Form – Sheriff Employees Only
Notice of Separation Form:
Performance Review Forms:
Record of Counseling Form:
Statement of Corrective Action Forms:
Work Schedule Forms (Chapter 82-32):
Includes most recent, court ordered changes
Chapter 82
Personnel Benefits, Payroll, and Compensation
Chapter 86
Personnel and Employment
Click here to view Dallas County’s Corrective Action Model and Related Forms.
Click here for procedures on filing a grievance, the grievance form and the complete grievance policy.
Click here to check out the Dallas County’s new policy on Employee Investigations. For guidelines on conducting an internal investigation, click here.
Click to view Dallas County’s Compliance Poster and Supplement Compliance Poster.
Click here to learn more about attaining Work/Life Balance.