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Renaissance Tower - 1201 Elm Street, 23rd Floor, Suite 2300-B, Dallas, TX 75270
Telephone: (214) 653-7638 • Fax: (214) 653-7608
Employee Relations Forms
To open and print a copy, click on the form name.
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
ADA Accommodation Forms:
For ADA Accommodation questions, please contact CareWorks Absence Management at 1-888-436-9530 or visit https://timeoff.careworksabsence.com.
If you have policy related questions, please contact your HR Representative.
Complaint Report:
Notice of Separation Form:
Statement of Corrective Action Forms:
Performance Review Forms:
Record of Counseling Form:
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.
- COVID-19 Emergency Paid Sick Leave
- 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.
Catastrophic Vacation and Sick Leave Forms:
Work Schedule Forms (Chapter 82-32):
Employment Forms (Chapter 86):
All surveys are anonymous. Take Survey
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 here to view Dallas County’s Compliance Poster and Supplement Compliance Poster.