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Employment Information

POLICY MANUAL & FORMS

The policy manual and forms have been revised.   All new forms and policies will replace any other versions.  Employees must use the most recent forms after implementation.

POLICY MANUAL INDEX

POLICY MANUAL – Revised August 2023

 

MOST USED EMPLOYMENT FORMS

EMPLOYMENT APPLICATION

Please note:  If you submit an application electronically, then you must bring in the original signed application when/if you are selected for an interview.  Electronic signatures are not accepted on employment applications at the Engineer’s Office.

REQUEST FOR LEAVE

 

OTHER EMPLOYMENT FORMS

LATERAL TRANSFER FORM

JOB BID FORM

COMPLAINT FORM

POLICY ACKNOWLEDGEMENT FORM

DISCRIMINATION & HARASSMENT COMPLAINT FORM

 

INCIDENT OR ACCIDENT FORMS

INCIDENT & ACCIDENT FORM

FIRST REPORT OF INJURY FORM

NON-EMPLOYEE INCIDENT OR ACCIDENT FORM

WORKERS COMPENSATION PACKET – (5 Pages) Must be completed ONLY if employee is injured on the job.

 

FAMILY MEDICAL LEAVE ACT FORMS

REQUEST FOR LEAVE OF ABSCENCE

FMLA WH-380-F CERTIFICATION OF HEALTH

STATMENT OF MEDICAL PRACTITIONER – EXAMPLE

 

PROGRESSIVE DISCIPLINE FORMS

RECORD OF VERBAL INSTRUCTION & CAUTION

RECORD OF WRITTEN WARNING

NOTICE OF PREDISCIPLINARY CONFERENCE

RECORD OF SUSPENSION – 3 DAYS OR LESS

RECORD OF SUSPENSION – 15 DAYS OR MORE

Links

  • Belmont County GIS
  • CEAO
  • ODNR
  • ODOT
  • Ohio – State of
  • Ohio Society of Professional Engineers
  • Professional Engineers & Professional Surveyors
  • Professional Land Surveyors of Ohio

Road & Bridge News

Office Hours
Belmont County Engineer
Opening Hours
Monday 8:30 AM – 4:30 PM
Tuesday 8:30 AM – 4:30 PM
Wednesday 8:30 AM – 4:30 PM
Thursday 8:30 AM – 4:30 PM
Friday 8:30 AM – 4:30 PM
Saturday Closed
Sunday Closed
Current Forecast
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