Civitan Employment Forms

Welcome to Civitan Foundation's employment forms connection. This is the place for current and future employees to find the HR forms they need.

Civitan Foundation Application Form

Fingerprint Clearance Card Information

Criminal History Self-Disclosure

Background Check Authorization Form

Employee Incident Report and Process

OSHA Hazardous Communications Booklet

OSHA Hazardous Communication Test

Sexual Harassment Overview

Sexual Harassment - Test

Employee Leave Request Form

HIPPA Agreement

HIPPA Training Quiz

Health Insurance Waiver

Hard Braking Policy

2020 W-4

2020 A-4

Important Notice to Employees Regarding 2019 ACA Form Requests Employees may receive a copy of their 2019 Form 1095-B upon request, please attach an email address, physical address, and a telephone number to; Civitan will furnish a 2019 Form 1095-B to any employee upon request within 30 days of the date the request is received.