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Forms

General Forms

Please Return Completed Forms to Human Resources

  • Direct Deposit (PDF)
  • W-4 Form (PDF)
  • Change of Address (PDF)
  • Decedent's Warrant (PDF)
  • Donated Leave Form (PDF)
  • Western Montana Grower's Co-op Summer 2019 (PDF)
  • FMLA Employee Packet (PDF)
  • Pregnancy Related Medical Leave Form (PDF)
  • Performance Appraisal Forms (PDF)
  • Authorization to Release Information (PDF)
  • City of Missoula Application  (PDF)
  • City of Missoula Police Department Application

Benefits Forms

Return Completed Forms to Human Resources

  • Blood Screening Verification (PDF)
  • Dependent Child Certification (PDF)
  • Direct Deposit of Flex Reimbursement (PDF)
  • Declaration of Domestic Partnership (PDF)
  • Supplemental Vision Enrollment Form (DOC)
  • Flexible Benefits Enrollment Form (PDF)
  • Joint Processing Form (PDF)
  • Request for Health Plan Enrollment Change (PDF)

Return the Following Forms to Allegiance

  • Medical Claim Form (PDF)
  • Medical Flex Claim Form (PDF)
  • Dependent Care Flex Claim Form
  • Daycare Reimbursement Contract

Pharmacy Benefit Forms

  • Ridgeway Drug Mail Order Form (PDF)
  • Costco Mail Order Form

Deferred Compensation

Return the Deferred Compensation Plans forms to the Human Resources Office.

  1. Benefits
    1. Deferred Compensation Plans
    2. Flexible Benefits
    3. Health Insurance
    4. Retirement
    5. Vacation, Sick Leave & Holidays
    6. Worker's Compensation
  2. Compensation
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  5. Forms
  6. Labor Unions
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Contact Us

  1. 435 Ryman St. Missoula, MT 59802
    Phone: 406-552-6000  |  TTY: 406-552-6131

Quick Links

  1. Meet John Engen
  2. Mayor's Initiatives
  1. Meeting/Webcasts
  2. Zoning Information
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  2. Meet the City Council
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FAQs

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  2. Where can I find the answers to my frequently asked questions?
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