Employee Information

County Clerk

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All new hire packets will need the employee manual printed up for the employee if they would like OR they can download the digital copy from this page.

Please fill out all information on the select packet and submit it to the County Clerk’s Office. We need the following upon the first day of a new hire:

Osage County Personnel Transaction Form  (This is needed to set up new hire in our payroll software and timesheet app)

MO W-4

FED W-4

Form I-9

Driver’s License Copy

Social Security or Birth Certificate Copy

Direct Deposit Agreement with attached deposit slip or voided check.

Employee Emergency Information

The rest of the forms need to be turned in within 5 business days of employment.

 

Employee Benefit Contacts

2024 Calendar - County Bill and Timesheet Schedule

Bill Log Procedure

Bill Log Sheets

Reimbursement Form

CERF Portal
CERF 457 HIGHLIGHTS
CERF 401(a) HIGHLIGHTS
CERF BENEFIT REPRESENTATIVE
CERF 401 (a) Distribution Options
CERF 457 Distribution Options

UNITED HEALTH CARE RATES 2024
UNITED HEALTH CARE HEALTH NOTES 
UNITED HEALTH CARE OPTION 1 - 2,500 DED. 20% COINS. - NETWORK CHOICE +, RX; CZRD
UNITED HEALTH CARE OPTION 2 - 1,000 DED. 20% COINS. - NETWORK CORE, RX; CPZV
UNITED HEALTH CARE OPTION 3 - 2,500 DED. 20% COINS. - NETWORK CORE, RX; CP1D
UNITED HEALTH CARE OPTION 4 - 5,000 DED. 0% COINS. - NETWORK CORE, RX; DFT6 (HSA Eligible) HDHP


Principal Life, Dental, Vision Rates

Procurement Procedure

MAC Worker's Compensation Info and Forms

MOPERM Insurance Info and Forms

Tax Exempt Letter

W-9 Form

Terms of Resignation/Termination Form

Return of Equipment Agreement

FMLA APPLICATION FOR EMPLOYEE

FMLA APPLICATION FOR FAMILY

Incident Report

If you have any questions in regards to employee information or forms please contact the Osage County Clerk's Office at
573-897-2139

© 2017 Osage County,MO 205 E. Main Street, Linn, MO 65051

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