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:

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.

 

Administrators please submit an Osage County Personnel Transaction Form with the new hire packets if you have not done so prior to new hire.

 

Employee Benefit Contacts

2024 Calendar - County Bill and Timesheet Schedule

Bill Log Procedure

Bill Log Sheets

Reimbursement Form

CERF Portal

UNITED HEALTH CARE RATES 2023
UNITED HEALTH CARE RATES 2024

UNITED HEALTH CARE ELECTION FORM

UNITED HEALTH CARE APPLICATION

UNITED HEALTH CARE HEALTH NOTES 
UNITED HEALTH CARE OPTION 1 - 2,500 DED. 20% COINS. NETWORK CHOICE +
UNITED HEALTH CARE OPTION 2 - 30% COINS - NETWORK CORE
UNITED HEALTH CARE OPTION 3 - 2,500 DED. 20% COINS. NETWORK CORE
UNITED HEALTH CARE OPTION 4 - 5,000 DED. 0 COINS. NETWORK CORE


Principal Life, Dental, Vision

CERF 401(a) Highlights


CERF 457 Highlights

CERF 401 (a) Distribution Options

CERF 457 Distribution Options

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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