Forms - Downloadable and Online Submission
Rutherford County Human Resources Department
289 N. Main St.
Rutherfordton, NC 28139
Phone: 828-287-6145 - Fax: 828-287-6262
These forms can be downloaded, printed, or submitted on-line and then mailed to the above address, emailed to debra.conner@rutherfordcountync.gov or faxed.
IT IS THE RESPONSIBILITY OF THE APPLICANT/EMPLOYEE TO CONTACT THE HUMAN RESOURCES OFFICE FOR VERIFICATION OF RECEIPT OR FORMS/APPLICATION.
Form 19—Employer’s Report of Employee’s Injury or Occupational Disease
OSHA’s Form 301 - Injury and Illness Incident Report
Family Medical Leave Act Form (FMLA)
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Download: Ergonomic Sitting Graphic |
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Download: Ergonomic Reminder Sheet |
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Download: Ergonomic Check List |
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Download: Flexible Benefit Management Form |
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This form can be downloaded to your personal computer, completed within excel with the correct information, printed, and faxed to the Flexible Benefit Management Company
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Download: Performance Evaluation Forms |
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Download: Merit Days |
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These forms are the performance evaluation forms that each employee of Rutherford County viewed during their HR meetings
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Download: Budget Forms |
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Download: Vacancy Justification Form |
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