City Government

Benefit, Leave and Medical Forms

New Temporary Employees - Sign On Forms

New Employee Sign On Forms (Temporary Positions Only)

New Staff Support Employees - Sign On Forms

Staff Support Sign On Forms

Absence Forms - Injury and Illness

Absence Report Form

WCB Worker's Report of Injury Form

Maternity Absence Form

Benefit Forms

HCSA Claim and Payment Request Form

HCSA Expense Transfer Form

Major Medical Claim Form

Major Medical and Dental Claim Appeal Form

Consent to Disclose Personal Health Information

Supplementary Income Replacement Claim Form

Alberta Blue Cross Out-of-Province/Out-of-Country Claim Form
This form is to used by management employees to claim reimbursement for out-of-province/out-of-country emergency medical expenses while on non-business related travel.

Leave Forms

Annual Funded Leave Agreement

Leave Without Pay Pension Terms and Conditions

Leave of Absence Request Form (All Leaves)

Voluntary Workforce Reduction Plan Leave Without Pay

Medical Forms

Alberta Blue Cross Medical Claim Form

Alberta Blue Cross Direct Deposit Registration Form

For more information:

Inside Information

Telephone	780-944-4311

EPS Payroll Unit

For Edmonton Police Association and Edmonton Police Service Senior Officers' Association members

Telephone	780-421-2256

Edmonton Public Library Payroll Unit

For Edmonton Public Libarary employees

Telephone	780-496-7064