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For City Employees

COVID Policy Related-Forms

  1. Fill-in form online with option to upload scan or photo of vaccine card
  2. PDF to download and print. In addition to completing the form, bring your vaccine card to the HR office, or email a scan or photo of your card to loric@takomaparkmd.gov.
  3. Attestation without documentation (complete this form online)

Other Forms

Family and Medical Leave Act (FMLA) Forms

Tax Forms

Benefit Forms

For enrollment and change forms, as well as detailed descriptions of employee benefits, see the Employee Benefits page.

Employee Assistance Programs

Employee Assistance Programs (EAP) are resources available to help employees through stressful situations and events.  These are third-party resources, and use of them is never reported to the City.  EAP support is available 24/7, 365 days a year.

Every City employee has access to an Employee Assistance Program (EAP) for yourself, your eligible dependents, and anyone living in the same household.  EAP is offered through Assistance by BHS, Mutual of Omaha, and Optum/United Healthcare.  Specific information for each plan is provided below.

Assistance by BHS

  • Available to all employees and their household members at no cost.
  • Eligible to receive up to 4 short-term problem resolution sessions per issue, per year.
  • Available 24 hours a day, 7 days a week via toll-free number 800-327-2251.
  • Provides information and referral resources.
  • Confidential emotional support.

Mutual of Omaha

  • Available to benefit-eligible employees and their eligible dependents at no cost.
  • Available 24 hours a day, 7 days a week via toll-free number 800-316-2796, or online at mutualofomaha.com/eap
  • Provides information and referral resources.
  • Confidential emotional support.

Optum/United Healthcare

  • Available to UHC members and covered dependents at no additional cost, unless referred to a physician where co-pays would apply.
  • Available 24 hours a day, 7 days a week via toll-free number 1-866-342-6892

Quick Links

Pay Information, Tax Info & Contact Info

Payroll/Holiday Calendar

Employee Self Service

Employee Self Service (Tyler)

Employees may use this link to:

  • access current pay information beginning in 2015
  • access W-2s beginning with the 2015 tax year
  • calculate paychecks
  • review phone number, address, and emergency contact information on file
  • setup tax exemptions

Historical information can be found in the Employee Access Center.

How to log in: To log in to the Employee Self Service site, please enter your user name and the last 4 digits of your social security number. Your user name is the name you use to sign on to the City’s network and your e-mail.

Performance Management

SuccessFactors Performance Manager

SuccessFactors

SuccessFactors is used for performance management as well as internal recruiting. Use this link above to access your performance evaluation form and update goals for the performance period.

Employees may also use this site to review and apply for positions internally.

For City Employees Sections