All County Forms

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Form NameIDTypeFiling Fee
"Coming Soon" Anthem Blue Cross PPO - Evidence of Coverage for 2017
Human Resources
pdf file$0
2016 Open Enrollment Flyer for Extra Hire Employees
Human Resources
pdf file0
2017 Health Benefits Guide - Eligible Extra-Hire Employees
Human Resources
pdf file$0
2017 Health Benefits Guide - Regular Hires
Human Resources
pdf file$0
ADA Disability Access Online Complaint Form
Public Works
$0.00
ADA Online Accessibility Complaint Form Instructions
Public Works
pdf fileNone
Advisory Committee Application for Membership
Elections
pdf file$0.00
Advisory Committee Speaker Request Form
Elections
pdf file$0.00
Affidavit of Cotenant Residency
Assessor - Recorder - County Clerk
BOE-58-H$0.00
Agricultural Property Statement
Assessor - Recorder - County Clerk
BOE-571-Apdf file$0.00
Aircraft Property Statement
Assessor - Recorder - County Clerk
BOE-577$0.00
Alternate Schedule A for Bank, Insurance Company, or Financial Corporation
Assessor - Recorder - County Clerk
BOE-571-LApdf file$0.00
Annual Meeting Calendar
Board of Supervisors
pdf file$0.00
Anthem Blue Cross 2017 Summary of Benefits and Coverages
Human Resources
Group No.1836 JBpdf file$0
Anthem Blue Cross Medical Enrollment Form
Human Resources
pdf file$0.00
Anthem Blue Cross PPO Enrollment Form for 2017
Human Resources
pdf file$0
AOWP Application
Probation
pdf file$0.00
AOWP Formulario de Aplicación
Probation
pdf file$0.00
Apartment House Property Statement
Assessor - Recorder - County Clerk
BOE-571-Rpdf file$0.00
Aplicación de Sellado Record
Probation
pdf file$0.00
Application for a Copy of a Confidential Marriage Certificate
Assessor - Recorder - County Clerk
pdf file$15.00
Application for Appointment
Human Resources
$0.00
Application For Certified Copy of Military Discharge DD-214
Assessor - Recorder - County Clerk
pdf file$0.00
Application for Permit to Install or Modify Underground Storage Tank Systems
Public Works
pdf fileVaries
Application for Reassessment of Damaged Property
Assessor - Recorder - County Clerk
125-170 fpdf file$0.00
Application Permit - HWG (Information Packet)
Public Works
pdf fileVaries
Application to Modify EVR Phase II
Public Works
pdf fileVaries
Application to Modify EVR Phase II Submittal Requirements
Public Works
doc fileVaries
Application to Obtain a Permit for a HWG Only
Public Works
pdf fileVaries
Application to Remove Underground Storage Tanks
Public Works
pdf fileVaries
Assessment Appeal Application
Board of Supervisors
pdf file$50.00
Authorization to Release Medical Information
Human Resources
PMR 46 - Form 1pdf file$0.00
Aviso Para Los Empleados Contratistas Ordenanza de Compensaction Minima
County Administrator
$0.00
Bingo License Application
Assessor - Recorder - County Clerk
pdf file$10.00
Board and Commissions Application Form
Board of Supervisors
$0.00
Business License
Department of Finance
pdf file$0.00
Business Property Statement
Assessor - Recorder - County Clerk
BOE-571-Lpdf file$0.00
Business Self-Inspection Form
Fire Department
pdf file$0.00
Business Self-Inspection Guidelines
Fire Department
pdf file$0.00
Cafeteria and Patio Application Form
Public Works
pdf file$0.00
Candidate Application Form
Elections
$0.00
Catastrophic Leave Application
Human Resources
PMR 44 - Form 3pdf file$0.00
Catastrophic Leave Donation
Human Resources
PMR 44 - Form 4pdf file$0.00
Certificate of Install/Modification
Public Works
doc fileVaries
Certificate of Registration as a Professional Photocopier
Assessor - Recorder - County Clerk
pdf file$182.00
Change of Address
Assessor - Recorder - County Clerk
pdf file$0.00
Change of Ownership Statement
Assessor - Recorder - County Clerk
BOE-502-AHpdf file$0.00
Change of Ownership Statement in Case of Death
Assessor - Recorder - County Clerk
BOE-502-Dpdf file$0.00
Citizen Complaint Form.
Probation
pdf file$0.00
Claim for Loss or Damage to Business Property
County Administrator
doc file$0.00
Claim for Reassessment Exclusion for Transfer Between Parent and Child
Assessor - Recorder - County Clerk
BOE-58-AH$0.00
Claim for Reassessment Exclusion for Transfer From Grandparent to Grandchild
Assessor - Recorder - County Clerk
BOE-58-G$0.00
Claim for Seismic Safety Construction Exclusion from Assessment
Assessor - Recorder - County Clerk
BOE - 64$0.00
Claim for Solar Energy System New Construction Exclusion - Initial Purchaser
Assessor - Recorder - County Clerk
BOE-64-SES$0.00
Claim Form
Board of Supervisors
pdf file$0.00
Claim of Person 55+ for Transfer of Base Year Value to Replacement Dwelling
Assessor - Recorder - County Clerk
BOE-60-AH$0.00
Classification and Compensation Study Request Form
Human Resources
pdf file$0.00
Closure Certificate
Public Works
doc fileVaries
Community Service Fund Application
County Administrator
$0.00
Community Services List
Probation
pdf file$0.00
Complaint Form
Human Resources
PMR 21 - Form 1pdf file$0.00
Confidential Marriage License Application
Assessor - Recorder - County Clerk
pdf file$93.00
Connect Your Care Claims Made Easy
Human Resources
pdf file$0.00
Consent to Release Employment Information
Human Resources
PMR 46 - Form 2pdf file$0.00
County Roads Excavation Prohibition List
Public Works
pdf file$0.00
Creek Permit
Public Works
pdf file$220.00
CUPA File Review Request
Public Works
pdf fileVaries
Declaración de Impacto a la Victima
Probation
pdf file$0.00
Delta Dental Enrollment Form
Human Resources
Group No. 1909pdf file$0.00
Department Contract Approval Form
County Administrator
doc file$0.00
Designated Operator
Public Works
doc file$0.00
Designated Operator Employee Training
Public Works
doc file$0.00
Designated Operator Monthly Inspection Report
Public Works
doc file$0.00
Disabled Accessibility New Construction Exclusion - Commercial
Assessor - Recorder - County Clerk
Prop-110-Compdf file$0.00
Disabled Accessibility New Construction Exclusion - Residence
Assessor - Recorder - County Clerk
Prop-110-Respdf file$0.00
Discrimination Appeal Form
Human Resources
PMR 21 - Form 1pdf file$0.00
Discrimination Complaint
Human Resources
$0.00
Document Cover Page
Assessor - Recorder - County Clerk
pdf file$0.00
Documentary Transfer Tax Transmittal
Assessor - Recorder - County Clerk
pdf file$0.00
Documentary Transfer Tax Transmittal (Secure/Terminate Financing Only)
Assessor - Recorder - County Clerk
pdf file$0.00
Domestic Partner Declaration
Assessor - Recorder - County Clerk
pdf file$20.00
DTSC Fact Sheets
Public Works
$0.00
Employee Accident/Injury/Illness Investigation Report
Human Resources
PMR 42 - Form 1pdf file$0.00
Employee Electronic Media Agreement and Application
Human Resources
PMR 23 - Form 1pdf file$0.00
Employee Grievance
Human Resources
PMR 24 - Form 1pdf file$0.00
Employee Performance Evaluation Report
Human Resources
PMR 43 - Form 1pdf file$0.00
Employee Reasonable Accommodation Request
Human Resources
PMR 49 - Form 1pdf file$0.00
Employees Serious Health Condition - Physician or Practitioner Certification Form
Human Resources
PMR 44 - Form 2Apdf file$0.00
Employment Application
Human Resources
pdf file$0.00
Encroachment Permit
Public Works
pdf file$65
Examination Appeal
Human Resources
PMR 31 - Form 2pdf file$0.00
Family Member Serious Health Condition - Physician or Practitioner Certification Form
Human Resources
PMR 44 - Form 2Bpdf file$0.00
Fictitious Business Name
Assessor - Recorder - County Clerk
Varies
File a Complaint
Fire Department
$0.00
Filming and Encroachment Permit
Public Works
pdf file$0.00
Financial Responsibility - Certification
Public Works
doc fileVaries
Financial Responsibility - CFO
Public Works
pdf file$0.00
Fire Jurisdiction Authorization Form
Fire Department
pdf file$0.00
Fitness for Duty to Return from Leave Certification
Human Resources
PMR 44 - Form 1pdf file$0.00
Flexible Spending Account ConnectYourCare Brochure
Human Resources
pdf file0
Flexible Spending Account ConnectYourCare Enrollment Form
Human Resources
pdf file0
Flexible Spending Account ConnectYourCare Enrollment Guide
Human Resources
pdf file0
Flexible Spending Account Election Calculator
Human Resources
xls file$0.00
Flood Control Claim Form
Public Works
pdf file$0.00
Flood Control District Claim Form
Public Works
pdf file$0.00
Forma de Queja Del Empleado Ordenanza de Compensacion Minima
County Administrator
pdf file$0.00
Formulario de nombramiento de Oficial de Probación Juvenil
Probation
pdf file$0.00
Full HMBP Packet
Public Works
pdf fileVaries
Glossary of Health Coverage and Medical Terms
Human Resources
pdf file$0.00
Grading Permit
Public Works
pdf fileSee Marin County Code (MCC) 3.48.020
Hazard or Unsafe Condition Reporting
County Administrator
pdf file$0.00
Hazardous Materials Business Plan HMBP
Public Works
pdf fileVares
Hazardous Waste Generator HWG
Public Works
pdf file$0.00
Hearing Date Confirmation Notice
Board of Supervisors
pdf file$0.00
Illegible Seal Declaration
Assessor - Recorder - County Clerk
pdf file$0.00
Illicit Discharge Form
Public Works
$0.00
Independent Expenditures
Elections
pdf file$0.00
Independent Expenditures Complaint Form
Elections
pdf file$0.00
Juvenile EM Contract
Probation
pdf file$0.00
Juvenile Hall Parents Feedback
Probation
pdf file$0.00
Juvenile Home Detention Agreement
Probation
pdf file$0.00
Juvenile Probation Officer Appointment Form
Probation
pdf file$0.00
Juvenile Record Sealing Request
Probation
pdf file$0.00
Kaiser 2017 Evidence of Coverage – HDHP for Extra Hires
Human Resources
pdf file$0
Kaiser 2017 Evidence of Coverage EOC Plan L
Human Resources
pdf file$0
Kaiser 2017 Evidence of Coverage EOC Plan S
Human Resources
pdf file$0
Kaiser Enrollment / Change Form for 2017
Human Resources
pdf file$0
Kaiser HDHP for Extra-Hires - 2017 Summary of Benefits & Coverages
Human Resources
pdf file$0
Kaiser Plan L - 2017 Summary of Benefits & Coverages
Human Resources
pdf file$0
Kaiser Plan S - 2017 Summary of Benefits & Coverages
Human Resources
pdf file$0
Liability Incident Report
County Administrator
docx file$0.00
Life Insurance Voya Evidence of Coverage
Human Resources
pdf file0
Life LTD Drop Coverage Form
Human Resources
pdf file$0
Life LTD Evidence of Inusurability Instructions
Human Resources
pdf file0
Life LTD Voya Beneficiary Designation Form
Human Resources
pdf file0
Life LTD Voya Evidence of Insurability
Human Resources
pdf file0
Living Wage Ordinance Contractor Declaration Form
County Administrator
pdf file$0.00
Living Wage Ordinance Contractor Employee Notice (English)
County Administrator
$0.00
Living Wage Ordinance Contractor Employee Notice (Espanol)
County Administrator
$0.00
Living Wage Ordinance Employee Complaint Form
County Administrator
pdf file$0.00
Local Business Preference Certification Form
Public Works
pdf file$0.00
Local Measures - Argument Signature Form
Elections
pdf file$0.00
Local Measures - Argument Submission Form
Elections
pdf file$0.00
Local Measures - Rebuttal Argument Authorization Form
Elections
pdf file$0.00
Long Term Disability Voya Evidence of Coverage
Human Resources
pdf file0
Marin County Youth Commission
Board of Supervisors
pdf file$0.00
Marin Workforce Bidders Preference Certification Form
Public Works
pdf file$0.00
Monument Preservation Fee Exemption
Assessor - Recorder - County Clerk
pdf file$0.00
Motor Vehicle Accident Report
County Administrator
pdf file$0.00
New Construction Exclusion from Supplemental Assessment
Assessor - Recorder - County Clerk
125-590pdf file$0.00
Nuclear Commission Override
Board of Supervisors
pdf file$0.00
Online Form
Human Resources
$0.00
Operating Permit Application Facility Information
Public Works
pdf fileVaries
Peace Commission Nuclear Override
Public Works
pdf file$0.00
Performance Planning and Review Form for Managers and Supervisors
Human Resources
PMR 43 - Form 2pdf file$0.00
Permit Application
Fire Department
pdf fileVarious
Personnel Requisition
Human Resources
PMR 30 - Form 1pdf file$0.00
Poll Worker Application
Elections
pdf file$0.00
Poll Worker Student Application
Elections
pdf file$0.00
Predesignation of Physician
County Administrator
pdf file$0.00
Preliminary Change of Ownership Report (Fee for not filing Preliminary Change of Ownership Report at time of recording [R&T 480.3(b)] - $20.00)
Assessor - Recorder - County Clerk
BOE-502-Apdf file$0.00
Promotion Without Examination Request
Human Resources
PMR 31 - Form 1pdf file$0.00
Public Marriage License Application
Assessor - Recorder - County Clerk
pdf file$85.00
Public Marriage License Application Spanish
Assessor - Recorder - County Clerk
pdf file$85.00
Purchasing Voter Registration Information -
County Form

Elections
pdf file$0.00
Purchasing Voter Registration Information -
State Form

Elections
pdf file$0.00
Recycled Products Preference Certification Form
Public Works
pdf file$0.00
Registration - Canceling
Elections
pdf file$0.00
Registration - Proof
Elections
pdf file$0.00
Report of Hazard or Unsafe Condition Form
Human Resources
PMR 26 - Form 2pdf file$0.00
Request for a Copy of a Birth Record
Assessor - Recorder - County Clerk
pdf file$25.00
Request for a Copy of a Birth Record - Espanol
Assessor - Recorder - County Clerk
pdf file$25.00
Request for a Copy of a Death Record
Assessor - Recorder - County Clerk
pdf file$21.00
Request for a Copy of a Death Record - Espanol
Assessor - Recorder - County Clerk
pdf file$21.00
Request for a Copy of a Marriage Record
Assessor - Recorder - County Clerk
pdf file$15.00
Request for a Copy of a Marriage Record - Espanol
Assessor - Recorder - County Clerk
pdf file$15.00
Request for a Patient Care Report
Fire Department
$15.00
Request for Family/Medical Leave Form
Human Resources
PMR 44 - Form 2pdf file$0.00
Request for Fire Incident Report
Fire Department
$0.00
Request for Informal Assessment Review Form
Assessor - Recorder - County Clerk
Assessment-Reviewpdf file$0.00
Request for Official Record or Map Copy
Assessor - Recorder - County Clerk
pdf fileVaries
Request to Engage in Supplemental Employment
Human Resources
PMR 20 - Form 1pdf file$0.00
Requirements for Contractors
Public Works
pdf file$0.00
Response Plan (Form E)
Public Works
doc file$0.00
Social Media User Acknowledgement Form
County Administrator
pdf file$0.00
Social Media Workplan and Account Request Form
County Administrator
pdf file$0.00
Spill Prevention Control and Countermeasure Rule
Public Works
$0.00
Supervisors Workers Compensation Checklist
County Administrator
pdf file$0.00
Telework Agreement Form
Human Resources
PMR 27 - Form 1pdf file$0.00
Temporary Promotion Request Form
Human Resources
pdf file$0.00
Temporary Special Assignment Pay Request Form
Human Resources
pdf file$0.00
test
Human Resources
$0.00
TOT Application
Department of Finance
pdf file$0.00
Transit Plan ConnectYourCare Overview
Human Resources
pdf file0
Trip Transportation Annual
Public Works
pdf file$75
Trip Transportation Form Single
Public Works
pdf file$16
Unauthorized Release (UAR)
Public Works
doc fileVaries
Vendor Bid List Application
Public Works
pdf file$0.00
Vessel Property Statement
Assessor - Recorder - County Clerk
BOE-576-D$0.00
Vial of Life Form
Fire Department
$0.00
Victim Impact Statement
Probation
pdf file$0.00
Vision Enrollment and Change Form
Human Resources
pdf file$0
Vision VSP 2016 Evidence of Coverage
Human Resources
Group No. 00-109803pdf file0
Vision VSP 2016 Overview of Benefits
Human Resources
Group No. 00-109803pdf file0
Vision VSP Overview of Benefits
Human Resources
pdf file0
Vote-by-Mail - Application
Elections
$0.00
Vote-by-Mail - Request Another Ballot
Elections
pdf file$0.00
Waiver of Dependent Dental and Vision Coverage
Human Resources
pdf file$0
Waiver of Participation in Medical
Human Resources
pdf file$0
Water Board's Recommended Minimum Verification Analyses for UST Leaks
Public Works
pdf file$0.00
Workplace Security and Safety Incident Investigation Report
Human Resources
PMR 26 - Form 1pdf file$0.00