All County Forms

You may sort the forms by selecting one of the options below:

Form Name	ID	Filing Fee
"Coming Soon" Anthem Blue Cross PPO - Evidence of Coverage for 2017 Human Resources		$0
2016 Open Enrollment Flyer for Extra Hire Employees Human Resources		0
2017 Health Benefits Guide - Eligible Extra-Hire Employees Human Resources		$0
2017 Health Benefits Guide - Regular Hires Human Resources		$0
ADA Disability Access Online Complaint Form Public Works		$0.00
ADA Online Accessibility Complaint Form Instructions Public Works		None
Advisory Committee Application for Membership Elections		$0.00
Advisory Committee Speaker Request Form Elections		$0.00
Affidavit of Cotenant Residency Assessor - Recorder - County Clerk	BOE-58-H	$0.00
Agricultural Property Statement Assessor - Recorder - County Clerk	BOE-571-A	$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-LA	$0.00
Annual Meeting Calendar Board of Supervisors		$0.00
Anthem Blue Cross 2017 Summary of Benefits and Coverages Human Resources	Group No.1836 JB	$0
Anthem Blue Cross Medical Enrollment Form Human Resources		$0.00
Anthem Blue Cross PPO Enrollment Form for 2017 Human Resources		$0
AOWP Application Probation		$0.00
AOWP Formulario de Aplicación Probation		$0.00
Apartment House Property Statement Assessor - Recorder - County Clerk	BOE-571-R	$0.00
Aplicación de Sellado Record Probation		$0.00
Application for a Copy of a Confidential Marriage Certificate Assessor - Recorder - County Clerk		$15.00
Application for Appointment Human Resources		$0.00
Application For Certified Copy of Military Discharge DD-214 Assessor - Recorder - County Clerk		$0.00
Application for Permit to Install or Modify Underground Storage Tank Systems Public Works		Varies
Application for Reassessment of Damaged Property Assessor - Recorder - County Clerk	125-170 f	$0.00
Application Permit - HWG (Information Packet) Public Works		Varies
Application to Modify EVR Phase II Public Works		Varies
Application to Modify EVR Phase II Submittal Requirements Public Works		Varies
Application to Obtain a Permit for a HWG Only Public Works		Varies
Application to Remove Underground Storage Tanks Public Works		Varies
Assessment Appeal Application Board of Supervisors		$50.00
Authorization to Release Medical Information Human Resources	PMR 46 - Form 1	$0.00
Aviso Para Los Empleados Contratistas Ordenanza de Compensaction Minima County Administrator		$0.00
Bingo License Application Assessor - Recorder - County Clerk		$10.00
Board and Commissions Application Form Board of Supervisors		$0.00
Business License Department of Finance		$0.00
Business Property Statement Assessor - Recorder - County Clerk	BOE-571-L	$0.00
Business Self-Inspection Form Fire Department		$0.00
Business Self-Inspection Guidelines Fire Department		$0.00
Cafeteria and Patio Application Form Public Works		$0.00
Candidate Application Form NOT for City/Town Offices Elections		$0.00
Catastrophic Leave Application Human Resources	PMR 44 - Form 3	$0.00
Catastrophic Leave Donation Human Resources	PMR 44 - Form 4	$0.00
Certificate of Install/Modification Public Works		Varies
Certificate of Registration as a Professional Photocopier Assessor - Recorder - County Clerk		$182.00
Change of Address Assessor - Recorder - County Clerk		$0.00
Change of Ownership Statement Assessor - Recorder - County Clerk	BOE-502-AH	$0.00
Change of Ownership Statement in Case of Death Assessor - Recorder - County Clerk	BOE-502-D	$0.00
Citizen Complaint Form. Probation		$0.00
Claim for Loss or Damage to Business Property County Administrator		$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		$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		$0.00
Closure Certificate Public Works		Varies
Community Service Fund Application County Administrator		$0.00
Community Services List Probation		$0.00
Complaint Form Human Resources	PMR 21 - Form 1	$0.00
Confidential Marriage License Application Assessor - Recorder - County Clerk		$93.00
Connect Your Care Claims Made Easy Human Resources		$0.00
Consent to Release Employment Information Human Resources	PMR 46 - Form 2	$0.00
County Roads Excavation Prohibition List Public Works		$0.00
Creek Permit Public Works		$220.00
CUPA File Review Request Public Works		Varies
Declaración de Impacto a la Victima Probation		$0.00
Delta Dental Enrollment Form Human Resources	Group No. 1909	$0.00
Delta Dental Overview of Benefits Human Resources		$0.00
Department Contract Approval Form County Administrator		$0.00
Designated Operator Public Works		$0.00
Designated Operator Employee Training Public Works		$0.00
Designated Operator Monthly Inspection Report Public Works		$0.00
Disabled Accessibility New Construction Exclusion - Commercial Assessor - Recorder - County Clerk	Prop-110-Com	$0.00
Disabled Accessibility New Construction Exclusion - Residence Assessor - Recorder - County Clerk	Prop-110-Res	$0.00
Discrimination Appeal Form Human Resources	PMR 21 - Form 1	$0.00
Discrimination Complaint Human Resources		$0.00
Document Cover Page Assessor - Recorder - County Clerk		$0.00
Documentary Transfer Tax Transmittal Assessor - Recorder - County Clerk		$0.00
Documentary Transfer Tax Transmittal (Secure/Terminate Financing Only) Assessor - Recorder - County Clerk		$0.00
Domestic Partner Declaration Assessor - Recorder - County Clerk		$20.00
DTSC Fact Sheets Public Works		$0.00
Employee Accident/Injury/Illness Investigation Report Human Resources	PMR 42 - Form 1	$0.00
Employee Electronic Media Agreement and Application Human Resources	PMR 23 - Form 1	$0.00
Employee Grievance Human Resources	PMR 24 - Form 1	$0.00
Employee Performance Evaluation Report Human Resources	PMR 43 - Form 1	$0.00
Employee Reasonable Accommodation Request Human Resources	PMR 49 - Form 1	$0.00
Employees Serious Health Condition - Physician or Practitioner Certification Form Human Resources	PMR 44 - Form 2A	$0.00
Employment Application Human Resources		$0.00
Encroachment Permit Public Works		$65
Examination Appeal Human Resources	PMR 31 - Form 2	$0.00
Family Member Serious Health Condition - Physician or Practitioner Certification Form Human Resources	PMR 44 - Form 2B	$0.00
Fictitious Business Name Assessor - Recorder - County Clerk		Varies
File a Complaint Fire Department		$0.00
Filming and Encroachment Permit Public Works		$0.00
Financial Responsibility - Certification Public Works		Varies
Financial Responsibility - CFO Public Works		$0.00
Fire Jurisdiction Authorization Form Fire Department		$0.00
Fitness for Duty to Return from Leave Certification Human Resources	PMR 44 - Form 1	$0.00
Flexible Spending Account ConnectYourCare Brochure Human Resources		0
Flexible Spending Account ConnectYourCare Enrollment Form Human Resources		0
Flexible Spending Account ConnectYourCare Enrollment Guide Human Resources		0
Flexible Spending Account Election Calculator Human Resources		$0.00
Flood Control Claim Form Public Works		$0.00
Flood Control District Claim Form Public Works		$0.00
Forma de Queja Del Empleado Ordenanza de Compensacion Minima County Administrator		$0.00
Formulario de nombramiento de Oficial de Probación Juvenil Probation		$0.00
Full HMBP Packet Public Works		Varies
Glossary of Health Coverage and Medical Terms Human Resources		$0.00
Grading Permit Public Works		See Marin County Code (MCC) 3.48.020
Hazard or Unsafe Condition Reporting County Administrator		$0.00
Hazardous Materials Business Plan HMBP Public Works		Vares
Hazardous Waste Generator HWG Public Works		$0.00
Hearing Date Confirmation Notice Board of Supervisors		$0.00
Illegible Seal Declaration Assessor - Recorder - County Clerk		$0.00
Illicit Discharge Form Public Works		$0.00
Independent Expenditures Elections		$0.00
Independent Expenditures Complaint Form Elections		$0.00
Juvenile EM Contract Probation		$0.00
Juvenile Hall Parents Feedback Probation		$0.00
Juvenile Home Detention Agreement Probation		$0.00
Juvenile Probation Officer Appointment Form Probation		$0.00
Juvenile Record Sealing Request Probation		$0.00
Kaiser 2017 Evidence of Coverage – HDHP for Extra Hires Human Resources		$0
Kaiser 2017 Evidence of Coverage EOC Plan L Human Resources		$0
Kaiser 2017 Evidence of Coverage EOC Plan S Human Resources		$0
Kaiser Enrollment / Change Form for 2017 Human Resources		$0
Kaiser HDHP for Extra-Hires - 2017 Summary of Benefits & Coverages Human Resources		$0
Kaiser Plan L - 2017 Summary of Benefits & Coverages Human Resources		$0
Kaiser Plan S - 2017 Summary of Benefits & Coverages Human Resources		$0
Liability Incident Report County Administrator		$0.00
Life Insurance Voya Evidence of Coverage Human Resources		0
Life LTD Drop Coverage Form Human Resources		$0
Life LTD Evidence of Inusurability Instructions Human Resources		0
Life LTD Voya Beneficiary Designation Form Human Resources		0
Life LTD Voya Evidence of Insurability Human Resources		0
Living Wage Ordinance Contractor Declaration Form County Administrator		$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		$0.00
Local Business Preference Certification Form Public Works		$0.00
Local Measures - Argument Signature Form Elections		$0.00
Local Measures - Argument Submission Form Elections		$0.00
Local Measures - Rebuttal Argument Authorization Form Elections		$0.00
Long Term Disability Voya Evidence of Coverage Human Resources		0
Marin County Youth Commission Board of Supervisors		$0.00
Marin Workforce Bidders Preference Certification Form Public Works		$0.00
Monument Preservation Fee Exemption Assessor - Recorder - County Clerk		$0.00
Motor Vehicle Accident Report County Administrator		$0.00
New Construction Exclusion from Supplemental Assessment Assessor - Recorder - County Clerk	125-590	$0.00
Nuclear Commission Override Board of Supervisors		$0.00
Online Form Human Resources		$0.00
Operating Permit Application Facility Information Public Works		Varies
Peace Commission Nuclear Override Public Works		$0.00
Performance Planning and Review Form for Managers and Supervisors Human Resources	PMR 43 - Form 2	$0.00
Permit Application Fire Department		Various
Personnel Requisition Human Resources	PMR 30 - Form 1	$0.00
Poll Worker Application Elections		$0.00
Poll Worker Student Application Elections		$0.00
Predesignation of Physician County Administrator		$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-A	$0.00
Promotion Without Examination Request Human Resources	PMR 31 - Form 1	$0.00
Public Marriage License Application Assessor - Recorder - County Clerk		$85.00
Public Marriage License Application Spanish Assessor - Recorder - County Clerk		$85.00
Purchasing Voter Registration Information - County Form Elections		$0.00
Purchasing Voter Registration Information - State Form Elections		$0.00
Recycled Products Preference Certification Form Public Works		$0.00
Registration - Canceling Elections		$0.00
Registration - Proof Elections		$0.00
Report of Hazard or Unsafe Condition Form Human Resources	PMR 26 - Form 2	$0.00
Request for a Copy of a Birth Record Assessor - Recorder - County Clerk		$25.00
Request for a Copy of a Birth Record - Espanol Assessor - Recorder - County Clerk		$25.00
Request for a Copy of a Death Record Assessor - Recorder - County Clerk		$21.00
Request for a Copy of a Death Record - Espanol Assessor - Recorder - County Clerk		$21.00
Request for a Copy of a Marriage Record Assessor - Recorder - County Clerk		$15.00
Request for a Copy of a Marriage Record - Espanol Assessor - Recorder - County Clerk		$15.00
Request for a Patient Care Report Fire Department		$15.00
Request for Family/Medical Leave Form Human Resources	PMR 44 - Form 2	$0.00
Request for Fire Incident Report Fire Department		$0.00
Request for Informal Assessment Review Form Assessor - Recorder - County Clerk	Assessment-Review	$0.00
Request for Official Record or Map Copy Assessor - Recorder - County Clerk		Varies
Request to Engage in Supplemental Employment Human Resources	PMR 20 - Form 1	$0.00
Requirements for Contractors Public Works		$0.00
Response Plan (Form E) Public Works		$0.00
Social Media User Acknowledgement Form County Administrator		$0.00
Social Media Workplan and Account Request Form County Administrator		$0.00
Spill Prevention Control and Countermeasure Rule Public Works		$0.00
Supervisors Workers Compensation Checklist County Administrator		$0.00
Telework Agreement Form Human Resources	PMR 27 - Form 1	$0.00
Temporary Promotion Request Form Human Resources		$0.00
Temporary Special Assignment Pay Request Form Human Resources		$0.00
test Human Resources		$0.00
TOT Application Department of Finance		$0.00
Transit Plan ConnectYourCare Overview Human Resources		0
Trip Transportation Annual Public Works		$75
Trip Transportation Form Single Public Works		$16
Unauthorized Release (UAR) Public Works		Varies
Vendor Bid List Application Public Works		$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		$0.00
Vision Enrollment and Change Form Human Resources		$0
Vision VSP 2016 Evidence of Coverage Human Resources	Group No. 00-109803	0
Vision VSP 2016 Overview of Benefits Human Resources	Group No. 00-109803	0
Vision VSP Overview of Benefits Human Resources		0
Vote-by-Mail - Application Elections		$0.00
Vote-by-Mail - Request Another Ballot Elections		$0.00
Waiver of Dependent Dental and Vision Coverage Human Resources		$0
Waiver of Participation in Medical Human Resources		$0
Water Board's Recommended Minimum Verification Analyses for UST Leaks Public Works		$0.00
Workplace Security and Safety Incident Investigation Report Human Resources	PMR 26 - Form 1	$0.00

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