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All County Forms

Form NameIDTypeFiling Fee
2017 Benefits Guide for Eligible Contingent-Hire Employees
Human Resources		Online Form$0
2017 Benefits Guide for Regular Hires
Human Resources		PDF$0
2018 Employee Benefits Guide for Eligible Contingent-Hire Employees
Human Resources		PDF$0.00
2018 Employee Benefits Guide for Eligible Regular-Hire
Human Resources		PDF$0.00
ADA Disability Access Online Complaint Form
Public Works		Online Form$0.00
ADA Online Accessibility Complaint Form Instructions
Public Works		PDFNone
Advisory Committee Application for Membership
Elections		Online Form$0.00
Advisory Committee Speaker Request Form
Elections		Online Form$0.00
Affidavit of Cotenant Residency
Assessor - Recorder - County Clerk		BOE-58-HOnline Form$0.00
Agricultural Property Statement
Assessor - Recorder - County Clerk		BOE-571-APDF$0.00
Aircraft Property Statement
Assessor - Recorder - County Clerk		BOE-577Online Form$0.00
Alternate Schedule A for Bank, Insurance Company, or Financial Corporation
Assessor - Recorder - County Clerk		BOE-571-LAPDF$0.00
Annual Meeting Calendar
Board of Supervisors		PDF$0.00
Anthem Blue Cross PPO - 2018 Summary of Benefits and Coverages (SBCs)
Human Resources		PDF$0
Anthem Blue Cross PPO - Evidence of Coverage
Human Resources		PDF$0
Anthem Blue Cross PPO 2017 Benefit Summary
Human Resources		Group No.1836 JBPDF$0
Anthem Blue Cross PPO Enrollment Form
Human Resources		PDF$0
AOWP Long Program Paperwork
Probation		PDF100.00
AOWP Short Program Paperwork
Probation		PDF50.00
Apartment House Property Statement
Assessor - Recorder - County Clerk		BOE-571-RPDF$0.00
Aplicación de Sellado Record
Probation		PDF$0.00
Application for a Copy of a Confidential Marriage Certificate
Assessor - Recorder - County Clerk		PDF$15.00
Application for Appointment
Human Resources		Online Form$0.00
Application For Certified Copy of Military Discharge DD-214
Assessor - Recorder - County Clerk		PDF$0.00
Application for Permit to Install or Modify Underground Storage Tank Systems
Public Works		PDFVaries
Application for Reassessment of Damaged Property
Assessor - Recorder - County Clerk		125-170 fPDF$0.00
Application Permit - HWG (Information Packet)
Public Works		PDFVaries
Application to Modify EVR Phase II
Public Works		PDFVaries
Application to Modify EVR Phase II Submittal Requirements
Public Works		Word DocumentVaries
Application to Obtain a Permit for a HWG Only
Public Works		PDFVaries
Application to Remove Underground Storage Tanks
Public Works		PDFVaries
Assessment Appeal Application
Board of Supervisors		PDF$50.00
Authorization to Release Medical Information
Human Resources		PMR 46 - Form 1PDF$0.00
Aviso Para Los Empleados Contratistas Ordenanza de Compensaction Minima
County Administrator		Online Form$0.00
Bingo License Application
Assessor - Recorder - County Clerk		PDF$10.00
Board and Commissions Application Form
Board of Supervisors		Online Form$0.00
Business License
Department of Finance		Online Form$0.00
Business Property Statement
Assessor - Recorder - County Clerk		BOE-571-LPDF$0.00
Business Self-Inspection Form
Fire Department		PDF$0.00
Business Self-Inspection Guidelines
Fire Department		PDF$0.00
Cafeteria and Patio Application Form
Public Works		PDF$0.00
Candidate Application Form
NOT for City/Town Offices
Elections		Online Form$0.00
Catastrophic Leave Application
Human Resources		PMR 44 - Form 3PDF$0.00
Catastrophic Leave Donation
Human Resources		PMR 44 - Form 4PDF$0.00
Certificate of Install/Modification
Public Works		Word DocumentVaries
Certificate of Registration as a Professional Photocopier
Assessor - Recorder - County Clerk		PDF$182.00
Change of Address
Assessor - Recorder - County Clerk		PDF$0.00
Change of Ownership Statement
Assessor - Recorder - County Clerk		BOE-502-AHPDF$0.00
Change of Ownership Statement in Case of Death
Assessor - Recorder - County Clerk		BOE-502-DPDF$0.00
Citizen Complaint Form.
Probation		PDF$0.00
Claim for Loss or Damage to Business Property
County Administrator		Word Document$0.00
Claim for Reassessment Exclusion for Transfer Between Parent and Child
Assessor - Recorder - County Clerk		BOE-58-AHOnline Form$0.00
Claim for Reassessment Exclusion for Transfer From Grandparent to Grandchild
Assessor - Recorder - County Clerk		BOE-58-GOnline Form$0.00
Claim for Seismic Safety Construction Exclusion from Assessment
Assessor - Recorder - County Clerk		BOE - 64Online Form$0.00
Claim for Solar Energy System New Construction Exclusion - Initial Purchaser
Assessor - Recorder - County Clerk		BOE-64-SESOnline Form$0.00
Claim Form
Board of Supervisors		PDF$0.00
Claim of Person 55+ for Transfer of Base Year Value to Replacement Dwelling
Assessor - Recorder - County Clerk		BOE-60-AHOnline Form$0.00
Classification and Compensation Study Request Form
Human Resources		PDF$0.00
Closure Certificate
Public Works		Word DocumentVaries
Community Service Fund Application
County Administrator		Online Form$0.00
Community Services List
Probation		PDF$0.00
Complaint Form
Human Resources		PMR 21 - Form 1PDF$0.00
Confidential Marriage License Application
Assessor - Recorder - County Clerk		PDF$93.00
Connect Your Care Claims Made Easy
Human Resources		PDF$0.00
ConnectYourCare Brochure Flexible Spending Account
Human Resources		PDF0
ConnectYourCare Enrollment Form Flexible Spending Account
Human Resources		PDF0
ConnectYourCare Enrollment Guide Flexible Spending Account
Human Resources		PDF0
ConnectYourCare Flexible Spending Account Election Calculator
Human Resources		Excel Spreadsheet$0.00
ConnectYourCare Transit Plan Overview
Human Resources		PDF0
Consent to Release Employment Information
Human Resources		PMR 46 - Form 2PDF$0.00
Consumer Complaint
District Attorney		Online Form$0.00
County Parole Application
Probation		PDF150.00
County Roads Excavation Prohibition List
Public Works		PDF$0.00
Creek Permit
Public Works		PDF$220.00
CUPA File Review Request
Public Works		PDFVaries
Declaración de Impacto a la Victima
Probation		PDF$0.00
Delta Dental Benefits Overview
Human Resources		Group No. 1909PDF$0.00
Delta Dental Enrollment and Change Form
Human Resources		Group No. 1909PDF$0.00
Delta Dental Evidence of Coverage
Human Resources		Group No. 1909PDF$0.00
Department Contract Approval Form
County Administrator		Word Document$0.00
Designated Operator
Public Works		Word Document$0.00
Designated Operator Employee Training
Public Works		Word Document$0.00
Designated Operator Monthly Inspection Report
Public Works		Word Document$0.00
Disabled Accessibility New Construction Exclusion - Commercial
Assessor - Recorder - County Clerk		Prop-110-ComPDF$0.00
Disabled Accessibility New Construction Exclusion - Residence
Assessor - Recorder - County Clerk		Prop-110-ResPDF$0.00
Discrimination Appeal Form
Human Resources		PMR 21 - Form 1PDF$0.00
Discrimination Complaint
Human Resources		Online Form$0.00
Document Cover Page
Assessor - Recorder - County Clerk		PDF$3.00
Document Cover Page - SB2 Exemptions
Assessor - Recorder - County Clerk		PDF$3.00
Documentary Transfer Tax Transmittal
Assessor - Recorder - County Clerk		PDF$0.00
Documentary Transfer Tax Transmittal (Secure/Terminate Financing Only)
Assessor - Recorder - County Clerk		PDF$0.00
Domestic Partner Declaration
Assessor - Recorder - County Clerk		PDF$20.00
DTSC Fact Sheets
Public Works		Online Form$0.00
Electronic Monitoring Application
Probation		PDF$0.00
Employee Accident/Injury/Illness Investigation Report
Human Resources		PMR 42 - Form 1PDF$0.00
Employee Electronic Media Agreement and Application
Human Resources		PMR 23 - Form 1PDF$0.00
Employee Grievance
Human Resources		PMR 24 - Form 1PDF$0.00
Employee Performance Evaluation Report
Human Resources		PMR 43 - Form 1PDF$0.00
Employee Reasonable Accommodation Request
Human Resources		PMR 49 - Form 1PDF$0.00
Employees Serious Health Condition - Physician or Practitioner Certification Form
Human Resources		PMR 44 - Form 2APDF$0.00
Employment Application
Human Resources		PDF$0.00
Encroachment Permit
Public Works		PDF$65
Examination Appeal
Human Resources		PMR 31 - Form 2PDF$0.00
Family Member Serious Health Condition - Physician or Practitioner Certification Form
Human Resources		PMR 44 - Form 2BPDF$0.00
Fictitious Business Name
Assessor - Recorder - County Clerk		Online FormVaries
File a Complaint
Fire Department		Online Form$0.00
Filming and Encroachment Permit
Public Works		PDF$0.00
Financial Responsibility - Certification
Public Works		Word DocumentVaries
Financial Responsibility - CFO
Public Works		PDF$0.00
Financial Statement Short Form
Probation		PDF$0.00
Fire Jurisdiction Authorization Form
Fire Department		PDF$0.00
Fitness for Duty to Return from Leave Certification
Human Resources		 PMR 44 - Form 1PDF$0.00
Flood Control Claim Form
Public Works		PDF$0.00
Flood Control District Claim Form
Public Works		PDF$0.00
Forma de Queja Del Empleado Ordenanza de Compensacion Minima
County Administrator		PDF$0.00
Formulario de nombramiento de Oficial de Probación Juvenil
Probation		PDF$0.00
Full HMBP Packet
Public Works		PDFVaries
Glossary of Health Coverage and Medical Terms
Human Resources		PDF$0.00
Grading Permit
Public Works		PDFSee Marin County Code (MCC) 3.48.020
Hartford Beneficiary Add/Change Form
Human Resources		PDF$0.00
Hartford Evidence of Coverage
Human Resources		PDF$0.00
Hartford Life and LTD Drop Coverage Form
Human Resources		PDF$0
Hartford Life/LTD Benefit Summary
Human Resources		PDF$0.00
Hartford Life/LTD Benefit Summary - Deputy Probation Officers, Probation Managers and Juvenile Corrections Officers
Human Resources		PDF$0.00
Hartford Life/LTD Enrollment Form
Human Resources		PDF$0.00
Hartford Life/LTD Enrollment Form – Deputy Probations Officers, Probation Managers and Juvenile Corrections Officers
Human Resources		PDF$0.00
Hazard or Unsafe Condition Reporting
County Administrator		PDF$0.00
Hazardous Materials Business Plan HMBP
Public Works		PDFVares
Hazardous Waste Generator HWG
Public Works		PDF$0.00
Hearing Date Confirmation Notice
Board of Supervisors		PDF$0.00
Illegible Notary Seal Declaration
Assessor - Recorder - County Clerk		PDF$0.00
Illicit Discharge Form
Public Works		Online Form$0.00
Independent Expenditures
Elections		PDF$0.00
Independent Expenditures Complaint Form
Elections		Online Form$0.00
Juvenile EM Contract
Probation		PDF$0.00
Juvenile Hall Parents Feedback
Probation		PDF$0.00
Juvenile Home Detention Agreement
Probation		PDF$0.00
Juvenile Probation Officer Appointment Form
Probation		PDF$0.00
Juvenile Record Sealing Request
Probation		PDF$0.00
Kaiser Enrollment / Change Form for 2017
Human Resources		PDF$0
Kaiser Evidence of Coverage HDHP for Contingent Hires
Human Resources		PDF$0
Kaiser Evidence of Coverage Plan L
Human Resources		PDF$0
Kaiser Evidence of Coverage Plan S
Human Resources		PDF$0
Kaiser HDHP for Extra-Hires - 2017 Summary of Benefits & Coverages
Human Resources		PDF$0
Kaiser Plan HDHP - 2018 Summary of Benefits & Coverages (SBCS)
Human Resources		PDF$0.00
Kaiser Plan L - 2017 Summary of Benefits & Coverages
Human Resources		PDF$0
Kaiser Plan L - 2018 Summary of Benefits & Coverages (SBCS)
Human Resources		PDF$0.00
Kaiser Plan S - 2017 Summary of Benefits & Coverages
Human Resources		PDF$0
Kaiser Plan S - 2018 Summary of Benefits & Coverages (SBCS)
Human Resources		PDF$0.00
Liability Incident Report
County Administrator		Word Document$0.00
Living Wage Ordinance Contractor Declaration Form
County Administrator		PDF$0.00
Living Wage Ordinance Contractor Employee Notice (English)
County Administrator		Online Form$0.00
Living Wage Ordinance Contractor Employee Notice (Espanol)
County Administrator		Online Form$0.00
Living Wage Ordinance Employee Complaint Form
County Administrator		PDF$0.00
Local Business Preference Certification Form
Public Works		PDF$0.00
Local Measures - Argument Signature Form
Elections		PDF$0.00
Local Measures - Argument Submission Form
Elections		PDF$0.00
Local Measures - Rebuttal Argument Authorization Form
Elections		PDF$0.00
Marin County Youth Commission
Board of Supervisors		PDF$0.00
Marin Workforce Bidders Preference Certification Form
Public Works		PDF$0.00
Monument Preservation Fee Exemption
Assessor - Recorder - County Clerk		PDF$0.00
Motor Vehicle Accident Report
County Administrator		PDF$0.00
New Construction Exclusion from Supplemental Assessment
Assessor - Recorder - County Clerk		125-590PDF$0.00
Nuclear Commission Override
Board of Supervisors		PDF$0.00
Operating Permit Application Facility Information
Public Works		PDFVaries
Parks and Open Incident Report
Marin County Parks		Online Form$0.00
Peace Commission Nuclear Override
Public Works		PDF$0.00
Performance Planning and Review Form for Managers and Supervisors
Human Resources		PMR 43 - Form 2PDF$0.00
Permit Application
Fire Department		PDFVarious
Personnel Requisition
Human Resources		PMR 30 - Form 1PDF$0.00
Poll Worker Application
Elections		Online Form$0.00
Poll Worker Student Application
Elections		PDF$0.00
Predesignation of Physician
County Administrator		PDF$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$0.00
Promotion Without Examination Request
Human Resources		PMR 31 - Form 1PDF$0.00
Public Marriage License Application
Assessor - Recorder - County Clerk		PDF$85.00
Public Marriage License Application Spanish
Assessor - Recorder - County Clerk		PDF$85.00
Purchasing Voter Registration Information -
County Form
Elections		PDF$0.00
Purchasing Voter Registration Information -
State Form
Elections		PDF$0.00
Recycled Products Preference Certification Form
Public Works		PDF$0.00
Registration - Canceling
Elections		PDF$0.00
Registration - Proof
Elections		Online Form$0.00
Report of Hazard or Unsafe Condition Form
Human Resources		PMR 26 - Form 2PDF$0.00
Request for a Copy of a Birth Record
Assessor - Recorder - County Clerk		PDF$25.00
Request for a Copy of a Birth Record - Espanol
Assessor - Recorder - County Clerk		PDF$25.00
Request for a Copy of a Death Record
Assessor - Recorder - County Clerk		PDF$21.00
Request for a Copy of a Death Record - Espanol
Assessor - Recorder - County Clerk		PDF$21.00
Request for a Copy of a Marriage Record
Assessor - Recorder - County Clerk		PDF$15.00
Request for a Copy of a Marriage Record - Espanol
Assessor - Recorder - County Clerk		PDF$15.00
Request for Family/Medical Leave Form
Human Resources		PMR 44 - Form 2PDF$0.00
Request for Fire Incident Report
Fire Department		Online Form$0.00
Request for Informal Assessment Review Form
Assessor - Recorder - County Clerk		Assessment-ReviewPDF$0.00
Request for Official Record or Map Copy
Assessor - Recorder - County Clerk		PDFVaries
Request to Engage in Supplemental Employment
Human Resources		PMR 20 - Form 1PDF$0.00
Requirements for Contractors
Public Works		PDF$0.00
Requirements for Contractors - Flood Control Only
Public Works		PDF$0.00
Requirements for Contractors - Open Space Only
Public Works		PDF$0.00
Response Plan (Form E)
Public Works		Word Document$0.00
Social Media User Acknowledgement Form
County Administrator		PDF$0.00
Social Media Workplan and Account Request Form
County Administrator		PDF$0.00
Spill Prevention Control and Countermeasure Rule
Public Works		Online Form$0.00
Supervisors Workers Compensation Checklist
County Administrator		PDF$0.00
Telework Agreement Form
Human Resources		PMR 27 - Form 1PDF$0.00
Temporary Promotion Request Form
Human Resources		PDF$0.00
Temporary Special Assignment Pay Request Form
Human Resources		PDF$0.00
TOT Application
Department of Finance		PDF$0.00
Trip Transportation Annual
Public Works		PDF$75
Trip Transportation Form Single
Public Works		PDF$16
Unauthorized Release (UAR)
Public Works		Word DocumentVaries
Vendor Bid List Application
Public Works		PDF$0.00
Vessel Property Statement
Assessor - Recorder - County Clerk		BOE-576-DOnline Form$0.00
Vial of Life Form and Instructions
Fire Department		PDF$0.00
Victim Impact Statement
Probation		PDF$0.00
Vision VSP 2016 Evidence of Coverage
Human Resources		Group No. 00-109803PDF0
Vision VSP Enrollment and Change Form
Human Resources		PDF$0.00
Vision VSP Overview of Benefits
Human Resources		PDF0
Vote-by-Mail - Application
Elections		Online Form$0.00
Vote-by-Mail - Request Another Ballot
Elections		PDF$0.00
Voya Life and LTD Beneficiary Designation Form
Human Resources		PDF0
Voya Life and LTD Evidence of Insurability Application
Human Resources		PDF0
Voya Life and LTD Evidence of Inusurability Instructions
Human Resources		PDF0
Voya Life Insurance Evidence of Coverage
Human Resources		PDF0
Voya Long Term Disability Evidence of Coverage
Human Resources		PDF0
Waiver of Dependent Dental and Vision Coverage
Human Resources		PDF$0
Waiver of Participation in Medical Coverage
Human Resources		PDF$0
Water Board's Recommended Minimum Verification Analyses for UST Leaks
Public Works		PDF$0.00
Workplace Security and Safety Incident Investigation Report
Human Resources		PMR 26 - Form 1PDF$0.00