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 2018 Summary
Human Resources
Online Form$0.00
Anthem Blue Cross PPO Enrollment Form
Human Resources
PDF$0
AOWP Application
Probation
PDF$0.00
AOWP Formulario de Aplicación
Probation
PDF$0.00
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
PDF$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 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
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$0.00
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
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
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/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 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
PDF$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 a Patient Care Report
Fire Department
Online Form$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
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 Drop Coverage Form
Human Resources
PDF$0
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