Forms

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Employment Application

Modoc County Employment Application to fill out and print

Employee Forms

Modoc County Employee Direct Deposit Authorization
Personnel Action Notification Form (PAN)

Modoc County Employee Information Form

Modoc County ID Card Request Form
2023 W4 Form (Federal Tax Changes)
2023 DE4 Form (State Tax Changes)

Brochures and Information

2023 Holiday Schedule
2024 Holiday Schedule

2019-2020 Trindel Insurance Fund Employee Assistance Program List

Department of Fair Employment and Housing Sexual Harassment Information

Employment Development Department (EDD) - California Paid Family Leave Brochure

Employment Development Department (EDD) - Disability Insurance Provisions

Modoc County Employee Assistance Program

Benefits

2023 Benefits Packages
2024 Benefits Packages