City of Dothan

Personnel Forms for Employee Self Service

(Any changes that impact your pay check will need to be submitted at least 7 days prior to your next pay date.)

• Form A4 State

• 2026 Holiday Calendar

• 2026 Payroll Calendar

• Address Change Form (RSA)

• Direct Deposit Forms Start/Stop

• Employee Information Change form(use RSA form for address changes)

• FMLA Form WH-380-E Certification of Health Care Provider for Employee

• FMLA Form WH-380-F Certification of Health Care Provider for Family Member

• PF#300 - Employee Request for Military Leave of Absence

• PF#960e Parental Leave Request Form

• PF#126 - Application for Advanced Sick Leave

• PF#127 - Application for Emergency Sick Leave

• Unum Beneficiary Designation Form

• Employee Retirement System Forms from Retirement Systems of Alabama

• 2026 Employee Benefit Guide

• WEX FSA

• Complete Employee Handbook 2024

• Employee Benefits Current Rev 2025