|
OCO Forms |
| Name of Form |
Description |
| Agency -
OCO Fraud and Abuse Reporting Online Form |
Use this form to
report abuse, fraud, misconduct, waste, or other dishonest or unethical
activity. You may also call our confidential reporting
line at 1-800-359-1171
or 315-592-0700.
|
|
Agency -
Incident Report (PDF) |
Use this form to report all serious and
critical incidents. This version should be printed out and completed
by hand. |
|
Agency -
Incident Report
(Word) |
Use this form to report all serious and
critical incidents. This version can be filled out electronically and
stored on your computer. |
| Agency -
Mandated Reporter LDSS-2221A - Child Abuse |
Fill out this form if, while on the job, you
have reason to suspect that a child is being abused or maltreated. For more
information about your role as a Mandated Reporter, click here:
Mandated Reporter
Overview Flyer |
|
Agency -
BBP- Exposure Report Form
|
Report work related exposure to someone
else's blood or body fluids |
|
Agency -
BBP - Physician's
Reporting Form |
In the event of a BBP exposure, take this
form with you to the ER and give it to the physician who examines you. |
|
Agency -
BBP - What to do if you are exposed |
Use this table to determine what actions need
to be taken in the event of exposure to blood or body fluids |
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Accounting -
2011 Reimbursement Schedule |
Use this table to determine when you can
expect to receive reimbursement for expenses you have submitted |
Accounting -
Mileage Reimbursement (Excel) |
OCO employees use the
Mileage Reimbursement form to claim mileage for any travel related to your
paid work duties.
Do not use this form if your travel is related to volunteer
activities. |
| Accounting -
Volunteer Mileage
Reimbursement (Excel) |
Volunteer Mileage
Reimbursement form is used to claim mileage for travel related to your role
as an OCO volunteer.
Do not use this form if your travel is related to Home Delivered
Meals (Meals On Wheels).
Do not use this form if your travel is related to your paid work
duties as an OCO Employee. |
| Accounting -
HDM Volunteer Mileage
Reimbursement (Excel) |
HDM Volunteer Mileage
Reimbursement form is used only for claiming miles related to your role as a
Home Delivered Meal volunteer (Meals On Wheels driver). |
Accounting -
Mileage
Reimbursement (PDF)
Accounting -
Volunteer Mileage
Reimbursement (PDF)
Accounting -
HDM Volunteer Mileage
Reimbursement (PDF) |
If you cannot open or use the
Excel versions of the forms in the previous three rows above, these PDF
versions can be printed out and completed by hand. |
| Accounting - Petty
Cash Responsibility Transfer (PDF) |
Supervisors - Use this form to transfer the
responsibility for managing a petty cash fund from one person to another. |
| Accounting -
Travel Reimbursement Expense Report (PDF) |
Use this form to report travel
expenses &/or claim per diem allowances for business trips that are 12 hours
or longer. |
| Accounting -
Travel Reimbursement
Breakdown By Meal |
For travelers who are eligible
for a per diem allowance, use this chart to calculate 75% of your per diem
rate for your first day of travel and your final day of travel. (All
other days in between will be eligible for 100% of the per diem rate.)
You may also use this table to determine the value of a particular meal, if
the cost needs to be deducted from your travel expenses (ex. if the meal was
paid for by the conference host.) Refer to the Travel Reimbursement
Policy & Procedure. |
| Accounting - Travel
Reimbursement Table |
For travelers who are eligible
for a per diem allowance, use this chart to find the per diem rates for the
area you are traveling to. If the area you are traveling to is not
listed, there is no special rate, and you should use the Standard Rates at
the top of the chart, to calculate your per diem allowance. Refer to
the Travel Reimbursement Policy & Procedure. |
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|
Benefits -
POMCO Dental Claim Form |
This form can be completed and
submitted to POMCO for dental claims that will not be billed by your
dentist. |
| Benefits - POMCO
Enrollment Form |
Use this form to enroll in health or dental
insurance for the first time, or to make changes to your current enrollment. |
| Benefits -
MEDCO by Mail Order Form |
Use this form to order your
Medco-by-Mail prescriptions. |
|
Benefits -
Flex Spending Claim Form
|
This form should be used when you
are requesting reimbursement for flex spending claims that you've paid out
of pocket. |
|
Benefits -
AFLAC Wellness Claim Form |
After receiving your annual mammogram, PAP,
PSA, or any other cancer screening, complete this form and send it into
AFLAC for your $75 wellness benefit. |
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|
Facilities -
Work Order |
Request work from Consolidated Maintenance
Services/Facilities |
| |
|
|
HR -
Request to Hire |
Supervisors - complete this form to hire
someone who is new to the agency; or for an existing employee for whom this
will be a second job (will be working two jobs for OCO). |
|
HR -
Authorization for Change in Status |
Supervisors - complete this form to hire an
internal candidate for a posted position. Note: if this will be
a second job in the agency for the internal candidate, please use the blue
"Request to Hire" form. |
|
HR -
Coaching Discussion Plan |
Supervisors - Use this form to plan a
coaching session with an employee |
|
HR -
Counseling
Memorandum |
Supervisors - Complete this form to create an
action plan to improve performance |
|
HR - Corrective
Discipline Form |
Supervisors - Complete this form to document
progressive disciplinary action |
|
HR -
Employee Grievance Form |
Employees - First, try to discuss your
concern with your supervisor. If you cannot resolve the concern,
document the details on this form and submit it to your supervisor or
department leadership. |
|
HR - Employee Name/Address/Phone
Change Form |
Employees - First, notify your supervisor
that your personal contact information has changed. Then, complete
this form and send it to the HR Department for processing. |
| HR - Performance
Appraisal (Employee's Pages) |
Employees - Complete these two pages before
your formal performance appraisal appointment with your supervisor.
E-mail your completed pages to your supervisor; or print them off, and hand
them to your supervisor before your appointment. |
|
HR -
Position
Approval Form |
Directors - Use this form to develop a new
job within your department. Work in partnership with HR and corporate
leadership to finalize the position, following the instructions at the top
of this form. |
|
HR -
Request to Post a Position |
Supervisors - Complete this form and submit
it to the HR Department, to request a job posting for an open position. |
| |
|
|
IT -
Work Order |
Request help from the I/T Help Desk, for
technology related matters. Please
save the document to your device and then attach it to an e-mail to:
ITHelpDesk@oco.org
|
| IT -
New - Modify User Account Form |
Supervisors - Use this form to request a new computer user account, or
modify an existing account. |
| IT -
Disable -
Delete User Account Form |
Supervisors - Use this form to notify I/T
that a computer user account needs to be disabled or deleted |
| |
|
|
Payroll -
2011 Bi-Weekly Payroll Schedule |
Employees - Refer to this schedule to
determine when your timesheet is due to your supervisor, and also the date
on which you will be paid for each pay period. |
|
Payroll -
Direct Deposit Form |
Employees - Complete this form (attach voided
check, if necessary) and submit to the Payroll Office |
|
Payroll -
Time Sheet - Hourly |
Hourly Employees - Use this Excel spreadsheet
to record the hours that you worked during a pay period, and submit it to
your supervisor. This version can be completed using your computer,
and saved as an electronic document. |
|
Payroll -
Time Sheet - Hourly - PDF |
Hourly Employees - Use this form to record
the hours you worked during a pay period. This version of the time
sheet is intended to be printed out and completed by hand. |
|
Payroll -
Time Sheet - Exempt
|
Salaried Employees - Use this form to record
the number of days you worked during a pay period. This version can be
completed on your computer and stored as an electronic document. |
|
Payroll -
Leave Sheet - Hourly |
Hourly Employees - Use this form to request
leave time (such as Vacation, Holiday, Personal, or Sick Pay) and submit it
to your supervisor for approval. |
|
Payroll -
Leave Sheet - Exempt |
Salaried Employees - Use this form to request
leave time (such as Vacation, Holiday, Personal, or Sick Pay) and submit it
to your supervisor for approval. |
| Looking for the Mileage form? Check
the Accounting section. |
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Training Links |
| Link |
Description |
|
Training Calendar |
Visit this site for a listing of agency
training schedules, and no cost or low cost training offered externally. |
|
Internal Request for Training
|
Use this form to obtain permission to attend
a training presented within OCO |
|
External Request for Training
|
Use this form to obtain permission to attend
a training presented outside of the agency |
|
Defensive Driving Registration
Form |
Use this form to register for OCO's Defensive
Driving course. (Visit the Training Calendar for a schedule of upcoming
classes.) |
|
Red Cross Emergency Preparedness |
This FREE online course will help you to
prepare yourself and your family for a disaster or major emergency |
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|
Wellness Works Links |
|
Links |
Description or link to more information |
| Take me to OCO Wellness
Works |
Meet your OCO Wellness Works Representatives,
and explore the 7 dimensions of wellness! |
|
Wellness Incentive Program
2011 |
What would you do with $100? Learn how
you could win, just for working on wellness! |
|
Wellness Activity Report |
Use this report to track your wellness
activities. Submit completed report to Training at the end of each
quarter |
| Join A CROP
Hunger Walk (October) |
CROP Walks are scheduled for 4 Oswego County
locations. Open the link for details on the walk near you! |
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Awards and Nominations |
| Award |
Description or link to more information |
|
Volunteer of the Year Nomination Form |
Complete this form to nominate someone for
the Volunteer of the Year award |
| |
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|
Amelia Whelahan Nomination Form - Word |
What is the
Amelia Whelahan Award? |
|
Amelia Whelahan Nomination Form - PDF |
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|
Outstanding Employee Award Nomination - Word |
What is the Outstanding
Employee Award? |
|
Outstanding Employee Award Nomination - PDF |
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OCO, INC.
