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2. As a seasonal City of Dubuque employee, you're required to complete several documents before your employment officially begins. Please follow the instructions below.
4. First Name*
5. Last Name*
7. Address *
8. Address 2
10. City*
11. State*
12. Zip*
14. Email address
15. Phone Number*
17. IMPORTANT - Complete the following steps:
    1) Open each of the fillable PDF forms below.
    2) BEFORE completing the forms, SAVE each form to your computer by choosing File > Save As or downloading the PDF.
    3) Open the fillable forms in Acrobat or other PDF viewer.
    4) Fill out the information and save them to your computer.
    5) Read and acknowledge you have read the remaining documents on this page.
    6) A secure link to upload your completed forms is located at the bottom of this page.
    7) Browse to the completed forms on your computer and upload back to the City of Dubuque.
    8) Click Submit to finalize the process.
    NOTE: If you fill out the form in a browser (Chrome, Safari, Explorer, etc.) the information will NOT be saved. You must fill out the information in Acrobat or other PDF program.
19. Tax Forms
21. For all employees: Federal W-4
    Fill out this Federal W-4
22. For Iowa Residents Only: W-4
    Fill out this Iowa W-4
23. For Illinois Residents Only: W-4
    Fill out this Illinois W-4
25. Additional Forms
27. I-9 Form
    Fill out this I-9 form
28. Background Check
    Fill out this background check form
29. Background Check - 2
    Also fill out pages 1-2 of this background check form
31. Personnel Action Form
    Personnel Action Form

    Enter information into fillable fields only.
32. Direct Deposit Form
    Direct Deposit Form

    Please fill out this form for direct deposit of your paycheck. You will need to upload a screen shot of your online bank account information OR a photo of a voided check.
34. Read the Administrative Policies in the document linked to the right. Check the box to acknowledge you have read and understand them all.

    1. I acknowledge that the cited APs have been read and understood.
35. Administrative Policies
    Click here to read AP document
37. Read the cited APs in the Code of Ethical Conduct Statement for Employees in the document linked to the right. Check the box to acknowledge you have read and understood them all.*

    1. I acknowledge that the cited APs have been read and understood.
38. Code of Ethical Conduct Statement for Employees
    Click here to read Code of Ethical Conduct Statement for Employees
40. Read the Consent Decree summary linked to the right. Check the box to acknowledge you have read and understand the document and understand that a full copy of the Consent Decree can be found in my Department, the City of Dubuque Human Resources Department, or online at: http://www.cityofdubuque.org/DocumentView.aspx?DID=3173*

    1. I acknowledge that the Consent Decree summary has been read and understood.
41. Consent Decree Summary
    Click here to read the Consent Decree summary
43. Click on the link below to access a secure folder to upload your forms from above.
    Secure link to upload files

    When you've uploaded all the files, come back to this screen and submit this form.
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

* indicates a required field