Part-Time Benefited Employee New Hire Paperwork
The following is the required (and optional) new employee
paperwork for your review. To complete the forms, please click
on the form name below. Once you've completed the forms, please
print, sign and bring the forms with you on your first day of
employment to the Human Resources Personnel Office.
NOTE: For security reasons, please do not email completed new
employee forms to the City.
Required Forms
A helpful tool is the
Paperwork Checklist linked here to recap all the documents
you will need to print/fill out as part of the new hire process.
At-Will
Acknowledgement Form
Arizona
State Retirement System Enrollment Form - As a condition of
your employment, you are required to participate in the Arizona
State Retirement System. The ASRS provides for lifelong
retirement income and is a valuable benefit that is part of your
overall benefit package as an employee here. It is vital
that you enroll prior to your first day of employment so that
contributions deducted from your paycheck are properly applied
to your retirement account. Click the link above to go to
the on-line enrollment site.
You will need the following codes for the on-line system:
1st Panel enter 58200055 and click the Enter button
2nd Panel choose from the drop down "City of Mesa" and click the
Enter button
Arizona
State Retirement System Beneficiary Form
Arizona Minimum Wage Law
Arizona State Tax
Computer Use Policy & Acknowledgment
Emergency Notification
Federal Tax
Loyalty Oath
(Must be signed/witnessed in Human Resources
on your first day)
Wage Withholding Request
Optional Forms
Direct Deposit Form
After completing all the required paperwork above you will
have all the documents you need on your first day of employment
with the City of Mesa. In order to be completely prepared,
please be sure to use the
checklist referenced above in the Required Forms section.
Human Resources Office
20 E. Main Street
Suite 130
Mesa, AZ 85201
Questions?
Shaunna Smith
480-644-3393
e-mail Shaunna
Jackie Hale
480-644-4414
e-mail Jackie
Employee Benefits Office
20 E. Main Street
Suite 600
Mesa, AZ 85201
480-644-2299
Fax 480-644-4548
Location Map
Office Hours:
Monday - Thursday
7:00 a.m. - 6:00 p.m.
Closed Fridays, weekends and holidays
OUTSIDE LINKS:
Arizona State Retirement System (ASRS)