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2. HR REQUEST FORM
   THIS FORM IS FOR USE BY MIAMI COUNTY OHIO EMPLOYEES ONLY. All items submitted through this form will be responded to within 24 business hours. Do not include any protected information such as Social Security Numbers or medical history. If this is an emergency please contact Angela Lewis, Director of Human Resources, at 937.440.5996 during business hours or 937.430.4141 after business hours.
4. First Name*
5. Last Name*
7. Best Contact Email*
8. Department*
   -- Select One --ANIMAL SHELTERAUDITORCLERK OF COURTSCOMMISSIONERS OFFICECOMMON PLEASCOMMUNICATION CENTERDEPARTMENT OF DEVELOPMENTEMAENGINEERFACILITIES & OPERATIONSHEALTH DEPARTMENTJOB & FAMILY SERVICESJUVENILE & PROBATEMUNICIPALPROSECUTORRECORDERRIVERSIDESANITARY ENGINEERINGSHERIFFTAX MAPSTRANSITTREASURER

   We will do our best to answer your question but please know that depending on your department it might be necessary for us to connect you directly with a team member in your area.
10. Best Contact Phone Number*
11. Request Type*
    -- Select One --BenefitsSubmit Question for HR Update MeetingJob PostingsLeave & Paid Time OffPayrollPerformance ManagementTrainingWorkers CompensationOther
13. Detail:*
    Please provide as much information as possible so that we can respond appropriately to your request.
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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