X hits on this document

Word document

Municipal Entity Underwriting Application - page 20 / 34

103 views

0 shares

0 downloads

0 comments

20 / 34

Municipal Entity Underwriting Application

e.

Mandatory, documented, training provided to all employees and volunteer personnel?

 Yes

 No

f.

Distribution requirement to all employees?

 Yes

 No

4.

Are new employees provided with a copy of the policy and procedures at orientation?

 Yes

 No

5.

Has legal council reviewed the policy?

If NO please provide the review process.  

 Yes

 No

EPLI Information

1.

Have you had any layoffs or staff reductions (greater than 10% of the workforce) within the past 24 months?

If yes, please provide details.  

 Yes

 No

2.

Do you anticipate any of the above within the next 12 months?

If yes, please provide details.  

 Yes

 No

3.

Does the organization have any contracts with or receive financial assistance from the Federal Government?

If yes, please provide details.  

 Yes

 No

4.

Total number of employees and other workers for each of the last 3 years:

Current Yr

1st Prior Yr

2nd Prior Yr

Full Time Employees:

Part Time Employees:*

Temporary/Leased workers:

*Defined as employees working 24 or less hours per week

5.

Percent of workforce that are union members:

Current Year

1st Prior

2nd Prior

6.

Breakdown of current Full Time employees by their total cash compensation (salary + bonus):

Salary Ranges

# Of Employees

% Of Total

$30,000 or less per year

$30,001 - $100,000 per year

Over $100,000 per year

7.

Number of Full Time and Part Time employees terminating employment during the year divided by the total at the start of the year (Turnover)

Current Year

1st Prior

2nd Prior

8.

Total number of employer initiated terminations of F/T and P/T employees

Current Year

1st Prior

2nd Prior

Name

Title

9.

Please indicate the name and title of the person who is responsible for the Human Resources or Personnel functions.

10.

Please indicate the name and title of the person who is designated to handle and resolve all employment-related incidents.

11.

Do you make use of any of the following tests to screen employment applicants, to promote employees, or for the purpose of continuing employment?

20 of 3410/23/2007

Document info
Document views103
Page views103
Page last viewedSat Dec 10 01:32:01 UTC 2016
Pages34
Paragraphs84
Words498

Comments