Create an Account - Increase your productivity, customize your experience, and engage in information you care about.
Congratulations on becoming the newest member of the Campbell County family! We hope you find your new role in public service both rewarding and challenging. We are proud to have you serve with us, and would like to welcome you to our team.
In Campbell County, we work together to make a difference not just a living, so we know that it takes a diverse group of people, with varying skills and backgrounds to accomplish this goal. In fact, it is this collaboration that makes our locality so very successful - a strong, passionate group of many can accomplish more than what one individual can accomplish alone.
Again, welcome home, and thank you for choosing to serve with us!
The following pages include some of the forms that we need you to fill out as well as information that we need you to review and acknowledge.
Please note: This information will be kept in confidence and will be used to establish your Employee profile in our database.
An Asterisk (*) indicates a required field.
By checking the "I agree" box below, I hereby affirm that the information set forth therein is true to the best of my knowledge and belief, and I understand this will become a part of my permanent record. I agree that any false statement or misrepresentation including an omission of any material facts on the above questionnaire would be cause for termination. In addition, I authorize the Campbell County Casualty Assistance Officer (or designee) to notify my listed Emergency Contact(s) in the event of an emergency. Personal and protected health information relevant to the incident and my location may be released to the identified emergency contacts on this form.
Campbell County utilizes Direct Deposit for all employees. It is used for payroll as well as Accounts Payable (reimbursement). Please fill out the following information to let us know the information of the account(s) that you would like your payroll deposited into. We can split your paycheck between more than one account. Simply provide information for each account.
** In addition to providing your banking information below please do one of the following: 1) Bring a voided check or Bank issued letter with account information to our office or 2) Upload a picture/copy of a voided check or Bank issued routing information with account number.
By checking the "I agree" box below, I hereby authorize Campbell County and the financial institution listed below to electronically deposit any amounts owed me, by initiating credit entries to my account at the financial institution indicated on this form. Further, I authorize financial institution to accept and to credit any credit entries indicated by Campbell County, either directly or through its payroll service provider, to my account. In the event that Campbell County deposits funds erroneously into my account, I authorize Campbell County, either directly or through its payroll service provider, to debit my account for an amount not to exceed the original amount of the erroneous credit.
By my signature below, I certify that I am an authorized signer on the account listed below and have read and understand the terms of the Authorization Agreement.
Enter "ALL" to have entire net amount of payroll check deposited. If you wish to split your paycheck between more than one account please enter $ or % amount and fill out another section below for other account.
(enter $ amount or %)
Before you begin your employment at Campbell County we encourage you to visit our website to view the Employee Handbook. There you will find information on the County's Policies, Procedures and Benefits.
By checking the "I agree" box below, you: 1) Agree and acknowledge that know where you can review the digital version of the County Employee Handbook. 2) You understand that you should consult the Department of Public and Employee Relations regarding any questions not answered in the Employee Handbook. 3) You have entered into this employment relationship with the County voluntarily, and understand that there is no specified length of employment. Accordingly, either the County or yourself can terminate the relationship at will, at any time, with or without cause, and with or without advance notice. 4) You understand that since the information, policies, and benefits described within the Employee Handbook are subject to change at any time, and acknowledge that revisions to the Handbook may occur, except to the County's policy of employment-at-will. All such changes will generally be communicated through official notices, and You understand that revised information may supersede, modify, or eliminate existing policies. Only the Board of Supervisors has the ability to adopt any revisions to the policies in this Handbook. 5) You understand that this Handbook is neither a contract of employment nor a legally-binding agreement. 6) You understand that it is your responsibility to comply with the policies contained in this Handbook, and any revisions made to it. 7) You accept the terms of the Campbell County Employee Handbook, and understand that this form will be retained in your personnel file.
The purpose of this policy is to outline the acceptable use of computer equipment at Campbell County. These rules are in place to protect the employee and Campbell County. Inappropriate use exposes Campbell County to risks including virus attacks, compromise of network systems and services, and legal issues.
Please click on the above link to review the rules for Campbell County computer equipment usage & network access.
By checking the "I agree" box below, you agree and acknowledge that you have read, understand and agree to abide by the acceptable use policy.
Remote access to our corporate network is essential to maintain our productivity, but in many cases this remote access originates from networks that may already be compromised or are at a significantly lower security posture than our corporate network. While these remote networks are beyond the control of Campbell County policy, we must mitigate these external risks to the best of our ability.
Please click on the above link to review the rules for Campbell County Remote Access.
By checking the "I agree" box below, you agree and acknowledge that you have read, understand and agree to abide by the acceptable Remote Use Policy.
You may be issued a key fob (for keyless entry) which will allow you access to secured working areas. This is dependent upon your position. However, we ask that each employee review and acknowledge this policy should they ever receive one.
1. If you lose your key fob you must immediately notify your department head.
2. There will be a $10.00 replacement fee for lost or damaged key fobs.
3. If your fob does not work please contact:
Stacey Meyer at (434) 332-9818
By checking the "I agree" box below, you acknowledges that you have read and understand the policy and procedure for the Keyless Entry System, and accept responsibility, should you be issued a key fob.
In 2014, the Federal health care reform law created a new type of online marketplace for purchasing
health insurance coverage. This marketplace is referred to as a Health Insurance Marketplace, or an
Exchange. This notice is to make you aware that information regarding this new coverage option is
available for your evaluation.
You are not required by the County to purchase insurance coverage through the Marketplace. Campbell
County offers health coverage as explained below to those employees who are eligible (full-time).
Campbell County is required to provide the enclosed notice to help you understand health insurance
coverage options that will be available to you starting in 2014.
The availability of coverage through the Marketplace does not affect your eligibility for coverage
through the County health plan. You may choose the coverage that best meets your needs; however,
you should be aware that if you choose to enroll in the Campbell County High Deductible Health Plan
through Anthem and receive a Health Savings account contribution, you should not have other
additional coverage that is not compatible with a Health Savings Account. The enclosed notice
provides information about the County health plan as it exists today.
More information on the health care reform law and the Marketplaces is
available by clicking the following above link.
By checking the "I agree" box below, you agree and acknowledge that I hereby acknowledge that you have received and read the New Health Insurance Marketplace Exchange Notice that is stated above.
As required by the Code of Virginia, § 60.2-114.1 (see below) agencies must verify whether each new employee has an income withholding order for child support payments.
If "YES", a copy of this form will be submitted to the Payroll Department for coordination with the Department of Social Services to ensure appropriate salary garnishment.
By checking the "I agree" box below, you agree and acknowledge that all information given is correct. You may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
* indicates a required field