forms

Human Resources Forms

Here you will find all the forms you need from the City of Chubbuck’s Human Resources Department.

Health Insurance

  • Benefits Summary
  • Application for Enrollment or Changes
  • Health Savings Account Enrollment or Changes
  • Teledoc Information

Dental

  • Benefits Summary
  • Application for Enrollment or Changes

Vision

  • Benefits Summary
  • Application for Enrollment or Changes

Life Insurance

  • Group Life Insurance Plan – Benefits Summary
  • Group Life Insurance Plan – Application for Enrollment or Changes
  • Group Life Insurance – Change Form
  • NCPERS Voluntary LIfe Insurance Information and Enrollment Form

Payroll

  • W-4 Tax Withholding Form
  • Direct Deposit From

Contact Info

Emergency: 911

Dispatch Center:
(208) 237-7172

Animal Control:
(208) 239-3249

Code Enforcement:
(208) 239-3227

Records Bureau:
(208) 238-2376

Evidence Division:
(208) 239-3222

Fax Machine:
(208) 237-0944

Mailing Address:

P.O. Box 5604
5160 Yellowstone
Chubbuck, ID 83202

Hours of Operation

Monday: 7:30-5:30
Tuesday: 7:30-5:30
Wednesday: 7:30-5:30
Thursday: 7:30-5:30
Friday: 7:30-11:30

Public Works / Mayor's Office

(208) 237-2430
5160 Yellowstone Avenue
Chubbuck, ID 83202
 

 

City Clerk / Utility Billing

(208) 237-2400
5160 Yellowstone Avenue
Chubbuck, ID 83202