Plumas County Forms

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The following forms are available for downloading and/or printing.  Some forms are available in MS Word format.  All forms are available in PDF format and many can be filled out online.  To view the PDF files, you will need Adobe Reader.  To fill the forms out online, you will need the newest version of Adobe Reader.  You may download the free Adobe Reader here.
Department Name of Form MS Word
6.0/95 format
MS Word 
2000 format
PDF Format Excel Format
Agricultural Commissioner Certified Producers Certificate     Download form  
Assessor Builder's Exemption Form     Download form
Claim for Disabled Accessibility Construction Exclusion From Assessment Download form
Claim for Homeowners' Property Tax Exemption     Download form  
Claim for Reassessment Exclusion for Transfer Between Grandparent and Grandchild - BOE-58-G     Download form  
Claim for Reassessment Exclusion for Transfer Between Parent and Child - BOE-58-AH     Download form  
Claim of Person(s) at least 55 Years of Age For Transfer of Base-Year Value to Replacement Dwelling     Download form  
Disabled Persons Claim For Exclusion of New Construction     Download form  
Preliminary Change of Ownership Report     Download form  
Property Owner's Statement of New Construction     Download form  
Disabled Persons Claim for Transfer of Base Year Value to Replacement Dwelling     Download form  
Change of Ownership Statement-Real Property or Manufactured Homes Subject to Local Property Taxes     Download form  
Request for "Decline in Value" Review Form     Download form  
Auditor Affidavit to Obtain Duplicate or Lost or Destroyed Warrant     Download form  
Authorization to Pick Up Payroll Warrants, Sign Timecards and/or Sign Claims     Download form  
Budget Transfer Download form Download form Download form
Claim Form Download form Download form Download form
Declaration of Fund Balances     Download form
Deposit Permit Form Download form
Employee Authorization Form - Automatic Payroll Deposits Download form
Fixed Asset Form Download form
Fixed Asset Change     Download form
Journal Entry Download form Download form Download form
Out of County Mileage & Travel Form      Download form 
In County Mileage & Travel Form Download form 
Request for Exemption from TOT     Download form
Request for Taxpayer Identification Number and Certification     Download form  
Staffing Request Form     Download form  
Capital Improvement Project Worksheet     Download form  
Board of Supervisors Agenda Request Form     Download form  
Application for Changed Assessment - BOE-305-AH     Download form  
Claim Against County     Download form  
Building Snow Load Chart     Download form  
Commercial Building Application     Download form  
Manufactured Building Application     Download form  
Miscellaneous Building Application     Download form  
Singe Family Dwelling Application     Download form  
Clerk/Elections
Voter Registration Application     Download form  
Voter Registration Form – Spanish     Download form  
Clerk-Recorder Instructions and Application for Certified Copy of Birth Certificate     Download form  
Instructions and Application for Certified Copy of Death Certificate     Download form  
Declaration of Domestic Partner     Download form  
Fictitious Business Name Statement     Download form  
Marriage Certificate Request     Download form  
Statement of Abandonment of Fictitious Business Name     Download form  
Statement of Withdrawal of Fictitious Business Name     Download form  
Code Enforcement Code Enforcement Complaint Form Download form
Facility Services Service Request Form Download form
Furniture Recycling Program Download form
Pool Car Reservation Download form
Human Resources 125 Cafeteria Plan     Download form
W4 Form     Download form
Application for Employment     Download form
Employee Evaluation Form Download form Download form  
Employee’s Claim for Workers’ Compensation Benefits     Download form  
Employers Report of Occupational Injury or Illness     Download form  
Form I-9 - Employment Eligibility Verification     Download form  
Personnel Action Form Download form Download form Download form
Employee Authorization Form - Automatic Payroll Deposits     Download form  
Planning Application for Farmland Security Zone     Download form  
Campground Application     Download form  
Certificate of Compliance Application     Download form  
Code Amendment Application     Download form  
Extension of Time Application     Download form  
General Plan Amendment Application     Download form  
Lot Line Adjustment Application     Download form  
Modification Permit Application     Download form  
Owner Initiated Merger Application     Download form  
Permit to Mine/Reclamation Plan Application     Download form  
Planned Development Permit Application     Download form  
Reconsideration Application     Download form  
Sign Permit Application     Download form  
Site Development Application     Download form  
Special Use Permit Application     Download form  
Tentative Maps Application     Download form  
Variance Application     Download form  
Zone Change Application     Download form  
Risk Management Accident-Incident Report Form     Download form  
Auto Accident Form     Download form  
Claim Against County     Download form  
Employee’s Claim for Workers’ Compensation Benefits     Download form  
Report of a safety hazard or violation     Download form  
Request for Certificate of Coverage     Download form  
Safety Suggestion Form     Download form  
Supervisor Accident-Incident Report Form     Download form  
Treasurer/Tax Collector Mobilehome Tax Clearance Certificate Application     Download form  
Requisition to County Treasurer for Advance From General Revolving Fund - Revolving Fund Voucher     Download form  
TOT Registration Form     Download form
TOT Tax Return Form     Download form
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