Forms

Employment Forms:

Employment Application pdf
New Hire Packet pdf
Re-Hire Packet pdf
Injured Worker Packet pdf
Employee Manual pdf

Building and Zoning Forms:

Building & Sign Permit Application (this form is also used for Occupancy under “OTHER”)
Application for Conditional Use
Variance Petition
Chapter 152 Flood Damage Prevention (informational)
Special Flood Hazard Area Development Permit Application
Variances and Appeals Flood Damage Prevention Ordinance
Application for Planned Unit Development

Vacant Foreclosed Property Registration / Point of Sale Inspection Form

Public Records Request Forms and Retention Schedules

Records Request Form
Administration Records Retention RC-2
Building and Zoning Department Records Retention RC-2
Finance Department Records Retention RC-2
Fire Department Records Retention RC-2
Police Department Records Retention RC-2
Mayor’s Court Records RC-2
All Departments
Retention Schedule (RC-5E)

Rita Tax Forms

Individual Forms

Form 37 (2016 Individual Income Tax Return)
Form 37 Instructions
Form 75 Individual Registration
Form 32 Declaration of Estimated Income Tax
2016 Individual Declaration of Exemption Form

Business Forms (use these forms if you have a business in Mt. Healthy or Springfield Township’s JEDZ)

Form 48 Business Registration
Form 27 Net Profits Tax Return
Form 27 Instructions (2014 / 2015)
Form 11 Employer’s Municipal Tax Withholding Statement
Form 17 Reconciliation of Income Tax Withheld and W-2 Transmittal

Other RITA Forms

Form 10A  Application for Municipal Income Tax Refund
Application for Extension of Time to File

Tax Forms For Springfield Township JEDZ

Form 48 Business Registration
Note: At top of form 48 for Municipality put “Springfield Twp. JEDZ 1”
Form 27 Net Profits Tax Return
Form 27 Net Profits Instructions
Form 11 Employer’s Municipal Tax Withholding Statement
Form 17 Reconciliation of Income Tax Withheld and W-2 Transmittal

Other Forms

Community Room Rental Agreement
Gazebo Reservation Application
Peddling, Soliciting & Temporary Merchant 90 day Permit Application