Please have all new employees complete the MVR form and return it to

 Driver Consent Form

Please send completed form to so that a physical and drug screen may be scheduled with the Coshocton Regional Medical Center’s OccMed office located at 1523 Walnut Street.

Occ Med form template

Please have all new employees complete the top portion of the background check and send it to, this background check will take place at the Coshocton County Sheriff’s office.

Background check form

Once I receive all completed forms I will schedule all testing and call the new employee with the date and time of their physical, drug screen and background check. Please make sure to include a phone number in your email to me.



Personnel Policy Review-Signature

Please send the original signature page back to the Commissioner’s Office