City of Jackson

Forms

City Clerk

Election Division

• Precinct Inspector Application (0.06 MB, )

2011 Elections

• Demonstration Ballot (0.18 MB, )

City Ward Maps & Boundaries

• Ward 1 Map (0.85 MB, )
• Ward 2 Map (0.69 MB, )
• Ward 3 Map (0.37 MB, )
• Ward 4 Map (0.49 MB, )
• Ward 5 Map (0.76 MB, )
• Ward 6 Map (0.5 MB, )

General Division

Monthly Parking Permits

• Online Parking Permit Application/Payment (0.09 MB, )
• Parking Ticket Fees (0.06 MB, )

Special Event Policies

• Street/Alley Vacation Procedure (0.01 MB, )
• Types of Business Licenses/Fees (0.45 MB, )

Parks and Recreation

Recreation Programs

Adult Programs

• Boos Center Spring Schedule (0.18 MB, )
  Schedule of activities available at the Boos Center this Spring
• 2012 Adult Doubles Tennis League (0.06 MB, )
  June 4 to July 23

Soccer

• Soccer Map (0.17 MB, )
  Map of Soccer Fields in Ella Sharp Park
• Spring Kindergarden Co-ed Soccer (0.04 MB, )
• Spring 1st and 2nd Grade Girls Soccer (0.04 MB, )
• Spring 1st and 2nd Grade Boys Soccer (0.04 MB, )
• Spring 3rd and 4th Grade Girls Soccer (0.04 MB, )
• Spring 3rd and 4th Grade Boys Soccer (0.04 MB, )
• Spring 5th and 6th Grade Girls Soccer (0.04 MB, )
• Spring 5th and 6th Grade Boys Soccer (0.04 MB, )
• Spring 7th and 8th Grade Co-ed Soccer (0.17 MB, )
• Co-ed Spring Soccer (0.02 MB, )
  Games begin April 22
• Team T-shirt Order Form (0.05 MB, )
  Form to order t-shirts for adult leagues

Softball

• Team T-shirt Order Form (0.05 MB, )
  Form to order t-shirts for adult leagues
• ASA Non-Approved Bats (0.7 MB, )
  Current list of illegal bats
• Softball Tournament Application (0.07 MB, )
  Application to hold a Softball Tournament at a City Field.

Schedules

• Senior League (0.02 MB, )
• Monday Mens Cream (0.04 MB, )
• Monday Co-ed Blue (0.04 MB, )
• Monday Co-ed Rose (0.04 MB, )
• Tuesday Womens Yellow (0.05 MB, )
• Tuesday Womens Blue (0.04 MB, )
• Tuesday Mens Silver-Gold (0.04 MB, )
• Tuesday Mens Bronze (0.04 MB, )
• Wednesday Mens Orange (0.04 MB, )
• Wednesday Mens Brown (0.04 MB, )
• Thursday Women Plum (0.04 MB, )
• Thursday Womens Peach (0.04 MB, )
• Thursday Mens Gray (0.04 MB, )
• Sunday Mens White (0.04 MB, )
• Sunday Mens Red (0.04 MB, )
• Sunday Co-ed Green (0.02 MB, )

Scores

• Wednesday. May 9 (0.11 MB, )
• Tuesday, May 8 (0.11 MB, )
• Monday, May 7 (0.11 MB, )
• Sunday, May 6 (0.11 MB, )
• Friday, May 4 (0.11 MB, )
  Make-up of rained out games from Monday, April 30
• Thursday, May 3 (0.14 MB, )
• Wednesday, May 2 (0.11 MB, )
• Tuesday, May 1 (0.11 MB, )
  Monday, April 30 game moved to Friday, May 4 due to rain
• Sunday, April 29 (0.11 MB, )
• Thursday, April 26 (0.11 MB, )
• Wednesday, April 25 (0.11 MB, )
• Tuesday, April 24 (0.11 MB, )
• Monday, April 23 (0.11 MB, )

Brochures and Forms

• Spring and Summer Brochure (1.19 MB, )
  Programs and events for Spring and Summer 2012
• Nixon Park Skating Park Waiver (0.01 MB, )
  Waivers, Policies, and Procedures
• Inter City Bike Trail Map (3.2 MB, )
  Bike Trail Map
• Nixon Park Party Room Rental Information (0.04 MB, )
  Brochure with information regarding the party room rental at Nixon Park.
• Picnic Shelter Reservations Brochure (0.14 MB, )
  Brochure with information to reserve the picnic shelter in Ella Sharp Park.
• Wedding Reservations Brochure (0.33 MB, )
  Brochure with information to reserve the rose garden and rotunda in Ella Sharp Park for weddings.
• City Parks (1.2 MB, )
  City Parks complete listing with location and list of features. Requires Adobe Acrobat (free download)
• Recreation Plan (8.62 MB, )
  Recreation plan created by Region II Planning Commission
• Employment Application (0.05 MB, )

Events

• Off Season Youth Football Camp (0.06 MB, )
  Free camp to work on fundamentals.
• Jackson Skyfest (0.02 MB, )
  Kite Flying at Sharp Park on May 20

Senior Programs

• May Newsletter (2.79 MB, )
  Senior Programs for the month of May
• Flea Market/Das Dutchman Essenhaus/Amish Cheese Factory (0.29 MB, )
  Tuesday, May 22, 2012
• Odawa Casino & The Young American’s (0.45 MB, )
  August 13 and 14, 2012
• Fall Color Tour to Mackinac Island & Grand Hotel (0.58 MB, )
  October 14 thru 16, 2012
• The Musical Wicked at the Wharton Center (0.13 MB, )
  Thursday, June 28, 2012

Youth Programs

• Off Season Youth Football Camp (0.06 MB, )
  Free camp to work on fundamentals.
• Boos Center Spring Schedule (0.18 MB, )
  Schedule of activities available at the Boos Center this Spring
• Jackson Skyfest (0.02 MB, )
  Kite Flying at Sharp Park on May 20

Ella Sharp Park Golf Facilities

Ella Sharp Park Pool

Nixon Facility

• Skate Park Waiver (0.04 MB, )
  Waiver for Skate Park
• Nixon Party Room Rental Form (0.21 MB, )
  Application Form to rent Nixon Park's Party Room.

Community Development

CDBG HOME Forms

Engineering

Forms & Documents

• Special Transportation Permit - Oversized (0.04 MB, )
• Online Parking Permit Application/Payment (0.09 MB, )
• Permit for Work in Right of Way (0.24 MB, )
  Permit for construction or activity within street right-of-way
• City of Jackson Street Map (0.75 MB, )
  Zoom in and out using Adobe Acrobat Reader

Parking Management

• Online Parking Permit Application/Payment (0.09 MB, )
• Parking Lots in Jackson (0.05 MB, )
• Summary of On Street Parking (6.58 MB, )
• City Map (0.75 MB, )

Right of Way Permits

• Permit for Work in Right of Way (0.24 MB, )
  Permit for construction or activity within street right-of-way
• Permit Requirements (0.01 MB, )
• Sidewalk Detail (0.08 MB, )
• Drive Approach Detail (0.57 MB, )
• Specifications for Concrete Work (0.01 MB, )
• Drive Opening Detail (Curb) (0.34 MB, )
• Bond Form (0.03 MB, )
• Hold Harmless - Monitoring Well (0.02 MB, )

Site Plan Review Criteria

• Minimum Site Plan Requirements (0.1 MB, )

Fire Department

Plan Review & Permits

• Fire Prevention Permit Application & Submittal Requirement Packet (0.04 MB, )

Historic District Commission

Historic District Commission

• Introduction & Application Requirements (1.13 MB, )
• Historic Incentives Primer (3.66 MB, )
• Application for Permission (0.08 MB, )
• Application Packet with Samples (10.53 MB, )
• Historic District Commission Contractors List (0.04 MB, )
  Contractors on this list have successfully completed work in a Historic District or on an individual historic structure, exhibiting an understanding of the requirements of the Secretary of the Interior Standards for Historic Preservation and the Historic District Commission and has received a positive recommendation from the property owner.

Human Relations Commission

File a Complaint

• Complaint Form (0.36 MB, )

Get Involved

• Teressa Delph Essay And Oratorical Contest Entry Form (0.06 MB, )

City Parks

• List of City Parks and Locations (6.79 MB, )
  List of City Parks with locations and information on each site.
• Sharp Park Wedding Application (0.19 MB, )
  Application to have a wedding in Ella Sharp Park
• Rental Application for Ella Sharp Park Picnic Shelter (0.31 MB, )
  Application form for rental of Ella Sharp Park Picnic Shelter
• Inter-City Bike Trail Map (3.2 MB, )
  Map for Inter-City Bike Trail
• Map of Ella Sharp Park (0.13 MB, )
  Map of Ella Sharp Park

Personnel

Application Packets

• General Application Packet (0.25 MB, )
  The City of Jackson job packet – includes the employment application, instructions for completing and the required applicant data form in PDF format
• Police Officer Application Packet (0.27 MB, )
  The City of Jackson police officer job packet – includes the employment application, instructions for completing and the required applicant data form in PDF format
• Fire Fighter / EMT Apprentice Application Packet (0.05 MB, )
  The City of Jackson fire fighter / EMT apprentice packet – includes the application, instructions for completing and the required applicant data form in PDF format
• Fire Fighter Application Packet (0.85 MB, )
  The City of Jackson fire fighter job packet – includes the employment applicant, instructions for completing and the required applicant data form in PDF format
• JCC Automotive Co-Op Application Packet (0.17 MB, )
  Application packet for part time Co-Op position for current JCC Automotive students

Employee Benefits

IAFF

• 2011-12 Flex Benefit Guide (0.1 MB, )
• Enrollment Form (0.07 MB, )
• BCN 5 (0.59 MB, )
  Blue Care Network overview of benefits
• Flexible Blue (0.59 MB, )
  Flexible Blue Plan 4 Medical Coverage
• VSP (0.12 MB, )
  BlueVision benefits
• Dental Coverage Sheet (0.11 MB, )

MAPE

• Enrollment Form (0.07 MB, )
• 2011-12 Flex Benefit Guide (0.1 MB, )
• BCN 5 (0.59 MB, )
  Blue Care Network overview of benefits
• COPS TRUST (0.31 MB, )
• ScriptGuide RX (0.21 MB, )
  Prescription Drug Benefit Guide
• Delta Dental (0.25 MB, )

Non-Union

• 2011-12 Flex Benefit Guide (0.1 MB, )
• Enrollment Form (0.07 MB, )
• BCN 5 (0.7 MB, )
  Blue Care Network overview of benefits
• VSP (0.13 MB, )
  BlueVision benefits
• ScriptGuide RX (0.19 MB, )
  Prescription Drug Benefit Guide
• Dental Coverage Sheet (0.11 MB, )

POLC/NS

• 2011-12 Flex Benefit Guide (0.1 MB, )
• Enrollment Form (0.07 MB, )
• BCN 5 (0.64 MB, )
  Blue Care Network overview of benefits
• ScriptGuide RX (0.2 MB, )
  Prescription Drug Benefit Guide
• COPS Trust B (0.29 MB, )
• VSP (0.15 MB, )
  BlueVision benefits
• Dental Coverage Sheet (0.12 MB, )

POLC/S

• 2011-12 Flex Benefit Guide (0.1 MB, )
• Enrollment Form (0.07 MB, )
• BCN 5 (0.63 MB, )
  Blue Care Network overview of benefits
• Community Blue PPO (0.65 MB, )
• VSP (0.13 MB, )
  BlueVision benefits
• ScriptGuide RX (0.2 MB, )
  Prescription Drug Benefit Guide
• Dental Coverage Sheet (0.11 MB, )

Retiree

• Enrollment Form (0.29 MB, )

Employee Contracts

• MAPE Labor Agreement (0.58 MB, )
  City of Jackson and Michigan Association of Public Employees – July 1, 2007 through June 30, 2011. (64 pages)
• POLC Labor Agreement (0.28 MB, )
  City of Jackson and Police Officers Labor Council, Jackson Non-Supervisory Unit Labor Agreement – July 1, 2008 through June 30, 2010. (52 pages)
• POLC / Supervisor Unit Agreement (0.25 MB, )
  July 1, 2007 through June 30, 2011. (48 pages)
• Fire Fighters Local 1306 Agreement (6.71 MB, )
  July 1, 2009 through June 30, 2012 agreement. (63 pages)

Planning Commission

Comprehensive Plan

• 2010 Jackson Comprehensive Plan (3.03 MB, )

Documents and Websites

• Official Zoning Map (1.25 MB, )
• Nonconformities (0.03 MB, )
• Home Occupations (0.03 MB, )
• Fence and Wall Regulations (0.03 MB, )
• Child Care Facility Regulations (0.03 MB, )
• Accessory Structures and Swimming Pools (0.03 MB, )
• 2010 Jackson Comprehensive Plan (3.03 MB, )

Responsibilities

• Application Forms for the Various Zoning Requests (0.25 MB, )

Police

Annual Reports

• 2010 Annual Report (0.72 MB, )
• 2009 Annual Report (1.47 MB, )
• 2008 Annual Report (1.11 MB, )
• 2007 Annual Report (1.58 MB, )
• 2006 Annual Report (1.17 MB, )
• 2005 Annual Report (1.27 MB, )
• 2004 Annual Report (1.58 MB, )
• 2003 Annual Report (1.53 MB, )
• 2002 Annual Report (2 MB, )
• 2001 Annual Report (13.18 MB, )

Public Safety

• Public Safety Presentation (0.96 MB, )
  This is the presentation given by Chief Heins and Deputy Chief Wooden at the February 22, 2011, Council Meeting.

Downloadable Forms

• Complaint Information Form (0.02 MB, )
  The Complaint Information form may be used to notify police administration of alleged wrongdoing by a police officer of the Jackson Police Department. All information on page one should be completed as fully as possible. After completing the form, signing and dating it, mail it to the Jackson Police Department at 216 E. Washington Ave., Jackson, MI 49201. You will receive a letter in the mail acknowledging receipt of your complaint.
• FOI Request Form (0.01 MB, )
  You may use this form to request police reports taken by the Jackson Police Department. An incident number is the easiest way for us to fulfill your request. If you do not have an incident number, please provide as much information as possible so we may present you with the information you are requesting. Please understand some information may not be released, based upon current investigations and protected personal information.

  Once you have completed the form, you may fax it to (517) 788-4126 or mail it to the Jackson Police Department Records Unit, 216 E. Washington Ave., Jackson, MI 49201.

• Private Property Crash Form (0.2 MB, )
  The Private Property Crash form is intended to provide a self-reporting system for your Private Property vehicle crash. Please follow the instructions and example when completing the form.

  Completed forms should be returned to the Jackson Police Department at 216 E. Washington Ave., Jackson, MI 49201 if the crash occurred within the city limits. If the crash occurred outside the city limits, but within Jackson County, mail completed forms to Jackson County Office of the Sheriff, 212 W. Wesley St., Jackson, MI 49201.

  Call 911 and do not use this form if any of the below apply:

  • The driver of either vehicle is under the influence of drugs or alcohol
  • The collision involves reckless driving
  • Personal injuries occurred
  • The collision occurred on a public street
  • The license plate number of a hit and run vehicle was obtained by a witness

Public Works

Leaf Pickup Schedule

• Leaf Pickup Map (0.02 MB, )
  Find the dates that the leaf pickup will be coming through your neighborhood.

Purchasing

Subnavigation

• Request for Taxpayer ID (0.25 MB, )
• City W9 Request for Taxpayer (0.23 MB, )
• Commodity Codes (0.29 MB, )
• City Sales Tax Exemption Certificate (0.11 MB, )

Treasurer

2011 Income Tax Forms

• Form 941-501Quarterly 2012 (0.07 MB, )
• Form 1040ESQuarterly 2012 (0.09 MB, )
• 2011 J1120 Form with Instructions (3.04 MB, )
• 2011 J1065 Form with Instructions (3.19 MB, )
• 2011 J1040 Form with Instructions (0.06 MB, )
• 2011 J1040 Form (0.04 MB, )
• JSS-4 (0.15 MB, )
• JW4 (0.05 MB, )
• J1041 Fiduciary (0.93 MB, )

2010 Income Tax Forms

• 2010 1040 Form (0.06 MB, )
• 1040 Form and Instructions (0.18 MB, )
• J1040es Instructions (1.53 MB, )
• J1040 ES Quarterly (1.45 MB, )
• J941 Instructions (0.23 MB, )
• J1065 Partnership (0.72 MB, )
• J941 Quarterly (1.22 MB, )
• J1120 Corporation (0.14 MB, )

2009 Income Tax Forms

• J1040es Instructions (0.93 MB, )
• J1040 with Instructions (0.15 MB, )
• J1040 ES Quarterly (0.54 MB, )
• J941 Instructions (0.23 MB, )
• J941 Quarterly (0.47 MB, )
• J1065 Partnership (0.13 MB, )
• JSS-4 (0.15 MB, )
• J1041 Fiduciary (0.93 MB, )
• J1120 Corporation (0.11 MB, )
• JW4 (0.05 MB, )

2008 Income Tax Forms

• J1040 with Instructions (0.17 MB, )
• J1040es Instructions (0.1 MB, )
• J941 (0.12 MB, )
• J941 Instructions (0.71 MB, )
• J1040 es (0.07 MB, )
• J1065 Partnership (0.13 MB, )
• JW4 (0.05 MB, )
• J1041 Fiduciary (0.93 MB, )
• JSS-4 (0.15 MB, )
• J1120 Corporation (0.12 MB, )

Wards

City Ward Maps

• Ward 1 Map (0.85 MB, )
• Ward 2 Map (0.69 MB, )
• Ward 3 Map (0.37 MB, )
• Ward 4 Map (0.49 MB, )
• Ward 5 Map (0.76 MB, )
• Ward 6 Map (0.5 MB, )

Wastewater Treatment Plant

Forms

• Use Permit Application (0.07 MB, )
• Critical Materials Register (0.77 MB, )
• Sewer Use Ordinance (0.11 MB, )
• Industrial User Questionnaire (0.05 MB, )

Water

Stormwater Fee

• Storm Water Management Manual (1.28 MB, )
• Storm Water Ordinance (0.63 MB, )
• Storm Water User Credit Manual (0.87 MB, )
• Storm Water Ordinance-Revised Credit Section (0.05 MB, )
• General Application (0.17 MB, )
• Residential Application (0.12 MB, )
• Non-Residentail Quantity Credit Application (0.14 MB, )
• Education Application (0.11 MB, )
• Direct Discharge Credit Application (0.13 MB, )
• Rainfall Nomograph (0.17 MB, )
• Storm Water Utility Brochure (2.87 MB, )