The purpose of this Administrative Instruction is to establish and clarify procedures regarding. Rules of Court, rules 3.760 and 3.770.) 1.TO THE CLERK: Please dismiss this action as follows: a. (1). When an employee is in a non-pay status for an entire pay period, no withholding will be made to cover the pay period from future earnings. To continue health care coverage under. COBRA, the employee should fill out form HBD-85 and submit it to the Agency's Human. Employees who wish to opt out must complete and sign a waiver form. Local Forms, Adoption Forms, Family Law Forms, Juvenile Forms, Probate and Court Investigator's Forms, Small Claims Forms, Traffic Forms