Human Resources Division - Forms     

Commercial Drivers License   Differentials   FMLA/OFLA   
Employee Records Forms   Performance Appraisals   Position Forms   
Recruitment Forms   Safety Forms   Schedule Related    
Misc. Forms (DPSST and Reasonable Suspicion Forms)   

Commercial Driver's License   

CDL Form - Supervisors Review (doc)     CD1419   
CDL Form - Certificate of Driver History Form  (doc)    CD1420    

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Differentials   

Leadwork Differential Form (pdf)    CD1424   
Security Differential (SDU) Assessment Form - AFSCME (pdf)    CD1517   
Security Differential (SDU) Assessment Form - AOCE (pdf)    CD1517a   
Working Out of Class (WOC) Authorization - DOC (pdf)    CD1370B   

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Employee Records Forms   

Address-Name-Phone Change Form (pdf)    CD940D   
Code of Ethics Attachment (doc)    CD1382   
Direct Appointment Request (pdf)    CD1509   
DOC Employee Photo Request Form (doc)    CD1543    
EEO Self Report Form (pdf)     
Employee Emergency Information Record (pdf)    CD1510   
Employee Assigned Property Tracking Form (doc)    CD1489   
I-9 Form - Employment Eligibility Verification (link)     
ID Card Request Form  (doc)    CD672D   
Notice of Employee-Inmate Relationship Form (doc)     CD1472   
Payroll Retroactive Cost Center Correction Form (xls)     
Payroll Correction Process Instructions (doc)     
Personnel Actions Matrix (pdf)     
Personnel Action Request Form - Misc (doc)    CD1518 Personnel Action Request Form - Appointing Authority      (doc)    CD1519    
Report of Family Relationships (pdf)    CD1055   
Request for Continuation of PERS Police and Fire (pdf)    CD1514   
Resignation-Retirement-Transfer Out of Agency (pdf)    CD902   
Salary Exception Request (pdf)    CD1516   
Special Merit Increase Request (pdf)    CD1515   
Two-Step Upon Promotion Request  (pdf)    CD1508   
Temporary Appointment Conditions (pdf)    PD412   
Temporary Appointment Extension Request (pdf)    PD412A   

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FMLA/OFLA   

Employee Medical Certification (doc)
Family Member Medical Certification (doc)
FMLA-OFLA Employee Packet (pdf)
FMLA-OFLA Family Member Packet (pdf)
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Performance Appraisal Process   

Performance Evaluation Elec Form - Represented (doc)    CD1492   
Performance Evaluation Form - Represented  (doc)    CD1493a    
Performance Plan Evaluation Form - Management & Exec Svc (doc)    CD1521    
Annual Performance Review Policy Signature Page (pdf)     
Mgmt/Exec Svc Performance Plan Instructions (pdf)      
Code of Ethics Attachment (doc)    CD1382   
Employee Emergency Information Record (pdf)    CD1510   

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Position Forms   

Double Fill Request Form (pdf)    CD1507   
Limited Duration Agreement (pdf)    CD1513   
Job Share Agreement (pdf)    CD1512   
Job Rotation Agreement (pdf)    CD1370   
Position Description Acknowledgement Form (doc)    CD1264D   
Position Description Form - DOC Mgmt/Exec Svc (doc)    CD1520    
Position Description Form Template - Employee (doc)    CD1542    
Position Description Instructions (doc)     
Request for Classification Change (pdf)    CD1511   

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Recruitment Forms   

Advertising Request Form (doc)    CD1560    
Criminal History - DMV- LEDS Check Form (doc)    CD1562    
Position Description Review Acknowledgement Form (doc)    CD1264D   
Recruitment Requisition  (doc)    CD1563    
Approval to Fill Request Memo  (docx)   
Application for Exception  (docx)     
Release of Liability (doc)    CD1199   
Request for Applicant Removal Memo  (doc)    CD1561    
(Sample) Appointment Letter (doc)     
(Sample) Lateral Transfer Letter (doc)     
(Sample) Promotion Letter (doc)     

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Safety Forms   

Accident/Incident Report Form (pdf)    CD1381    
DOC Offer/Declination of Hepatitis B Vaccination (pdf)    CD1398     
Employee Medical Status Report  (pdf)    CD1422    
Safety Forms (link)     

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Schedule Related Forms   

AFSCME Sec Plus Flex Sch Authorization  (pdf)    CD1481    
Alternative Work Schedule Request Form (pdf)    CD1495   
Furlough Election Forms  (link)   

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Miscellaneous Forms   

DPSST Forms (link)     
Reasonable Suspicion Forms (link)   

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Page updated: April 30, 2012

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