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Human Resources Division - Forms

 Select HR Form Category:
Commercial Drivers License Personnel Records Forms FMLA/OFLA
Employee Records Forms  Performance Appraisals Position Forms
Recruitment Forms Safety Forms Schedule Related 
Misc. Forms (DPSST, etc.)

Commercial Driver's License
CDL Form - Supervisors Review (doc)  CD1419
CDL Form - Certificate of Driver History Form  (doc) CD1420 
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Personnel Records Forms
AFSCME Security Differential (SDU) Assessment Form (doc) ​CD1517
​AOCE Security Differential (SDU) Assessment Form (doc) ​CD1517A
​Address-Phone Change Form (doc) ​CD1629
​Appointing Authority Personnel Action Form (doc) ​CD1518
​Bilingual Differential Form (doc) ​CD1550
​Certified License Differential (doc) ​CD1671
Commercial Driver License Differential (doc) ​CD1682
​Conditions of Temporary Appointment (doc) ​CD1008
​Dental Assistant Expanded Function Assignment (doc) ​CD1674
Direct Appointment Request (doc) ​CD1509
​Double Fill Request Form (doc) ​CD1507
​FTO Differential (doc) ​CD1672
Job Rotation: Developmental/Lateral (doc) CD1370
​Job Rotation: Extension (doc) CD​1370C
Job Rotation with Differential (doc) ​CD1370A
​Job Rotation with Other Agency (doc) ​CD1370B
​Job Share Agreement (doc) ​CD1512
Leadwork Differential Form (doc) ​CD1424
LEDS Certified Warrant Diff - SCI CD1808
​Limited Duration Agreement (doc) ​CD1513
​Miscellaneous Personnel Action Form (doc) ​CD1519
​Name Change Form (doc) ​CD1628

Patient Protection and Affordable Care Act New Hire Form (pdf)

Payroll Retroactive Cost Center Correction Form (xls)
​Pending Reclassification WOC CD1812
​Personnel Actions Matrix
​Promotional Increase Request for Additional Steps (doc) ​CD1508
Resignation-Retirement-Transfer Out of Agency (doc) ​CD902
​Safety Committee Differential (doc) ​CD1678
Salary for New Hires - Contact HR Manager
Salary Exception Request (doc) ​CD1516
​TERT/CNT Differential (doc) ​CD1664
​Temporary Appointment Extension (doc) ​PD412A
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 Employee Records Forms
Address-Phone Change Form (doc) CD1629
​Name Change Form (doc) ​CD1628
Code of Ethics Attachment (doc) CD1382
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
Employee Leave Request Form (pdf) CD1D
I-9 Form - Employment Eligibility Verification (link)  
ID Card Request Form (pdf) CD672
​ID Card Retiree Agreement (doc) ​CD1713
Notice of Employee-Inmate Relationship Form (doc)  CD1472
Patient Protection and Affordable Care Act new Hire Form (pdf) CD1704
Payroll Correction Process Instructions (doc)  
Report of Family Relationships (doc) CD1791
Request to Maintain PERS Police and Fire Status (doc) CD1514
Resignation-Retirement-Transfer Out of Agency (doc) CD902
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All OFLA FMLA Forms 
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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
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)  
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Recruitment Forms
Ad_Request_Form.doc (doc) CD1560 
Criminal History - DMV- LEDS Check Form (doc)


PREA Disclosure Form

Position Description Review Acknowledgement Form (doc)

Recruitment Requisition  (doc) CD1563 
Release of Liability (doc) CD1199
(Sample) Appointment Letter (doc)  
(Sample) Lateral Transfer Letter (doc)  
(Sample) Promotion Letter (doc)  
(Sample) Temporary Appointment Letter (doc)  
Pay Equity (Link)   
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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)

Safety Contacts by Location (pdf)

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 Schedule Related Forms
AFSCME Sec Plus Flex Sch Authorization  (pdf) CD1481 
Alternative Work Schedule Request Form (pdf) CD1495
​AOCE OISC Records Staff Flex Schedule (pdf) ​CD1817
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Miscellaneous Forms

DPSST Forms (link)

Hardship Donation Request Form (doc)

Work_in_Lieu_6438Afill.pdf (pdf)



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