Text Size:   A+ A- A   •   Text Only
OMD - State Personnel Office
Oregon Military Department Banner

Forms
New Hire Forms Non-Emer. State Active Duty
Personnel Forms Payroll and Benefits Forms
Recruitment Forms
Temporary Forms
On the Job Injury / Medical
Injured Worker Packet
New Hire Forms
 

Position Appointment Information Sheet
Employee Orientation Checklist
Employee Information Sheet
I-9 Employment Eligibility Verification
Form W-4 Employee Withholding
Employee Emergency Information Record
PEBB Benefits
PERS/OPSRP - IAP Beneficiary Election
EEO Self Report Form
Electronic Deposit Form
Acceptable Use Acknowledgement Form
Oregon Savings Growth Plan
Employee Assistance Program
Postal Prescription Service
Family Medical Leave
Position Description - Represented
Position Description - Exec & Management
Position Description Instructions
MLA Appt Info Sheet
CDL Holder Packet 

Personnel Forms
 

Limited Duration Agreement
Notice of Separation
Position Description - Represented
Position Description - Exec & Management
Position Description Instructions
Employee Emergency Information Record
Performance Review - AFSCME
Performance Review - Mgrs & Supervisors
Instr. - Perf Review - Mgrs & Supervisor
Lead Work Assignment
Work Out of Class Assignment
CAC - Release of Information Form
Employee Leave Request Form

Recruitment Forms
 

Checklist
Request to Fill Position
Manager Position Reference Report
RDC/PDC
Geographic Availability Reference Sheet
Reference Release Form
Reference Check Questions
Authorization Criminal Background Check
Criminal History Verification Form
Interview Memo Results Sample

Temporary Forms
 

Temporary Appointment Request
OMD Temporary Employee Application 
Temporary Appointment Information Sheet
Temporary Tracking Status Form
Conditions of Temporary Appointment
Request to Extend Temporary Appointment

On the Job Injury / Medical
 

Accident Illness Report
Worker's Compensation Claim Form 801
Physician Assessment Form 
SAIF Regular Job Description Form 
FMLA_Employee_Packet_A 
FMLA_Military_Caregiver_Packet_B 
FMLA_Qualifying_Exigency_Leave_Packet_C 
Physican_Cert 
Physican_Cert_Svc_Mbr 
Physician_Cert_Qualifying_Exigency 
How_Do_I_Code_My_Timesheet 

Injured Worker Packet
 

99.100.06 - Early Return to Work
99.100.06 - Attachment 1 - Injured Worker Packet
ERTW Policy Signature Page 
Kaiser Brochure - Metro PDX Area
Kaiser Brochure - Salem Area 
  
What Happens if I'm Hurt on the Job Brochure 
  
DAS Link to ERTW Policies
50.020.03 - Reinstatement and Reemployment of Injured Workers
50.020.05 - Early Return to Work of Injured Workers
 
Non-Emer. State Active Duty
 
Request for Orders
Payroll and Benefits Forms
 

Change of Address
Form W-4 Employee Withholding
Form W-5 Earned Income Credit 
Electronic Deposit Form
Parking - Pretax Form
Military Leave Donation Request
Leave Codes for Timesheet 
PERS/OPSRP - IAP Beneficiary Election
PERS - Beneficiary Election 

Page updated: February 10, 2012