Human Resources Forms

​Abnormally Hazardous Task Report (DOA-15312)

Adverse Employment Action and Condition of Employment Employee Grievance (DOA-15802)​

Agency Request to Central Payroll for ​​Non-Wisconsin Employment  (DOA-2770)

Alternative Work Patterns Acknowledgement Form​ ​(DOA-15901)​

Application for Catastrophic Leave (DOA-15304)

Applicant Eligibility Verification for Catastrophic Leave (DOA-15305)

Application for State Employment (Form Only-2 pages) (DOA-15505​)

Application for State Employment (Instructions Only) DOA 15505I)​​

Applicant Consent for Background Check (DOA 15506)

Assessment Panel Member Travel Expense Sheet (DOA-15515)

​Assessment Score Analysis (DOA-15514)​

Background Check Approval/Exception Request (DOA-15507)

Candidate Reference Check (DOA-5201)

Certification Request Report (DOA-15313)

Certification Statement (DOA-15508)​

Confidential Exclusion Analysis (DOA-15318)

Confidential Information/Record(s) Release Authorization (DOA-5202)

Confidentiality Agreement-For Employees With Access To Background Check Info (DOA-15502)

Disability Verification for the Disabled Expanded Certification Program (DOA-15521)

DMC-DERA Justification (DOA-15330)

DMC-DERA Excel Report Form (DOA-15331)

Donor Authorization for Catastrophic Leave (DOA-15306)

EIR-Employee Investigation Reports:

• EIR-Employee Investigation Reports (DOA-15807 A-H)
  

• EIR-First Report of Potential Work Rule Violation (DOA-15807-A)

• EIR-Investigation Chronological Order (DOA-15807-B)

• EIR-Investigatory Interview (DOA-15807-C)

• EIR-Summary of Investigation Findings (DOA-15807-D)

• EIR-Pre-Disciplinary Meeting (DOA-15807-E)

• EIR-Final Conclusion (DOA-15807-F)

• EIR-Investigations Involving Criminal Matters (DOA-15807-G)

• EIR-Evidence Log (DOA-15807-H)​​​

Employee Information (DOA-15532)

Employee Notification Receipt Reclass Reallocation (DOA-15311)

Employer Grievance Decision (DOA-15803)

Enterprise Emergency Paid Sick Leave (EPSL) Request (DOA-15352)​

ESG Eval Information (DOA-15301)

FCRA Authorization - Consent to Procurement of Consumer Credit Report (DOA-15537)

 FCRA Authorization to Obtain a Consumer Credit Report and Release of Information for Employment Purposes (DOA-15538)

Fitness for Duty Certification - Return to Work Release (DOA-153​36)

FMLA-Designation Notice (DOA-15324)

FMLA-Employee Request (DOA-15322)

FMLA-Notice of Eligibility, Rights and Responsibilities (DOA - 15325)

FMLA Medical Certification:

• Use federal DOL form WH-380-E (employee) or WH-380-F (family)

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