Human Resources Forms

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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 (DOA-15305)
 
Application for State Employment (form only-2 pages) (DOA-15505)
 
Application for State Employment Instructions-only DOA 15505I).pdf
 
APPLICANT CONSENT FOR BACKGROUND CHECK (DOA 15506).docx
 
Assessment Panel Member Travel Expense Sheet (DOA-15515)
 
Background Check Approval/Exception Request (DOA-15507)
 
Candidate Reference Check (DOA-5201)
 
Certification Request Report (DOA-15313).pdf
 
Certification Statement (DOA-15508).pdf
 
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).pdf
 
Disabled Expanded Certification (DOA-15521).pdf
 
DMC-DERA Justification (DOA-15330).pdf
 
DMC-DERA Excel Report Form (DOA-15331)
 
Donor Authorization for Catastrophic Leave (DOA-15306)
 
Employee Information (DOA-15532)
 
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 Notification Receipt Reclass Realloc (DOA-15311)
 
Employer Grievance Decision (DOA-15803)
 
Enterprise Emergency Paid Sick Leave (EPSL) Request (DOA-15352)
 
Exam Proctor Application (DOA-15523).pdf
 
Exam Score Analysis (DOA-15514).pdf
 
ESG Eval Information (DOA-15301).pdf
 
FCRA Authorization - Consent to Procurement of Consumer Credit Report (DOA-15537).docx
 
 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).docx
 
FMLA-Designation Notice (DOA-15324).docx
 
FMLA-Employee Request (DOA-15322).docx
 
FMLA-Notice of Eligibility, Rights and Responsibilities (DOA - 15325).docx
 
 FMLA Medical Certification - Use federal DOL form WH-380-E (employee) or WH-380-F (family) (In order to access ​a form you MUST select the form name and then select the Save link as... to save it to your documents folder. Then edit from there.)​