Human Resources Forms

​​​​​​FORMS A-G

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
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.)​


HAM/TAM Hire Information (DOA-15300).pdf
HAM TAM Request Authorization (DOA - 15333).pdf
Job Expert Certificate (DOA-15511)
Leave Without Pay Request Authorizati​on (DOA - 15308).pdf
LTE Acknowledgment (DOA-15519).pdf
Limited Term Employment (LTE) Request/Report (DOA-15530)
Management Exclusion Analysis Form (DOA-15317)

Mediation Evaluation Form (DOA-15824)

Mediation Outcome Form (DOA-15826)

Mediation Request Form (DOA-15820)
Mediator Checklist (DOA-15822)
Moving Expense Reimbursement Report (DOA-15307)

Nonrepresented Employee Claim for Reimbursement for Damaged Personal Articles (DOA-15303)

Outside Employment Request (DOA-15503)
Performance Improvement Plan (PIP) (DOA-15810)
Personnel Transfer Record (DOA-15504)
Position Description (DOA-15302).pdf
Reallocation Notice Request (DOA-15321).pdf
Reclassification Request(DOA15314).pdf
Reasonable Accommodation Request (DOA-15104)
Request For LOA With Pay Due To Injury(DOA-15309).pdf
Request to Use Related Register (DOA-15516)

Respectful Workplace Interview Checklist (DOA-15814)

Respectful Workplace Complaint Form (DOA-15812

Selection Assessment Strategy (DOA-15536)

Separation of Duties Security Acknowledgement(DOA-15543)
Special Exam Certificate (DOA-15509)

Suggestion Evaluation/Summary (DOA-15801)

Suggestion Form (DOA-15800)

Supervisor Exclusion Analysis (DOA-15316)
Temporary Interchange of Employees (DOA-15327).doc
Veteran New Hire Information (DOA-15100).pdf
Veteran Status Form (DOA-15529)
WI Civil Service Exam Accommodation (DOA-15510).pdf
WLEA Employee Grievance Report (DOA-15806)
WLEA Employer Grievance Response (DOA-15804)