Human Resources Forms

Forms A - E	Forms F - Z
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) 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: Please use this temporary series of forms while the original series below undergoes maintenance: 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) Original Form Series (currently undergoing maintenance): 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) Exam Score Analysis (DOA-15514) 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-15336) 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) Note: In order to access a form you MUST select the form name and then select "Save link as" to save it to your documents folder before editing. HAM/TAM Hire Information (DOA-15300) HAM TAM Request Authorization (DOA - 15333) Job Expert Certificate (DOA-15511) Leave Without Pay Request Authorization (DOA - 15308) LTE Acknowledgment (DOA-15519) 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) Reallocation Notice Request (DOA-15321) Reclassification Request (DOA15314) Reasonable Accommodation Request (DOA-15104) Request For LOA With Pay Due To Injury (DOA-15309) Request For Out-of-State Work (DOA-15902) Request to Use Related Register (DOA-15516) Respectful Workplace Interview Checklist (DOA-15814) Respectful Workplace Complaint Form (DOA-15812) Separation of Duties Security Acknowledgement (DOA-15543) Suggestion Evaluation/Summary (DOA-15801) Suggestion Form (DOA-15800) Supervisor Exclusion Analysis (DOA-15316) Temporary Interchange of Employees (DOA-15327) Veteran New Hire Information (DOA-15100) Veteran Status Form (DOA-15529) WLEA Employee Grievance Report (DOA-15806) WLEA Employer Grievance Response (DOA-15804) WRS Additional Contributions Election Form (DOA-15840)