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Form

Form

Pre-Tax_Premium_Reduction_Form

Wednesday, January 6, 2016
File: 
PDF icon Pre-Tax Premium Form
Form

Around the World Challenge: Phase 1

Friday, January 4, 2019
File: 
PDF icon Around the World Challenges_ P1.pdf
Form

Life_Insurance_Waiver_Form

Friday, September 23, 2016
File: 
PDF icon Life Insurance Waiver Form
Form

Dental_Claim_Form

Wednesday, May 11, 2016
File: 
PDF icon Dental Claim Form
Form

EEO Compliance Survey Form

Friday, May 4, 2018
File: 
PDF icon DHR-EEO_Compliance_Survey.pdf
Form

Job Share Agreement Form

Tuesday, January 19, 2016
File: 
PDF icon DHR-Job_Share_Agreement_Form.pdf
Form

Long-Term_Disability_Claim_Form

Wednesday, January 6, 2016
File: 
PDF icon Long-Term Disability Claim Form
Form

Life_Insurance_Enrollment_Form

Wednesday, January 6, 2016
File: 
PDF icon Life Insurance Enrollment Form
Form

Life_Insurance_Beneficiary_Form

Wednesday, January 6, 2016
File: 
PDF icon Life Insurance Beneficiary Form
Form

Life_Insurance_Evidence_Of_Insurability_Form

Wednesday, January 6, 2016
File: 
PDF icon Life Insurance Evidence of Insurability Form

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Commissioner Beth Fastiggi
120 State Street, Montpelier, VT 05620
(802) 828-3491
DHR.General@vermont.gov

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How Do I?

  • Learn about benefit plans
  • Contact EAP
  • Answer payroll questions
  • See pay periods & pay dates
  • Find wellness programs
  • Learn about leave benefits
  • Make a public records request
  • Find info about classification
  • OWA Email Login
  • Find workforce reports
  • View Workforce Dashboard
  • Employment Verification

Popular Links

  • Classroom/Online Training
  • Collective Bargaining Agreements
  • Employee/Manager Self Service
  • Job Specifications
  • Pay Charts
  • Policy & Procedure Manual
  • Retirement Planning
  • Retirement Office
  • State Holiday Schedule
  • Time Entry & Approval
  • VTHR Login
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