Classified Prior Service Credit Application |
DHR-Prior_Classified_Service_Credit_Form.pdf |
Form |
23 Nov 2015 |
PDF |
Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F) |
WH-380-F Family Member's Certification of Health Care Provider for Serious Health Condition FMLA Form.pdf |
Form |
29 Aug 2018 |
PDF |
Common Time Reporting Codes |
Common Time Reporting Codes.pdf |
Form |
16 Nov 2015 |
PDF |
Life_Insurance_Conversion_Form |
Life Insurance Conversion Form |
Form |
06 Jan 2016 |
PDF |
Temporary Prior Service Credit Application |
DHR-Prior_Temporary_Service_Credit_Form.pdf |
Form |
23 Nov 2015 |
PDF |
Certification of Qualifying Exigency For Military Family Leave (WH-384) |
WH-384 Military Family Leave Certification of Qualifying Exigency FMLA Form.pdf |
Form |
29 Aug 2018 |
PDF |
Holiday Coding |
DHR-VTHR_Holiday_Coding.pdf |
Form |
16 Nov 2015 |
PDF |
Life_Insurance_Evidence_Of_Insurability_Form |
Life Insurance Evidence of Insurability Form |
Form |
06 Jan 2016 |
PDF |
Tuition Employee Certification |
DHR-VTHR_Tuition_Assistance_Employee_Certification_Form.pdf |
Form |
10 Dec 2015 |
PDF |
Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (WH-385) |
WH-385 Military Family Leave Certification for Serious Injury or Illness of a Current Servicemember FMLA Form.pdf |
Form |
29 Aug 2018 |
PDF |