Agency of Administration
Documents
| File Name | File |
Category |
Date | File Format |
|---|---|---|---|---|
| Job Share Agreement Form |
 DHR-Job_Share_Agreement_Form.pdf |
Form | 19 Jan 2016 | |
| Reasonable Accommodation Request Form |
DHR-Reasonable_Accommodation_Request_Form.pdf |
Form | 23 Nov 2015 | |
| Dental_Claim_Form |
Dental Claim Form |
Form | 11 May 2016 | |
| Pre-Tax_Premium_Reduction_Form |
Pre-Tax Premium Form |
Form | 06 Jan 2016 | |
| Request for Mandatory Interview Form |
DHR-Request_Mand_Interview_Form.pdf |
Form | 10 Sep 2018 | |
| Exempt Salary Request Form |
DHR-Exempt_Salary_Request_Form.pdf |
Form | 07 Mar 2016 | |
| FSA_Change_Form |
FSA Change Form |
Form | 06 Jan 2016 | |
| FSA_Reimbursement_Claim_Form |
FSA Reimbursement Claim Form |
Form | 06 Jan 2016 | |
| Life_Insurance_Waiver_Form |
Life Insurance Waiver Form |
Form | 23 Sep 2016 | |
| FSA_Debit_Card_Form |
FSA Debit Card Order Form |
Form | 06 Jan 2016 |
Pages
Commissioner Beth Fastiggi
120 State Street, Montpelier, VT 05620
(802) 828-3491
DHR.General@vermont.gov
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